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01/10/2012

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Tim Chaize

Great article. For those of us that have started our Web 2.0 journey know the difficulties of getting everything going, but the rewards are amazing. This sums it up for me: "Web 2.0 openness goes beyond organizational transparency and represents humility and a willingness to learn, to be surprised, and to hear and accept criticism."

Jeffcdi

Great piece Steve. Lee Rainie of Pew Internet said something at a recent conference that has stuck with me; and others have observed/measured it too -- in the digital era, "trust is moving from institutions to networks." That should be a major light-bulb moment if you're an institution whose primary currency is trust.

What you're describing here sounds like a possible answer to how an institution can establish and maintain trust in a digital setting: behave as a network, or part of a network, a node on it, something composed of the individual experts and practitioners therein that is connected to those outside the institution. To use a technical analogy -- a LAN connected out to the WAN. What you're doing here is a good strategy for transforming an institution into a trusted node in a digital conversation on issues it cares about.

I also like to use the term "digital-first" institution (or philanthropy in this case). By it I mean to include not just the digital-native process (social media participation, etc.), but a digital-native *product* focus as well. Not just how we go about the work, but the form of the material we're supplying to that network. How is the vast amount of information, knowledge, expertise that the field compiles designed for modern digital dissemination? As you know, because you're familiar with CDI, I don't think we're there yet on this front, not by a long stretch. As we shift to the Web 2.0 processes you describe here, we also need to undertake a transformation of the sector's digital products to digital-native form.

(This not unlike the conversations happening around "digital-first" journalism, also legacy institutions built on trust -- a move to digital-native in both process and end product.)

I think Web 2.0/digital-first process and product go hand-in-hand as part of the overall transition of organizations into effective, trusted institutions in a digital society.

Rita Moya

Steve-
Very thoughtful and helpful piece. I applaud your leadership and the confidence of RWJF to endorse the values of Openess, Participation and Decentralization. Blurring the lines between expert and non-expert takes guts and you and your colleagues should be congratulated for venturing down this road. I totally believe in the "wisdom of crowds" and have no doubt this journey will be rewarding and enriching for RWJF and all those that participate with you.

Lori Nerbonne

Love this post....because RWJ does such a great job with supporting transparency and patient safety through web technology. This openness and transparency is in line with what many patient safety advocates have been doing 'in the trenches' in their respective states for years. Getting laws passed that support transparency in infection reporting, adverse event reporting, maternal mortality review panels, etc, etc. (data for patients to use so they can make informed decisions). With little to no funding, we have been pushing the system from the outside-in to reduce patient harm.

Can I suggest another way to expand on that idea? Put patient safety advocates on your committees or boards so that patients/consumers can have a voice at the health-policy table. And please consider setting aside some grants each year for patient advocate/consumer orgs. All the funding is flowing to hospitals and orgs that run the system. With more funding, consumer & patient organizations can add to the long list of things we are already doing to empower patients and bring more accountability to improving health care!

Thank you for all that you do.

Elizabeth Miller

I really appreciate this honest, in-depth analysis of these complicated issues. I hope foundations continue the trend towards transparency, openness and more participation. I'm looking forward to following the conversation moving forward. Thanks again for your insight.

Marion Conway

Thanks for this detailed post - RWJF makes a great case study.

I retweet your posts often and have used you as an example of effective use of twitter in my social media workshops.

I am here in NJ and hope we get to meet in person someday.

Marion

Stephenjdowns

It's great to see these comments -- thank you all.  I want to pick up on a couple of them specifically.  

Jeff -- your point about trust is quite interesting.  One if the ideas we've discussed at RWJF is earning credibility not by always getting it right the first time but by being committed to getting right.  We're human and will make mistakes (hopefully not too often) but we need to be committed to correcting our work when others find those mistakes.  In that sense, as you suggest, we use the network to build trust.  I agree with you totally about the need for digital-first information products. One of the implications of embracing decentralization is that you design your products with the explicit goal of having people share them, build on them and improve them.  Easier said than done -- and you're the expert on this -- but we hope to be doing more and more of this.  

Lori -- I think the focus on transparency in health care settings highlights another benefit of opening up.  In open source software, there's a saying that "with a thousand eyeballs, all bugs are shallow."  The more people you have paying attention, the more likely they are to spot an error or contribute an idea to make something better.

Keep the comments coming -- I'd love to hear from others who are wrestling with these issues.

Dmitry

Among the outcomes (and leeanvgirg of additional investment) that I hope the RMJF foundation (and those who apply ) would look for/document are processes that impact not only human health but also the "civic health" of the communities involved and their capacity to sustain local ability to increase social capital,train new leadership and create culture change. Our understanding (by health promotion advocates/practioners/researchers) of how our American democracy functions (and its role in creating change)needs to be integrated into this opportunity- PHIL

Goedils

Whatever einai poly xrhsimes oi porioflhres pou dineis, toulaxiston kseroume me ti exei asxolhthei kai ara mporoume na katalavoume kai pou tha dwsei emfash

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