
We’ve figured out how to change the US healthcare system!
Introducing the FMEC Healthcare Innovators Network
www.fmec.net
Overview:
Primary Care Driven Solutions are one of the best kept secrets in the US health care system. Why are primary care driven solutions so important? When primary care innovators tackle a problem they see the big picture and focus on the needs of patients and their families. Primary care driven solutions improve access to care, reduce wasteful and unnecessary care, reduce the overall cost of care and improve patient outcomes and satisfaction. Primary care driven solutions also improve the connections between primary, sub-specialty care and community-based organizations.
Primary care solutions also address the social determinants of health and focus on how to partner with local stakeholders and advocacy organizations that care about improving the health of the population. Primary care driven solutions have been ignored in the past. For the good of our communities, it’s time to increase awareness of these approaches to health system improvement.
The Innovator’s Network provides a medium for innovators to showcase their work and receive useful feedback. It also provides a place for employers, union leaders, hospital administrators, investors and others looking for strategies to improve care delivery while controlling/reducing the cost of health services.
History:
Since 2008, the FMEC has sponsored the Health Care Innovators Network, a meeting that showcases the success of Family Physicians, General Internists and others who are changing the care delivery systems in their respective communities. We spend the year searching for innovators who are developing new strategies, products and services. They have found a way to care for their patients/communities that improves health while reducing the cost of care. Most people when they think of primary care, think about a doc seeing a patient in a practice. That is not the way that the innovators think. They think about the needs of a community/population and they design services that improve health.
That’s where the FMEC comes in… The FMEC is the convener and incubator that showcases their work and helps them to attract supporters and partners. We’ve developed a cadre of innovators and interested health system leaders who appreciate the value of this approach. Now it’s time to expand the reach and impact of the Innovators Network.
Examples of Innovators:
We found Jeffrey Brenner, MD (aka “the hotspotter”) in 2009 while he was early in his work as an innovator in Camden NJ. He had developed a strategy to identify and serve the “super-utilizers” in his community. This was one year before Atul Gawande, MD made him famous through an article in the New Yorker magazine and four years before the MacArthur Foundation honored Dr. Brenner with a “genius award”.
Jeffrey Brenner, MD and the FMEC created a Super Utilizer Learning Community that has grown to include eight Family Medicine Residency programs. Five of these programs have partnered in central PA to create a multi-community super utilizer project that has drawn the attention of the Pennsylvania Department of Health and a major philanthropic organization. This work is redesigning the care delivery process in central PA.
We found the Direct Primary Care innovators in 2008. The FMEC served as “first follower” and organized two Direct Primary Care National Summits (2013, 2014). The Summits attracted the attention of the American Academy of Family Physicians that endorsed the DPC model in their strategic report “Family Medicine for America’s Health”. The DPC business model is now the fastest growing innovation in the primary care sector.
Our Secret Sauce:
We are guided by the Social Diffusion model of change (below)
Step #1 Find the innovators who have implemented “primary care driven solutions.” Focus on those with demonstrated results that are scalable.
Step #2 Provide a venue so the successful innovators can communicate with the early adopters and health system and community leaders looking for methods that will improve patient’s and the community’s health while reducing the cost of care.
Step #3 Provide support to the innovators so their solutions can grow. Even the best solutions take, at least, two to three years to become so well known that the “early majority” in numbers will take notice.

Next Steps:
Innovators Network on the road – Substantive change in the US health care system will occur marketplace by marketplace. It is critical to share the innovation success stories and to build a community of support in the major metropolitan marketplaces in the US.
Virtual Innovators Network – We want to share the successful stories of innovation with a larger audience. Using webinars and small group discussion sessions, we can showcase the innovations broadly. We want to partner with a health care system or a community organization and hold virtual events that bring together those interested in improving the health of a community. This can stimulate the growth of relationships among people and organizations that are currently working in silos.
Impact of the Innovators Network:
- The Innovators Network provides a powerful experience that helps health system leaders and investors to appreciate the full value of primary care driven solutions.
- Primary care driven innovators are often dismissed by many who believe constructive change is not possible. Participating in the Innovators Network validates their vision and encourages them to continue with their work.
- The event creates an important networking medium that allows innovators and early adopters the opportunity to learn and renew their belief in the potential to change a complex health care system.
- Participating in the Innovators Network event renews the hope and vision of leaders in the primary care community.
PCIN Board

Jane Saunders
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Jenny Doe
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Jeff Broderson
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PCIN Staff

Laurence Bauer, CEO
Laurence C. Bauer, M.S.W., M.Ed. served as Chief Executive Officer of the Family Medicine Education Consortium, Inc. from 1994 to October 2021. The FMEC is a not-for-profit corporation designed to promote collaboration among the academic Family Medicine and primary care communities in the northeast region of the US.
Mr. Bauer also served as Director of Network Development: Center for Innovation in Family and Community Health, Dayton, OH from January 2006 to 2021. He is an Associate Clinical Professor in the Wright State University School of Medicine, Department of Family Medicine in Dayton Ohio.
Previously he served The Ohio State University School of Medicine, Department of Family Medicine for four years as Director of Organization and Faculty Development. He served as Director of Faculty Development and Behavioral Science in the Department of Family and Community Medicine at the Pennsylvania State University School of Medicine in Hershey, PA for thirteen years.
Presently he is an active consultant committed to the creation of a primary care driven system in the U.S. He lives in Hershey PA and enjoys the company of his wife and spending time with his children and grandchildren. He enjoys pickleball, basketball and gardening.

Jenny Doe
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Jeff Broderson
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