Wisecrowds 2008: The Primary Care Revolution Back to Wisecrowds Overview

Below are the December 2, 2008 Wisecrowd attendees and responses to the statement:
As innovators, the courageous conversation we have NOT been discussing is…

John Abele, Boston Scientific
	How do we harness the wisdom of crowds of patients to produce better care for less?
Ahmed Albaiti, Founder & CEO, Medullan Inc.
	Globally distributing the primary care delivery model.
Richard Anders, Director, Rubin/Anders Scientific, Inc.
	Are there ways to rip apart the regulatory regime and dramatically speed up the development and dissemination of new treatments while at the same time not ethically compromising ourselves?
Haleh Armian, Senior Manager, Business Development, CIMIT
	How we can effectively use online/network communities to discover, co-develop and collaborate beyond our academic, institutional and industry boundaries.
Robin Athey, Founder & Partner, Integral Growth; Affiliated with Authentic Leadership in Action Institute
	As leaders of innovation, are we practicing the changes that we want to see? In what ways may our words, behaviors, and actions inadvertently hold the system back as it progresses?
Malorye Allison Branca, Editor-in-Chief, ReformPlans.com
	How do we change how incentives are structured, to better reward quality and efficiency, in the face of resistance from those who will start receiving less under the new structure? Shifting any "money flow" is hard but we need more primary care doctors and better rewards for primary care as well as lower overall costs. So, someone is going to lose market share. Can we make that shift without unleashing formidable opposition?
Beverly Brown, Chief Development Officer, CIMIT
	How can we suspend disbelief long enough to let the really great and risky ideas come in as we seem to fall back to the "proven" solutions and not seek the really novel stuff? This is especially true in what we fund at CIMIT.
	Laura Chasin, Public Conversation Project
Zen Chu, Yale University
Jeffrey Cooper, Director, Biomedical Engineering, Partners HealthCare System, Inc.
	Why it’s so hard to change behavior, including that of the innovators.
	John Collins, Director, Technology Implementation, CIMIT
Howard Cutler, WGBH Interactive
Paul J. Dattoli,  IT Disaster Recovery, Partners IT
	How do we bring primary care to the home?
Bonnie Day, Senior Development Officer, CIMIT
	How do we work with management and other power-bases that block innovation?
Ann DeMarle, Professor, Director of the Emergent Media Center, Champlain College
	If innovation is dependent on a cycle of risk—failure—success, how do we make a case for supporting innovation in a leaner economy?
Harold Demonaco, Massachusetts General Hospital
The present primary care delivery system is unsustainable, does not meet the needs of patients and is more expensive than it need be. The system is sufficiently broken that incremental change is unlikely to fix the multitude of failings of the present approach.
Michael Dempsey, Principal, The Sims Lab at MGH
	Many innovators are exceptional at solving difficult problems and creating amazing solutions.  Some of us aren’t so good at working through all the details of the innovation to move it from an idea, a prototype or an interesting science project to a real, shippable, scaleable product.  Issues such as manufacturing or regulatory challenges, sales channels, competitive threats, etc. are usually outside of the initial thoughts of many innovators.  However, these issues are critical if our innovations are to be scaled up to impact millions of people.  It is sometimes too easy for us to move from one cool innovation to another without having to worry about the possibility of failure in the “real world”.  How do we bridge this gap?  How do we institutionalize the movement from innovation to real product?
Ronald Dixon, Physician, Beacon Hill Internal Medicine Associates and MGPO
	How do we innovate and truly collaborate in an environment that is culturally and financially challenging?
Kim Donovan
	Wendy Everett President, New England Healthcare Institute
	Amy Fogelman General Internist, MGH Beacon Hill
	Penny Ford-Carleton Clinical Systems Innovaiton, Co-Program Leader, CIMIT
Amy Fredrick, Director of MedTech IGNITE & Special Projects, MassMEDIC
With the impressive spectrum of local talent, why are we not taking greater risks with respect to innovation in the medical sector?
Lisa Gilbert, General Manager, Kingbridge Conference Centre and Institute
	How can more Institutions see the value and adopt collaborative approaches for decision making and innovation where all parts within the system remain authentic and transparent in the way they communicate and engage with one another?
	Kathleen Gilroy Otter Group
	David Judge Clinical Systems Innovaiton, Co-Program Leader, CIMIT
Kimberly Kamborian, Project Director, The Gelfand Family Charitable Trust
How do we help young families not able to afford health care and movement towards simple automated clinical visits?
Colleen Kigin, Chief of Staff, CIMIT
	How to meet the needs of society.
Bill Kormos, Education Director, John D Stoeckle Center for Primary Care Innovation
	Can primary care doctors be equally skilled at providing the continuum of care (prevention to chronic disease to hospitalization to end of life) or do generalists need to be specialists, too?
Naomi Leeds, Physcian, Internal Medicine Associates, MGH
	How to provide excellent yet efficient and cost-effective medical care to patients while simulatenously promoting/preserving the doctor-patient relationship that is critical to actually "caring" for patients.
Henri Lipmanowicz , Chairman of the Board, Plexus Institute
	Why is it that we don't personally make more use of the innovative practices and processes that we encourage others to use all the time?
Nicola Majchrzak, Project Manager, MGH
	Why is it so difficult to innovate in primary care, despite being keenly aware of the problems that face us? What, specifically, are our barriers, our concerns, our fears and how can we successfully overcome them?
Keith McCandless, Social Invention Group
	How can we include people from the front lines in co-developing prototypes and learning design skills to apply on-the-job?  This work is too creative and too much fun to keep to ourselves!
John Moore, Research Assistant, New Media Medicine Group, MIT Media Lab
	Shouldn’t we let patients know everything that we put in our charts about them?  Shouldn’t they make some of the decisions?  Don’t they know more about their own health than we do?
	Albert Mulley, Massachusetts General Hospital
Jim Murphy, Vecna Technologies Inc.
Innovation requires risk. How do we minimize risk to the innovators and the organizations that support them?
	Ronald Newbower, CTO and Strategic Director, CIMIT
	Jeff Newman, Law Partner
Nancy O'Hare, The John D. Stoeckle Center for Primary Care Innovation, Massachusetts General Hospital
How to seriously address the over utilization of health care services by providers and patients alike.
Lynn Osborn, Director, Convening and Collaborative Learning Program, CIMIT
	How can we change our “tyranny of the expert” culture and create a shared informed culture supporting and enabling every person to take better care of themselves?
Elaine Richardson, Director, Strategic Communications & Marketing, CIMIT
	How do we encourage more physicians to choose primary care as a speciality?
Roy Schoenberg, President and CEO, American Well Systems
	Is it time to embrace (and shape) alternative delivery models (e.g. Minute Clinic, Online Care, Tel-a-Doc) ?
Jo Shapiro, Chief, Division of Otolaryngology, Director, Center for Professionalism & Peer Support
	How do we create a climate of trust within the healthcare team?
	Nat Sims, Massachusetts General Hospital
Bob Stains, Public Conversation Project
	What the shadow sides of our accomplishments are?
Susan Szpakowski, Executive Director, Authentic Leadership in Action Institute
	How do we go beyond the limiting fears and assumptions of ourselves and others?