“bridging primary care shortages via entrepreneurial ... · “bridging primary care shortages...

“Bridging Primary Care Shortages via

Entrepreneurial Partnership Models”

Presented by Nancy C Everitt, MBA

February 27, 2012 Network Contracting Congress, Las Vegas NV

The Discussion:

1. The Goal: Innovation

2. Defining the Entrepreneur

3. Case Study: Centipede NurseCalls

4. How to Create Innovation Relationships

OUTCOME: Walkaways, Ideas, Approach

The Goal:

Change Healthcare through Innovation

To create more significant innovations for primary care

access, pair start ups and emerging companies with

companies seeking change but lacking the entrepreneurial

edge…

The Opportunity:

Market Innovation: The Million Dollar Question

“ Why doesn't [insert large competitor] just do this”

“Large companies simply can't compete with startups on a cost and execution basis. While startups beg, borrow and barter, large companies follow established processes, protocol and prices to accomplish the same things at a much slower speed and a heavy multiple of the cost.”

November 2011 print edition of Entrepreneur with the headline: Buy vs. Build.

The Opportunity:

Market Innovation: Buy vs Build

“Startups require innovative entrepreneurs, and that typically isn't in a job description for a large company. Big companies hire people when the workload demands it, not when they can come up for air and think about innovation.”

November 2011 print edition of Entrepreneur with the headline: Buy vs. Build.

The Discussion:






Defining an Entrepreneur:

6 Common Characteristics…

Timmons’ (1994) analysis of more than 50 studies found a consensus around six general characteristics of entrepreneurs: (1) commitment and determination; (2) leadership; (3) opportunity obsession; (4) tolerance of risk, ambiguity and uncertainty; (5) creativity, self-reliance and ability to adapt; and (6) motivation to excel.

Timmons, J.A. 1994. New Venture Creation: Entrepreneurship for the 21st Century.

Fourth edition. Irwin Press, Burr Ridge, IL.

.

ENTREPRENEUR: Okay, if

we work for free 18 hours a

day we can beat the market

and create something that

changes lives!

ESTABLISHED CO:

Wha-a-at? I’ve

worked my 40 hours,

what more do you

want? I need work

life balance!

1. Commitment and Determination



ENTREPRENEUR:

There is a bunch of

noise, however to

achieve the objective we

need to be the best only

at A, B and C. It’ll be

tough but possible.

ESTABLISHED CO: It

may look simple, however

this will fundamentally

change the way we do

business. Change is hard

and expensive.

2. Leadership (Vision, Insight and Optimism)



ENTREPRENEUR:

I’m too obsessed to

sleep. Let’s keep

working, there has

to be a solution!

ESTABLISHED CO:

We’ll create a work

team and allocate 20

hours a week to this

solution.

3. Opportunity Obsession



ENTREPRENEUR:

Hmm…never been

done before. Sign

me up. No solution

possible – ha! I’ll

show you.

ESTABLISHED CO:

It’s not possible to

get certain members

to go to their PCP,

save your time and

money!

4. Tolerance of risk, ambiguity

and uncertainty



ENTREPRENEUR:

Thinking caps

on…out of the

box…crazy ideas

welcomed. Let’s

beta test!

ESTABLISHED CO: Let’s

study the issue to

determine if there REALLY

is a problem. If so, we can

assign a team to evaluate

the process. Then assign

a development team!

5. Creativity, self reliance and

an ability to adapt



ENTREPRENEUR:

We can’t be average.

We’ll create a better

product or service in

half the time at half

the price!

ESTABLISHED CO:

This is good enough,

they’ll come to us

based upon our

reputation.

6. Motivation to excel



The Discussion:






Case Study: Centipede NurseCalls

Opportunity: Issue

Certain plan members not seeking ANY care from PCPs. Members present at the ED with acute conditions that could have been prevented.

Mailers, calls and Nurseline are ineffective – no engagement..


Opportunity: Root Cause – Access and Engagement

• PCP practices are full

• Wait times are long for an appointment

• No access to transportation

• No supports to care for other family members

• Distrust for the system

• BH condition

• Disability or mobility.


Opportunity: Solution – Nurse Practitioner Housecalls Network

• Plan-Vendor Partnership

• Member Engagement and reconnection with PCP

• Submitted Claims and HRA data – Better Risk Assignment

• Short term increase in Well Visits , long term reduction in Acute Care

• Use of Network is driven by Plan and PCP – Not the Member

The Discussion:






The Process:

Identify the Opportunity

“Root Cause”

Identify the Solution

Identify the Players

The Process:

Identify the Players

How to Locate Entrepreneurial Partners

• Successful Current Vendors

• Local Angel Investor Network

• National Angel Network

• Local Innovation Centers and Incubators

• Entrepreneurs at your Organization

Audience Comments…

Thank you!

“bridging primary care shortages via entrepreneurial ... · “bridging primary care shortages...

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