The Business Model of Change is Important!
April 15, 2009
When I was a kid, I always wondered whether two people in the world were ever thinking about the same thing at the same exact moment in time. As I’ve gotten older and realized the almost mathematical certainty of such an occurrence (since there are 6.77 billion people in the world – you could also look at Twitter), I’m still struck by its reality when I observe the similarities in timing and thinking of thought leaders in the social sector (which I imagined would be more improbable).
For example, Nathaniel Whittemore posted his thoughts on what he considers the distinction betwen “Scale” and “Diffusion”, recounting a conversation that happened at the recent Global Engagement Summit. In the context of his discussion with Josh Nesbit, one of the GES delegates and co-founder of FrontlineSMS:Medic, Nathaniel writes:
What he’s really looking for is not a “scale” that provides new benefits for ownership because of reduced costs, but the diffusion of a tool and an approach to supporting rural health care. I wonder how many innovations in the social sector are under-leveraged or face too-limited distribution because our conception of scale is rooted in a private sector ownership conception of scale?
Sean Stannard-Stockton, who was working simultaneously on a similar blog post, writes about a group called Homeboy Industries who resists calls to scale. He recounts his recent experience at the Center for Effective Philanthropy conference:
During the session, founder and executive director Father Greg Boyle explained that they have intentionally resisted the many offers to replicate their program in other cities. However they do act as a model for other programs and help other programs get started. Since “scale” is the constant buzzword of social entrepreneurship in particular and philanthropy in general, it is interesting to hear the counter argument.
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So does scale make sense?
In many cases I think it does. But given the assumption that many people make that scale is the obvious goal, I think it is important that we examine when going to scale makes sense and when helping other people steal your ideas is a better strategy.
Both Sean and Nathaniel recognize that the diffusion of the innovation can be more important than scaling the organization – we don’t need more people to try and build empires at the expense of social impact, as others also point out. However, I think it’s critically important for social entrepreneurs and innovators to understand that both scale and diffusion are an inherent and not inconsequential challenge part of social innovation (and that the ability of an organization to scale is often correlated with the ability of an idea to diffuse). Great ideas that improve the state of the world are a dime a dozen and inherent in the challenge of creating sustainable, scalable impact is figuring out how to sustain that change. If you’re a nonprofit like FORGE or FrontlineSMS:Medic, the question of where you are going to find the funding to help scale your operations is as relevant if not more so than how to develop the innovation itself.
Designing the right business model that can scale to best support the diffusion of your innovation can be the key difference between success and failure (at least that’s what I learned from my own failure – and it’s the driving reason why I’ve been studying the business models of change for so long).
p.s. Stay tuned for my upcoming post (Business vs Charity: The Business Case) which argues why business is often the right choice for scaling.
April 16, 2009 at 5:44 am
I assume you saw the Time magazine article I linked to about the scaling of RealBenefits where they converted into a for-profit to make it happen? I look forward to your next post!
April 16, 2009 at 11:09 am
Hey Tony!
Completely agree with what you say here. What I would suggest is that my big fear is that the current generation of funding opportunities dictates the model of scale rather in a way that does not necessarily authentically present an alternative for innovators who do not want to own their innovation.
To continue the FrontlineSMS example, Ken Banks could probably ask Gates for $3.2 million to hire three dozen staff in a dozen countries who would evangelize and radiate outward. That would be one way to scale recognizing that the business model is a nonprofit model that requires a foundation because they don’t want to charge for the tool.
But that model reflects a particular way of seeing the world as a set of institutions. The disruption of the model we’re talking about that it’s diffusion is not necessarily best served, and in fact, might be fundamentally compromised, by a business model that involves an organization capabale of receiving the resources of scale.
April 16, 2009 at 12:53 pm
Nathaniel,
Thanks for the comment – and talk about your timing! I just found out this morning that the next paper we’re working on for MacArthur has to do with how the interaction between funders and institutions is fundamentally changing and there’s something interesting here to be said about the changing nature of funders, institutions, individuals, and innovation.
I’d like to clarify what you wrote in the last paragraph – I think you’re on to something really interesting. If we’re no longer seeing the world as a set of institutions, with what lens are we seeing the world? How should grantmakers be reconceptualizing the field and what kind of impacts would we see as a result?
To extend it further and bring it home, how would viewing FrontlineSMS not as an organization to scale, but as an innovation to diffuse, fundamentally alter the current practice of philanthropy and social entrepreneurship?
April 16, 2009 at 2:01 pm
This might warrant another post on the SE blog, but I think it basically comes down to what you fund at what levels, at what duration, and your tolerance for “failure.”
I think to some extent, when we’re talking about diffusion, we’re talking about the relationship between media and meetup, because the question is what are the range of networks that frontlinesms has access to (or alternately, have access to/knowledge of) frontlinesms, and how do we allow 1) new people to come into them and 2) information to flow through them at a dramatically faster clip.
So, if I’m MacArthur, and I want to support FrontlineSMS, here’s what I’m looking at:
1) I pick a region to focus a baseline diffusion study on to see what actually helps people spread the word. Lets say Eastern Uganda, from Kampala east.
1a) I’m not only interested in that one region, because a technology like frontline knows no bounds, I just want to focus on one primary place.
2) I pay for Frontline to convene a convergence for clinicians and local developers at a reasonably central location; the paying for is just space and a common transport/housing stipend.
3) I’d ask that community to identify the particular support structures they might need to make this work; 24-hour tech support, cheaper and or subsidized airtime; whatever it is; those become our goals for lowering barrier entries.
4) I’d get creative about spreading the message; billboards, creating a homepage that has other things Ugandans want like links to ringtones on it that would attract internet cafes to use it as their homepage; I’d try to get one of the major mobile providers to agree to send SMS ads for it, etc.
5) I’d have a fund for people to put on microevents that bring together clinics or related actors from neighboring districts to share
6) I’d have a small, mobile, local, but professionalized staff for responding to specific needs and questions.
7) I’d have a central frontlinesms hub set up for requests for features, critiques, recommendations, and more to ensure that there is a real feedback loop.
8) I’d have a frontlinesms hub set up to let patients talk about quality of care and ask common questions themselves.
April 16, 2009 at 4:09 pm
I’m no program officer, but I imagine that if I were, there’s nothing preventing me from making a grant to FrontlineSMS to do all of these things. I don’t think program officers necessarily think of scale more than they do diffusion in the context of their grantmaking – and I think Ford’s initial PRI to the Grameen Bank is one example. They weren’t necessarily thinking Grameen would replicate all over the world (i.e. scale), but they did believe that the diffusion of the innovation, microfinance, would have a large impact (i.e. diffusion).
That being said, I think foundations in general have a poor understanding of how to diffuse an innovation. Now that you’ve demonstrated its success, how do you convince others to scale? Do you present the work at conferences? Do you build a network of funders from the onset of the project who will fund successful projects (there have been a few but rare examples of this)? Do you lobby the government to finance replication?
I think it’s this tension of scale/diffusion that the grantee says, “It’s not my problem” and the foundation says, “I’m not sure what to do” that makes foundations less likely to fund projects that don’t have a strategy for scale on the onset (why Yunus argues for social business instead of nonprofit solutions). I don’t know what to do about it, but I think that tension exists and it may not be fair to say it’s the funder’s fault.
Anywho, I’ve asked Josh Nesbit to comment on the blog and hope he can chime in with his thoughts from the grantee perspective and a couple people I know who work on the funder’s side.
April 16, 2009 at 6:57 pm
Hey Everyone,
“The Business Model of Change is Important!”… to whom?
Clinics I work with don’t care about my theory of change. They do care about the tools (FrontlineSMS + cell phones, in this case) they’re now interacting with (whether or not they have ownership of those tools, and whether or not they’re working).
Everything we’ve done so far has been driven by end users – community health workers, hospital staff, and patients. The FrontlineSMS:Medic system (tech + implementation strategies) will be used in more than 20 countries by the end of this summer, *pulled* by end users who’ve heard about the system.
What’s interesting about our organization, I think, is we’re not going to bend for funding. Lose the ’special sauce’ of our operations, and any hope of achieving the impact we’ve set our sights on goes, too. Certain components – local ownership, appropriate technology, low barrier to entry (low $ and technical ability) – are here to stay.
It will never be a stand-alone goal to scale our organization. It will always be a goal to scale our impact. The clearest path to scaling the number of people affected by local clinics’ mHealth initiatives is through FrontlineSMS:Medic spreading horizontally through healthcare systems, like wildfire.
Maybe I’m just young and new to this field, but it seems clear that neither organizations nor foundations will successfully scale innovation, but the market/end users might. (Further, given constrained resources and time, along with limited exposure to successful tools, clinics in the developing world will only grab onto certain innovations. This should provide feedback for grantees and funders.)
In the field of mHealth, numerous relationships between funders and grantees (institutions) have led to needlessly expensive case studies. Excluding end users from that relationship has stunted translation to large-scale impact, and clinics are waiting to be a part of the field. The most common comment to me from clinical staff is, “I never thought a system like this would ever be — much less work — here.” There may be easy ways to change that, and Nathaniel’s listed some great ideas. It’s dirt cheap to share ideas and innovation that ‘goes viral’ within local healthcare systems stands to make substantial impact.
Josh
April 16, 2009 at 7:42 pm
A final point:
Given the right tool, diffusion = scale = impact.
Can foundations jump-start diffusion? Absolutely. Please pass my email on to one who’s interested: josh@medic.frontlinesms.com =)
Love this discussion,
Josh
April 21, 2009 at 3:00 pm
Are any mainstream foundations moving now to pool challenge offers (along Pledgebank.com lines) of virtual resourcs, to encourage new local actions for sustainability?
Openworld is beginning a “Seeds of Change” offer of microscholarships bundles to grassroots ventures that make headway in securing land grant endowments, and in recording commitments by local leaders to reform business climates.
We’d welcome thoughts on how the approach could be useful in making more local and global good causes sustainable.
Best,
Mark Frazier
Openworld
“Awakening assets for good”
http://www.openworld.com and http://www.entrepreneurialschools.com
@openworld (twitter)
June 30, 2009 at 12:59 pm
[...] them in dialogue can be as easy as posting a blog and soliciting responses in the comments – something I did here for a paper some of us are working on for MacArthur. A nice side benefit: those people who were [...]