Improving Health Outcomes and Health Care Efficiency in Medtronic Disease States for Underserved Populations through Models of Innovation, Scale, and Sustainability

This blog post was written by our colleagues from Medtronic Foundation. Medtronic Foundation focuses on expanding access to healthcare for the underserved worldwide and supporting healthy communities where we live and give. Medtronic Foundation is a 2017 Global Health Council member.

The Medtronic Foundation focuses on expanding access to healthcare for the underserved worldwide and supporting healthy communities where they live and give. They enable this vision by developing and driving strategies focused on:

1) Global Health:
Improve health outcomes and health care efficiency in Medtronic disease states for underserved populations through models of innovation, scale, and sustainability;

2) Community Well-being: Advance flourishing communities where we live and work through good corporate citizenship and by addressing social determinants of health; and

3) Volunteer Engagement: Activate a global volunteer workforce of patients, employees, and retirees who contribute to achieving the United Nations Sustainable Development Goals.

Their work in global health involves brokering, supporting, and managing partnerships across nonprofit and government stakeholders to deliver a clear set of results and best practices that advance health outcomes particularly for noncommunicable diseases (NCDs) and efficiency for the underserved.

Snapshot of Their Global Health Signature Programs:  Re-Designing Healthcare Systems to Improve Outcomes

The Foundation’s three Signature Programs are positioned to deliver evidence via multi-year, multi-stakeholder, multi-country initiatives focused on working closely with communities to redesign how healthcare is delivered to improve health outcomes and sustain gains. All involve strong local partnership/government/patient participation, provide an opportunity to test novel healthcare system interactions, and include rigorous evaluation partnerships for publication and cross-sector learning:

1) HealthRise: Improve Detection, Management and Control of Cardiovascular Disease and Diabetes for Underserved. Needs assessments across geographies found significant barriers to care, including supply chain disruptions, and long distances to NCD diagnostics and monitoring, in addition to cultural and linguistic barriers. HealthRise interventions are now active in four countries, working to address locally relevant barriers. Common strategies include empowering patients and communities in self-management, care navigation and addressing social determinants; strengthening frontline health workers (including community health workers, community paramedics); and together with key stakeholders, advancing key policies to support people living with chronic diseases over the long-term.

2) HeartRescue: Improve Acute Cardiovascular Disease Outcomes for the Underserved. multi-country collaborative program to improve sudden cardiac arrest (SCA) survival rates. HeartRescue partners work toward integrating community response efforts, coordinating public and professional education about acute cardiac events such as SCA and STEMI, and introducing and applying best practice treatments. The program also helps hospitals implement a method for measuring SCA and STEMI performance and outcomes. HeartRescue fosters local ownership of each country program by engaging multi-sector stakeholders, including governments, medical professional societies, local healthcare providers, patients, and families.

 3) RHD Action: RHD Action is a coalition of global organizations leading the global movement to reduce premature mortality from RHD and contribute to both Sustainable Development Goals 3 & 4, reducing premature mortality associated with non-communicable disease by one third, by 2030. The RHDA global partners are working together to establish a scientific and technical support community available to all countries, draw on this technical knowledge to advocate for policy change for better heart health, support and empower all people living with RHD and to foster multi-sectoral partnerships to support and sustain the global movement.

Envisioning the Future

Low-middle income countries are increasingly facing a dual burden of infectious and non-communicable diseases. In fact, rates of NCDs are rising at rates roughly three to four times faster in countries like Bangladesh and Ethiopia than they are in higher income countries like the US and UK. Health systems are fundamentally not set up to allocate funding for or adapt health systems to address these changing needs.

How can global health stakeholders come together with others in the community to unlock new resources and accelerate health outcomes for global health’s most pressing challenges? How can they creatively harness the talent and resources that already exist in countries to address the healthcare worker shortage? How can they ensure underserved patients and frontline health workers are involved meaningfully in health policy, financing, and delivery conversations? How can they design programs for sustainability, scale and measurable health outcomes from the start?

Looking ahead, as the global community races to achieve the Sustainable Development Goals — with a sharp eye on Universal Health Coverage (UHC) and meeting key NCD targets — the Foundation recognizes the importance of ensuring that health equity remains a core focus of their effort. Enabling health outcomes and efficiency requires that value-bashed healthcare be elevated, translated and understood in the context of organizations aiming to reach the underserved.

Interested in addressing these same questions too? Join Medtronic Foundation in continuing this conversation at the following event:

▪ Global NCD Alliance Forum: Dec. 9-11, 2017, Sharjah