Possible believe in proving it's possible to deliver high-quality, low-cost healthcare to the world's poor.
Possible provides free and cost-effective health care services to Nepal’s rural poor in partnership with government medical programs and have been able to scale their services. In doing so, Possible is helping to rebuild health care infrastructure in a country devastated by civil war and natural disasters. Under its durable health care model, Possible is compensated by the Nepali government on a results-basis.
What do they do?
Possible is focused on delivering high-quality, low-cost healthcare to the world's poor.
Integrated healthcare system
Possible serves primarily in Nepal and integrates government hospitals, clinics, and community health workers in their healthcare model. Their approach is:
Comprehensive: healthcare is delivered in a system of care, from the hospital to the home.
Disease-Driven: healthcare investments are proportionally targeted at the biggest drivers of morbidity and mortality.
Adaptive: the healthcare system can evolve to meet new needs and unanticipated calamities, from earthquakes to epidemics.
The goals of Possible's model are to spend under $25 per person and improve four key health outcomes for an entire population. They optimize the design of their healthcare system around quality and cost.
Possible uses the following performance indicators (KPIs) to measure not only quality of care for individuals, but for the community as a whole.
(i) Surgical complications
The % of complications reported prior to discharge after surgical services are provided at Possible's healthcare facilities.
(ii) Chronic Disease Control
The % of total chronic disease patients under Possible's care who have their disease under control.
(iii) Institutional Birth
The % of women giving birth in a healthcare facility with a trained clinician.
(iv) Contraceptive Prevalence
The % of reproductive aged women who delivered in the past 2 years using modern contraceptive methods.
Durable healthcare model
Possible has a unique model of durable healthcare - a healthcare system design that solves for the poorest patients. It’s a public-private partnership that enables a nonprofit healthcare company to be paid by the government to deliver healthcare within the government’s infrastructure.
The Nepali government finances and provides infrastructure. Possible brings management acumen and only get paid if they deliver outcomes. As a nonprofit healthcare company, Possible only needs to achieve cost recovery, not profitability.
It brings together the quality of the private sector, access of the public sector, and innovation enabled by philanthropy.
Why are they recommended?
Possible is recommended by The Life You Can Save.
Scalability of healthcare services
Possible is able to scale its services because the organization operates in partnership with sectors of Nepal’s existing public health care system. Under its durable health care model, Possible is compensated by the Nepali government on a results-basis. As a not-for-profit organization, Possible then reinvests this money into health care programs that improve the lives of some of the country’s poorest people. This performance-based system has led to a 14-fold increase in government funding while guarding against the failures of traditional health care financing models.
Since they started delivering health care in 2008, Possible has treated over 131,000 patients, attracted over $1 million in cash and in-kind investment from Nepal's government through public-private partnerships, and employed 260 local Nepali team members. In 2015 alone, the organization treated 69,505 patients--up from 56,000 in 2014. Possible also established six new primary clinics, added 164 community health care workers, crowdfunded 188 referral patients, and agreed on a new $1 million five-year matching agreement with the Nepali government. After the April 2015 earthquake, Possible expanded their healthcare model to include another district, in order to provide quality care to victims and their families.
Pioneering healthcare approach
Possible provides medical services to Nepal’s rural poor by combining public and private health care models. Further, Possible has launched the first electronic medical recordkeeping system of its kind in Nepal, complete with integration of government reporting systems. As Vermont’s past Governor Howard Dean puts it, “It is a model with all the right pieces—it reaches the poorest, government resources are leveraged, and data and transparency are used to prove that results demand more investment.”
Cost-effective & high-quality healthcare
In 2014, Possible treated over 56,000 patients at an average cost of only $36, well below their already-low target of maximum $50 per patient. Possible works to maximize six key performance indicators, including surgery availability, chronic disease case follow-up, contraceptive use and safe births. These metrics are practical to measure, and were chosen to reflect overall improvements in the community.
Possible’s small U.S. operations office is funded by special donors, so 100 percent of general donations go directly to programs and clinics in Nepal.