Can This Innovation Be Scaled?

What happens when innovators try to convince stakeholders about their innovations’ potential for spread? Watch as experts challenge assumptions and offer advice useful to anyone working to improve health care services.

Videos in this series were filmed at the 2011 Scale Up and Spread Round Table in Rockville, MD, an event conducted by the AHRQ Health Care Innovations Exchange. Designed for use in Web events, classrooms, or other presentations, these videos focus on one or more of the following topics:

  • How to develop an innovation;
  • How to assess its scalability; and
  • How to scale it.

The event brought together innovators and various stakeholders involved in spreading health care innovations, eliciting a broad discussion on the varied perspectives that must be considered in efforts to scale and spread innovative programs.

The Innovators:

  • Linda Wick, NP, Essentia Heart Failure Program. This program offers outpatient care for patients with chronic heart disease. This RN-led program provides congestive heart failure patients with a telemonitoring scale that measures weight and asks health related questions. This data is transmitted to a cardiac nurse, who monitors the patients’ conditions daily.
  • David Dorr, MD, Care Management Plus Program. This program offers comprehensive primary care to seniors with multiple chronic illnesses. A care manager helps the patients to manage their conditions and coordinate care with specialists and community resources.
  • Joey Skelton, MD, Brenner Children’s Hospital BrennerFIT Program. This program is a multi-disciplinary team of professionals providing researched-based care of obese children and teens. The program is made up of pediatricians, behavioral counselors, dietitians, physical therapists, social workers and exercise specialists guiding families to a healthier life.

The Stakeholders:

  • Amy Berman, BS, RN, heads the Hartford Foundation’s Integrating and Improving Services portfolio, focusing on the development and dissemination of innovative, cost- effective models of care that improve health outcomes for older adults.
  • Janell Moerer, MBA, is Vice President of Business Development for Via Christi Health, where she assesses and develops ongoing growth strategies and opportunities in innovation and care delivery transformation across the health system.
  • Sharon Schindler Rising, MSN, CNM, FACNM, is the founder and Executive Director of the Centering Healthcare Institute, Inc. (CHI), a non-profit organization that is dedicated to changing the paradigm of health services in order to improve the overall health outcomes of mothers, babies, new families and all individuals across the life cycle.
  • Steve Shields, BS, is the CEO and President of Action Pact Development, which helps organizations transform their institutional nursing homes into the Household Model of nursing care. He developed the Healthcare “Household Model,” a resident-directed service for the aging.
  • Lisa Suennen, MA, is a co-founder and Managing Member of Psilos Group, a healthcare- focused venture capital firm with over $577 million under management.
  • Adam Zavadil, MPH, is the Director of Market Strategy and Analysis at the Alliance of Community Health Plans.

The lists below summarize the main points in each video and link to those sections.

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David Dorr — Care Management Plus Program

Consider how scaling will affect the innovation
Innovators must turn into entrepreneurs
The Hollywood Model: Don’t start unless you can scale
Assess readiness of adopting organizations
Assess innovation readiness for spread
Address multi-payer issues
Ensure fidelity to the model
Innovators must market to different stakeholders
Get professional buy-in
Assist systems with limited resources
Differentiate your innovation from competitors
Spread is a new world
Decide who will lead the scaling effort
Learn how to create a business plan

Linda Wick — The Essentia Heart Failure Program

Lower the cost of the innovation
Identify the core elements for scaling
Clarify scale up & spread goals
Convince insures that cost savings are real
Distinguish yourself from your competition
Target marketing messages to specific audiences
Use outside experts
Position your innovation for scaling

Joey Skelton — Brenner Children’s Hospital BrennerFIT Program

Consider family readiness to participate in program
Improve program efficiency
Use groups to support behavior change and improve efficiency
Clarify and communicate program benefits
Tailor message to different audiences

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