“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 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:
1. The Goal: Innovation
2. Defining the Entrepreneur
3. Case Study: Centipede NurseCalls
4. How to Create Innovation Relationships
OUTCOME: Walkaways, Ideas, Approach
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
Defining an Entrepreneur:
6 Common Characteristics…
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)
Defining an Entrepreneur:
6 Common Characteristics…
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
Defining an Entrepreneur:
6 Common Characteristics…
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
Defining an Entrepreneur:
6 Common Characteristics…
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
Defining an Entrepreneur:
6 Common Characteristics…
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
Defining an Entrepreneur:
6 Common Characteristics…
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
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..
Case Study: Centipede NurseCalls
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.
Case Study: Centipede NurseCalls
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:
1. The Goal: Innovation
2. Defining the Entrepreneur
3. Case Study: Centipede NurseCalls
4. How to Create Innovation Relationships
OUTCOME: Walkaways, Ideas, Approach
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!