Community Health Plan- SEED SCALE Model

Community Health Plan · 5–2035

SEED-SCALE for sustainable community health

A community-centered health plan powered by local leadership, shared learning, and frugal innovation.

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Health care is an inalienable right and a collective responsibility. Built on that belief, the 5-2035 plan creates a new class of health professional: the CHNP. CHNPs work closely with the citizens they serve, driven by the SEED-SCALE model for sustainable community empowerment.

Executive Summary

Start with the concise overview of the 5-2035 plan.

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Illustration of the 5-2035 community health plan and CHNP innovation
The 5-2035 CHNP innovation
A shared foundation

The three traditions

SEED-SCALE brings together the Koranic concept of Umma | Shura | Maslaha (community | mutual consultation | public interest), American pragmatism, and the Indian practice of jugaad (frugal innovation). Together, they re-imagine the relationship between stakeholders, experts, officials and the community.

The challenge

Why top-down alone fails

In the traditional model, content experts advise government officials, who implement programs in communities. This one-way flow often lacks local ownership, follow-through, and sustainability. Effective change grows from the community level—but bottom-up growth needs support.

A better model

The three-way partnership

Traditional model

  • One-way, top-down flow
  • Experts advise officials
  • Limited local ownership
  • Little follow-through

SEED-SCALE model

  • Government support
  • Expert innovation
  • Local community leadership
  • Shared learning and ownership

Mobilizing community growth takes all three partners interacting seamlessly, with the CHNP / CHDr team at its center.

The mindset that makes change possible

Development starts with belief

SEED-SCALE views community development like successful parenting: people must believe in their own capacity and build on their strengths.

Grass needs nourishment from sun and rain and from fertilizers and micro-nutrients. In the same way, government support and expert insight help communities act resourcefully and grow.

Continue exploring the plan. Use the calls to action above to review the full 5-2035 vision and supporting research.

Sources and references
  1. Taylor-Ide, D. and C.E. Taylor, Just and Lasting Change. 2002, The Johns Hopkins University Press.
  2. O’Brien JB. How Nurse Practitioners Obtained Provider Status: Lessons for Pharmacists. 2003. Am J Health Syst Pharm 60(22):2301–2307.
  3. Donaldson, M.S., et al. Primary care: America’s health in a new era. 1996, National Academy Press.