14. Leverage Points & Intervention Design

Lens: Identify and act on leverage points for transformation.

• Parameters & incentives: Payment, prices, targets, subsidies.
• Information & feedbacks: Data, dashboards, public reporting, real-time feedback to clinicians and managers.
• Rules & structures: Organizational roles, legal frameworks, care pathways.
• Goals of the system: Alignment of stated goals (UHC, equity, prevention) with operational goals (throughput, cost containment).
• Paradigm shifts: From treatment to health promotion, hospital-centric to community-based, volume to value.