Narayana Hrudayalaya performs 12 percent India’s total heart - more than heart than most hospitals in the world. Yet, by following a lean model that would make Toyota envious, Dr. Devi Shetty and other physicians have radically reduced surgical costs, while mortality rates remain consistently lower than some of the best hospitals in New York.
Scaling social impact and bringing the funds to fuel it are two huge challenges in the non-profit and social entrepreneurship world. As organizations scale, the risk of inefficiencies lurk; while the ability to give in large-scale amounts can cause more problems than it was meant to solve. When should you give big? When should you give small?