CHMI Roadmap
CHMI is a work in progress. As we enter our next stage we will develop new products and programs that build on the program database and other current features. The CHMI Roadmap outlines new features and products that are in the process of being developed and will eventually be accessible via this web-platform. It also includes ideas for future CHMI areas of work.
Help CHMI grow by sharing your feedback on this list of ideas or suggesting new ways to make CHMI better serve its stakeholders. Share your thoughts with us.
Information
Growing the CHMI Programs Database: The Pipeline
The CHMI Pipeline is where we store programs submitted by the public for review by the CHMI team. Programs in the Pipeline contain varying amounts of information and we continue to collect key data points to complete the profiles. Once we’ve collected enough information to provide a detailed picture of the program, the profile will be moved out of the Pipeline and published as a completed profile. Help us grow CHMI by suggesting a new program for the Pipeline or submitting information on programs already in the Pipeline.
Country Health Market Profiles
To provide context for innovative programs working to improve health markets, we are creating profiles of developing countries with large health marketplaces, beginning with countries where we have institutional partners. Country profiles will include:
- A qualitative overview of the health marketplace, including relevant regulatory structures, health insurance and other funding mechanisms, and descriptions of key health industry players.
- Statistics that describe or influence the health market in a given country, including population, GDP/capita,out-of-pocket expenditure as percentage of total expenditure on health, and survey data about where patients seek care, among others.
- Profiles of existing Health Market Innovations—programs from the CHMI database that are operating in the country.
Analysis
In-depth Case Studies of Programs
In-depth case studies are meant to give readers a deeper look at the structures, activities, and outcomes of certain promising programs. In addition to better exploring program models—including analysis of modes of operation, costs, and plans for sustainability—case studies are intended to be useful to those seeking to replicate/adapt a model elsewhere. CHMI and its partners are now working to select programs for in-depth case studies, and we anticipate the first of these publications will be available in the coming months.
Synthesis of Program Information
Annual reports will synthesize information contained in the program database, highlighting emerging and innovative models, trends, and other insights derived from CHMI program information. Examples of the types of findings that may be generated include:
- Proliferation of a specific type of program in a specific geography (e.g., community health insurance in Africa, high-volume low-cost hospitals in Asia, etc.).
- Use of a particular model to address specific health concerns (e.g., franchises to provide HIV counseling and testing, community health promoters to improve maternal and child health, etc.).
- Adoption of new technology to improve the efficiency of certain programs (e.g., “smart cards” for insurance enrollment and medical record-keeping, compact and low-cost kits for rapid HIV testing, etc.).
Thematic Analysis
CHMI will undertake thematic analysis of select topics to better understand the mechanisms available to improve the functioning of health markets.
An initial study of informal sector providers is already underway. Designed to create policy recommendations on how to harness informal providers to deliver quality health services and/or minimize harm, the study will include a review and synthesis of existing literature, in-depth research on informal provider practices in several countries, and analysis of existing health market innovations that leverage informal providers. A description of this study can be found here.
Other topics will be determined based on the interests of the CHMI audience. Additional topics may include:
- Roadmaps to more effective government regulation
- Incentivizing entry of high-quality non-state health delivery in underserved areas
- Building on and learning from the successes of microfinance
- How to manage dual practice of healthcare providers
- How to positively influence the (inevitable) development of large-scale international healthcare companies
- Creating more educated healthcare consumers
- Documenting of best practices by mechanism (e.g., vouchers, micro health insurance, government regulation and incentives, accreditation, professional associations/ co-ops, technology/e-health/telemedicine)
Additional Real-Time Data Visualization Features
Currently, the CHMI database allows users to search for specific types of programs using a robust filtering mechanism. The data can also be exported for more in-depth analysis. In the future, we expect to add additional features that will allow users to conduct real-time, web-based analysis using multiple variables. Some examples may include: graphing specific types of programs on a timeline by implementation date for purposes of trend analysis, comparing the prevalence of select program types by geography or health focus or target population or legal status and other key variables.
Analytic Framework for Delivery of Health Interventions
To identify which health market innovations are appropriate for the financing and delivery of which health interventions, CHMI will develop a matrix to assess significance of various types of programs for key health interventions (e.g., institutional deliveries, childhood immunization, TB-Dots, ARVs, ACTs, bednets).
Program Evaluations
CHMI is working to raise additional funding to commission third-party evaluations of selected programs. These evaluations will attempt to measure health outcomes, financial protection, sustainability and/or other key impacts of selected programs in order to eventually identify the most promising models.
Linkages
Communities of Practice
CHMI currently works with several existing communities of practice (CoPs) to better link implementers with other implementers, enable sharing of useful tools and successful practices, and promote national policy agendas that facilitate diffusion. CHMI will also incubate additional CoPs targeting different types of health market innovations, such as accreditation programs, health microinsurance, professional associations or telemedicine/call center programs. Communities of practice may collect best practices, develop performance metrics, host regional learning workshops or webinars, and/or develop a dedicated online collaboration platform.
CHMI has already launched a community of practice for national health insurance implementers (the Joint Learning Network for Universal Coverage). CHMI has also affiliated with several existing communities of practice such as social franchising (SF4Health, operated by UCSF Global Health Group) and vouchers (RH Vouchers, operated by Population Council).
Implementer to funder linkages
CHMI will immediately facilitate funder/implementer linkages by making the program database publicly available to funders, who will be able to search for programs that meet their criteria. In addition, the CHMI website includes a database with profiles of funders (foundations, bilateral donors, and equity investors) with an interest in the non-state health sector and/or the improvement of health markets in the developing world. These funder profiles will be a resource available to program implementers. In addition, funders may decide to use the CHMI platform to disseminate information about funding opportunities or calls for proposals.
In 2010 and beyond, CHMI will explore additional mechanisms to link programs with interested funders, including educating impact investors about the health sector, creating opportunities for direct interaction between funders and program implementers, development of metrics to identify the most promising programs, and awards or competitions to highlight highly successful programs.
Researcher-implementer connections
CHMI will disseminate analysis and publications that may be useful to implementers. CHMI will also work to link researchers with implementers that want to complete operations research or program evaluations.
Policymaker dialogue
As new findings become available, CHMI will systematically reach out to policymakers in key countries with large existing health markets to disseminate ideas and promote dialogue with program implementers and funders.
Resource Library
CHMI will collect and disseminate a variety of research publications, reports, and studies of health market activity produced by CHMI, our partners, global collaborators, and others who work in this space.
Toolkits
CHMI and our partners will disseminate toolkits, including benchmarks and best practices information, to serve as resources for practitioners who want to implement or improve their operations and programs.