February 17, 2017 the K2M team held the meeting with the participation of Universal crowdsourcing Agency OmniGrade to discuss a number of interesting ideas expressed by the experts during the first month of the discussion (up to 27 January inclusively). The ideas and proposals made in February will be discussed at the second meeting. First of all, the K2M team asked me to give a huge thanks to all the experts for their contribution. As a result of the first stage omnicoins are distributed among all experts contributed to the discussion (they will be reflected in your account shortly). A large part of the ideas is approved, specific actions are planned for them. In many cases, the discussion will need to continue to come to a clear and specific plan of action to implement the proposals discussed. We are waiting for a deepening of discussions on the previously formulated questions, as well as intense start and search for answers to new ones, which will be published in the near future. We remind you that we are particularly interested in finding original ideas and suggestions, that would help radically differentiate K2M from any other healthcare projects in the world and would cause elevated interest of potential clients. We provide short comments to a number of important ideas discussed at the meeting. 1) To consider the K2M project as aimed at uberization of medicine. Practically, this means that the global implementation of the project will lead to widespread decline in prices for medical consultations as for the patients from developed and rich countries consultations of doctors from poorer countries will become available. Simultaneously, we must bear in mind the risk of protests of part of the medical community against the project. Comment. There is a fundamental understanding that the project may lead to a move in this direction, but in order to avoid risks and conflicts it is decided not to talk about uberization of medicine. 2) To develop for the project, and for remote medical care in general the code of ethics and tot form the Committee on ethics which would include the most authoritative experts in medicine, law, and just decent and respected people. Comment. The idea is approved. The range of ethical issues that should be reflected in the code, will be discussed in the framework of our crowdsourcing project with the involvement of experts in medicine and law. 3) In addition to the fees for single consultations to provide subscription service, and, in particular, services for families Comment. The idea is approved, but a pricing policy for the calculation with doctors and clients in this case needs to be worked out. 4) To provide services to corporate customers, aimed at companies whose employees often go on business trips or work in remote areas and can need, therefore, remote medical care. A separate category of corporate clients - theaters and other artistic groups, who often go on tour, can be very advantageous from the image point of view. Comment. The idea is approved and will be implemented in the sales process. It seems not to require special new technological solutions. 5) To provide cooperation with medical insurance companies. To achieve the inclusion of access to K2M in the programs of voluntary medical insurance. Comment. The idea is approved, especially in relation to health insurance of those traveling abroad. There is an additional idea - to carry out medical consultations (including prior to departure on vacation) for the ease of acclimatization. 6) To provide cooperation with credit card companies to issue co-branded cards, which would also be the cards of the project loyalty program. Comment. The idea is approved and it is possible to implement it in conjunction with the previous idea (i.e., when issuing credit card insurance certificate of affiliated insurance company can be also given). 7) To provide services on gathering medical concilium for the patients. Comment. The idea is approved and will be implemented in the second version of the platform. 8) To provide services for assistance to young doctors from more experienced colleagues. Comment. The idea is rejected since it has been already implemented on other telemedicine platforms, which has no intention to compete with. 9) To provide services for remote fitness training. Comment. The idea is approved and will be implemented in the second version of the platform. 10) To provide psychological assistance, in particular to the relatives of the victims of accidents and seriously ill people. Comment. The idea is approved, but needs to be discussed from an ethical point of view. Is it acceptable to take money from the relatives of victims or the relatives of seriously ill patients? Beforehand it seems that the service should be free in the first case and payable in the second. 11) To provide monitoring of the health status of the patient, leading medical diary and having regular self-testing. Comment. The idea is approved and will be implemented in the first version of the platform. This leaves the question of whether such a diary can be in free form or in a form of responses to a specific set of questions. 12) To provide the maintenance of the electronic health records based on all materials of all medical institutions where the patient is monitored during his life. Comment. The idea is approved in principle but looks difficult to implement in cases when you need to negotiate the import of data from other clinics. 13) To provide the development of remote diagnostic devices through crowdsourcing. Comment. The idea is approved. It was agreed that this would be a separate project within the framework of cooperation of K2M and OmniGrade Agency. 14) To provide the recording and the long-term storage of all medical consultations Comment. This is one of the key elements of the platform design –blockchain technology is used for this purpose. 15) To provide services in the field of nutrition. Comment. The idea is approved and will be implemented. 16) To provide services for the daily maintenance of pregnancy, and monitoring the condition of the baby in the first months of life Comment. The idea is approved and will be implemented. Simultaneously, there is an approved idea that such a service will be combined with the provision of partner services to find nannies, masseuses and other staff for childcare, as well as for the sale of products for newborns and babies. 17) To provide services of speech therapists- aphasiologists. Comment. The idea is rejected, as there are doubts in the quality of such help in the absence of direct visual contact of the speech therapist and the child. 18) To provide music therapy (selection of music records which can help to improve psychological and physical health of patients) Comment. The idea is approved and will be implemented in the second version of the platform. 19) To provide cooperation with the WHO, the International Committee of the Red Cross and other international organizations. Comment. The idea is approved in principle, but before the start of its implementation it is necessary to accumulate some experience and to gain the appropriate international reputation. 20) To develop a mobile application of the platform as soon as possible and to agree on its inclusion in preset software for smartphones and tablets Comment. The idea is approved and will be implemented after the launch of the first version of the platform. 21) To develop programs of K2M participation in the fight against epidemics, when the access of qualified medical personnel to the epicenter can be difficult. Comment. The idea is approved in principle, but before the start of its implementation, it is necessary to accumulate some experience and to gain the appropriate international reputation since its implementation requires cooperation with authoritative international organizations. 22) To develop in collaboration with the international charity funds the project of organization of distance medical care in remote, isolated and poor areas of the Earth. In such areas, the supporting desks may act, where local personnel able to translate medical consultations at the local, including tribal languages, and to perform basic medical procedures can work. Comment. The idea is approved in principle, but before the start of its implementation, it is necessary to accumulate some experience and to gain the appropriate international reputation since its implementation requires cooperation with authoritative international organizations. 23) To pay special attention to attracting the patients-hypochondriacs as clients. They can tracked by searching in Internet, ordering books on medical subjects, activity in the medical forums. Comment. The idea has caused a mixed assessment, but was eventually approved. The idea reminded the client the views expressed in the famous book of Daniel Kahneman "Thinking, fast and slow" in which all consumers are divided into fast thinkers and slow thinkers. Hypochondriacs is a good example of fast thinkers and requires a special approach. 24) To provide the possibility to appoint the consultation of the doctor not on the basis of his medical specialization, but of the symptoms of disease. The doctor on duty can choose the right specialist or arrange consilium. Comment. The idea is approved and will be implemented in the second or third version of the framework, because its quality implementation requires the creation of a complex expert system. 25) To place on the platform the advertisement of related products or services as an additional monetization channel. At the same time, the platform itself can provide additional services arising from the recommendation of a doctor, for example, search for a suitable resort for rest and treatment, the selection of the hotel or sanatorium, etc. Comment. The idea is approved and will be implemented. During the meeting, the sides discussed joint measures on the development of our crowdsourcing project and special promotion of the active experts, which will be announced shortly.