Pilot projects are generally far too small-scale to produce widespread, measurable results. It can be difficult to even measure the efficacy of a pilot project, particularly in healthcare, because of this limitation. Thus, it is essential for PPP participants to view the pilot not as an end result, but as a stepping stone on the way to a larger project. The process of going to scale varies widely from government to government, but in all cases, PPP participants will face the challenge of moving from pilot to scale as quickly and efficiently as possible.
But discussing strategy this way can be overly abstract. Let's examine some real-world strategic paradigms to better understand how strategic thinking can benefit one or both partners in a PPP.