HEAL INITIATIVE

Fellowship Overview 2015-2017

Health, Equity, Action and Leadership Initiative2 4 MON T H T I M E L I N E

P RE-DEPART URE MONTH 1-6 MONTH 7-12 MONTH 13-18 MONTH 19-24

UCSF Global Health Bootcamp Online MPH Program

Underserved Domestic Site International Site Underserved Domestic Site International Site

OUR VALUESThe HEAL Initiative aims to harness the passion of health professionals to address the unmet needs of communities both domestically and globally. Our innovative fellowship model will satisfy the 3 S’s:

◊ SERVE: Fellows will work at the clinic- and hospital levels, while simultaneously collaborate with local experts to improve patient care.

◊ SCALE: Within 3 years, the HEAL Initiative will be scaled from a 4-fellow model to support 16 fellows working across rural and urban domestic

underserved sites in America and worldwide.

◊ SUSTAIN: The HEAL Initiative will become f iniancially sustainable after 3 years of operation; any additional revenue will be re-invested in the communities served and into improving the HEAL curriculum.

THE HEAL INITIATIVE MODELMany of the leading causes of death – such as diabetes, heart disease, and cancer – in resource-poor countries today are preventable and/or treatable, and have been for decades. As the world develops and changes, the medical paradigm has shifted. Rather than responding primarily to humanitarian emergencies and infectious diseases, health care providers must now also focus on managing chronic illnesses and creating sustainable health systems. To consistently deliver care to those in need, we must transform our view of global health. Built on expertise gained through a three-year pilot program at UCSF, the HEAL Initiative has been designed to address these pressing issues by training future health professionals in health, equity, action, and leadership.

THE OPPORTUNITYOver the last decade, interest in global health has reached 90% among medical students and residents. Still, many of the current opportunities in global health are sporadic, incoherent, and fail to have lasting benefit for the most vulnerable populations. In the U.S., underserved communities have difficulty recruiting and retaining qualified health professionals. In developing countries such as Haiti and Liberia, many of the world’s poorest suffer from deaths and diseases that can be treated. Unfortunately, these low-resource settings have severe shortages of trained health profes-sionals who are able to address these health disparities.

With the HEAL Initiative, we aim provide integrated training to health professionals committed towards improving the health of underserved popu-lations in the U.S. and globally through an innovative two-year program.

STEP ONE STEP TWO STEP THREE STEP FOUR

Fellowship Structure

We will recruit from a diverse pool of highly qualified health professionals with a deep commitment to addressing health equity and social justice.

For two years, UCSF fellows are paired. Each fellow rotates between at an underserved domestic and international site. At each location, HEAL fellows work closely with local counterparts selected by our partner organization. These counterparts will also participate in the HEAL Initiative curriculum.

HEAL Initiative fellows rotate every 6 months between field sites. Clinical services are provided continuously at both the domestic and international sites over the two-year period. Fellows receive close mentorship from UCSF faculty, including site visits.

Combined with our unique core curriculum in Global Health Delivery, HEAL Initiative fellows and their counterparts will each earn a Master of Public Health from UC Berkeley School of Public Health online program.

Serve,Scale,Sustain.

FINANCIAL PROJECTIONSWe have projected yearly income and cost assumptions based on a secure-ment of 20, 62, and 122 HEAL fellows (corresponding to Year 1, 2, and 3, respectively). Over the course of the two-year program, each HEAL fellow spends the equivalent of one year at an Indian Health Service location. Hence, two HEAL fellows will count as one FTE. Economies of scale predict significant cost savings on the MPH as well as proportional savings in human resource expenditures, both of which will allow us to increase the number of fellows in future years without fear of running a deficit. Even at a moderate scale-up, our business model will be sustainable without external support within five years.

PATH TO SUBSTAINABILITY The HEAL Initiative will reach self-sustainability by Year 5. The increase in margins will be achieved through increased revenue sources and reduction in operational costs. Upon reaching self-sustainability, the HEAL Initiative will reinvest any profit back into our partner communities and into improving our curriculum.

HEAL INITIATIVE

COSTS

REVENUE

INDIAN HEALTH SERVICE• Major revenue source

GLOBAL PARTNERS • Assistance with accommodations• Additional revenue source

DONOR SUPPORT• Enable fellowship to reach

self-sustainability

LOGISTICS• Transportation & Living Expenses• Faculty and Staff costs

FELLOW SUPPORT • HEAL fellows will be paid at

market rate plus benefits

TRAINING• UCSF Bootcamp• UCSF Mentorship• UC Berkeley MPH

The cost of personnel includes the HEAL fellows and in-country faculty, in addition to logistical costs of operating the program. The HEAL fellows represent the largest portion and will increase in representation in Years 2-5. As a result, the cost to operate the HEAL Initiative will decrease per fellow and performance efficien-cy will improve, as seen in the budget and gross margins.

SCALABILITY OFOPERATIONS The cost to run the program per fellow will decrease with an increase in the number of fellows. Due to the hiring of staff and faculty at the onset of the program, the program does not foresee a sizeable increase in the amount of resources needed to operate the program. Revenue sources will outpace costs.

HEAL Initiative Financial Sustainability

5-YEAR PERFORMANCEYears 1-3: Donor SupportYear 4: Break-evenYear 5: Self-sustainable

BR E A K I NG E V E N I N F I V E Y E A R S

YEARLY GROSS MARGINS