Table 4 Summary of main results

Medical Process:

Curative services more common than preventive

Business Process:

Financial sustainability strategies include cost reduction and revenue generation (see Table 3)

Social Impact:

Focus on management versus outcome metrics

Focus on increasing access in low income locations

Organizational Impact:

Use of physical and virtual scaling strategies to increase volume for both impact and sustainability (see Table 3)

Leveraging HIT especially patient information systems to increase access, efficiency, and reduct cost.

Challenges engaging the public sector