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Request for Proposals

Telemedicine business assessment

Duration of Assignment: 3-6 months
Location: Remote

Proposal Deadline: August 18, 2023

Proposal Requirements

1. Cover Letter that provides a brief overview of your company’s relevant business and service offering capabilities (or individual if not applying on behalf of a business) to perform the requested scope of work as described above. Identify any specific advantages that your firm has to offer in relation to this assignment.
2. Curriculum Vitae or Resume
3. Cost Proposal with estimated timelines for completing all three phases.

Kindly submit proposal packages to Dinora Lemus via email [email protected] with the subject: Telemedicine Application.

Proposals should be submitted no later than August 18, 2023.

BACKGROUND
Who we are
PSI is a network of locally rooted, globally connected organizations working to achieve consumer-powered healthcare — people-centered health systems that ensure quality, affordable care wherever and whenever it is needed.

PSI uses the insights we have gained from 50+ years of experience working directly with consumers, communities, government, and businesses to create, institutionalize and scale consumer-powered healthcare programs.

Our origins in sexual and reproductive health (SRH) have grown into a broader mission. Today, PSI works with the public and private sectors as well as local communities, prioritizing people’s voice and choice and developing solutions to meet their essential health needs.

PSI Latin America (PSI LAC) has worked over the past two decades helping push boundaries, break taboos, set trends, and develop innovative solutions to different health challenges.

Why Telemedicine?
Since the pandemic of COVID-19 the need for virtual health services has grown in the region as well as its acceptance and PSI Latin America seek the opportunity to reach consumers through telemedicine services. This has been supported by research carried out by the PSI LAC office and our initial insights from both physical service delivery through PSI owned clinics in El Salvador and Nicaragua and White Labelled Telehealth services delivered as part of our Viya business. Telemedicine offers significant opportunity to ensure a frictionless user experience that links content and community, with products and services, moving seamlessly from online, to offline and back again. Telemedicine also offers opportunities to align what services are provided through what channels, therefore maximizing provider productivity while improving the patient journey, increasing equitable access to quality services and reducing out of pockets payments or improved efficiency of health financing models.

As the telemedicine implementation continues to provide insights and lessons, the organization wants to shift its current services offering, integrate services (both brick and mortar and telehealth) as part of its social business (Viya) and sustainably scale. To ensure the success of the telemedicine offering PSI LAC is looking for a consultant (independent or group/firm) to perform a regional assessment (Guatemala, El Salvador, Honduras, Nicaragua and the Dominican Republic) and develop actionable plans to improve and transform it into a business.

Assessment must include
PHASE I: CONTEXT MAPPING

• What problem is telehealth best positioned to solve in Latin America (countries identified above), for sexual health and wellness or primary care.
• What is the market need, what does that need look like (barriers to use, misconceptions, pricing issues and behavioral patterns that may affect adoption of services)
• What does the competitive landscape look like for telehealth/medicine in Latin America? Who is entering this space? Who is financing telehealth/telemed?
• What digital health technology is put in place in Latin America for telemedicine offering? Opportunities to integrate digital health technology into telemedicine offering?
• Estimate market size now and 10 years from now? What opportunities/barriers are there to scale for Telehealth across the region?
• Identify different telemedicine services models and structures both for type of services in market and platform development. What does the regulatory landscape look like? Opportunities/barriers?
• What are consumer perceptions of existing telehealth offerings? Where are existing offerings failing our consumers?
• What is the legal environment for Telehealth offerings in Latin America?

Outputs of Phase I
Regional landscape for Telehealth/Telemedicine in LAC. Multiple scenarios proposed for how (and if?) PSI should engage in Telehealth/Telemedicine in LAC including recommended health, equity and social indicators. To include recommendations for how Telehealth/Telemedicine might become an extension of the existing business offering by PSI in Latin America.

PHASE II: BUSINESS MODEL DEVELOPMENT
Development of a responsive business model

• From scenarios in Phase I refine proposed value proposition, build a business model utilizing a business model canvas or other proposed framework.
• With the existing proposed business model work with PSI in Latin America to iterate on the value proposition with consumers and providers. Tap into existing evidence from the LAC team and in market and, utilizing an HCD/iterative process, refine the business model assumptions, service packages, payor assumptions, business staff structure.
• Identify and updated operational procedures (patient and case identification, appointment scheduling, patient training, appointment logistics, consent, platform assistance, billing)
• Identify if current platform is feasible or other options (platform) are more cost effective.
• Document a new workflow that incorporates necessary changes and addresses the entire telemedicine life cycle (before visit, during visit and after the visit), including quality assurance requirements.
• Define success metrics (improved outcomes, strengthened patient/physician communication, increased compliance, etc.) Establish a baseline: define and document where telemedicine implementation (pilot) is currently across success metrics (to be able to highlight new model success and impact)
• Map barriers to the wider implementation of telemedicine, and consider potential solutions.

Outputs of Phase II
Business model canvas and value proposition defined. Assumptions for revenue model tested in market and refined .

PHASE III: FINANCIAL MODELING

• Prepare profit and loss statements based on realistic assumptions.
• Develop financial business plan.
• Design and test business revenue models based on previously identified service models.
• Evaluate budget and ROI against objectives.
• Define path to payment .
• Determine best reimbursement model (bill insurance, out-of-pocket, free or other funds or grants
• As part of the financial model, who is the payor now and in the future? Government?
• Through the financial plan identify financing needed and path to profitability, cash flow, etc.
• Calculate the ROH (return on health) of the implementation considering the budget and value estimated.

Outputs of Phase III
Financial plan with needed investments, financing tied to social or financial ROI metrics and detailed implementation plan from where we are now to where we need to be in five years.
Strategic evidence agenda and knowledge management plan to accompany business model, implementation plan and financial model.

What are we looking for?

• 10-15 years experience working in business development
• Min 5 years experience in telemedicine.
• Proven experience developing revenue models.
• Demonstrated experience in supporting businesses from start-up to scale.
• Substantial understanding of Profit and Loss business management.
• Proficiency in Spanish is highly desired.
• Preference for experience in Latin America/Central America.
• Strong attention to detail, highly organized, ability to juggle multiple tasks at once and meet deadlines.

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