Abstract 3D network visualization showing interconnected blue spheres of varying sizes representing healthcare system stakeholders and collaborative relationships

It takes a village to launch a complex therapy. We mobilize the village.

Mind Meetings are decision-grade 3-day working sessions that bring pharma teams and external system partners into one room—medical, access, operations, clinicians—to align on constraints, make trade-offs, and leave with named owners, clear handoffs, and a sequenced 30/60/90 plan.

PAIN POINTS WE SOLVE

Six ways complex launches break in the real system

When no one owns the whole pathway, plans fail at the handoffs. We help teams align roles, constraints, and decisions across the “village.”

Canada flag icon representing global-to-Canada fit for Canadian launch planning

Global-to-Canada Fit

You’re expected to localize global-first inputs (evidence, pricing logic, operating assumptions) into a Canada-ready pathway—fast.

Black cube icon representing Canada as a “black box” system with hidden constraints

Canada Feels Like a Black Box

You must execute in a system with hidden constraints and provincial variation—so planning from internal assumptions creates rework.

Scatterplot icon representing provincial variability across 13 healthcare delivery systems

Provincial Variability

You’re navigating 13 delivery realities—and within each province, access differs sharply between urban, rural, remote, and Northern communities.

Safe with dollar sign icon representing that funding alone does not solve system throughput

Funding Isn’t Enough

In complex delivery systems, there’s rarely a silver bullet. Funding helps, but throughput is governed by capacity, workflow, and sequencing.

Network and gear icon representing shared risk with no single pathway owner

No Owner, Shared Risk

Nobody “owns” the full pathway—yet everyone depends on it. That’s responsibility without authority, at system scale.

Stop hand sign icon representing advocacy efforts stalling due to policymaker inertia

Advocacy Stall

You’ve invested in traditional advocacy and stakeholder coalitions—but your efforts are met with policymaker apathy and inertia.

There’s a better way

Make the system legible, then put the ecosystem to work on what actually unlocks flow.

WHY THIS IS DIFFERENT

Put the ecosystem to work.

A structured 3-day working session that brings the right people into one room—so you can test feasibility, make the trade-offs explicit, and leave with documented decisions, owners, and clear transition points.

Strategy planning icon representing decision-grade outcomes, not discussion

Decision-grade, not discussion

Roundtables and ad boards gather perspectives. This format converts them into a decision log, named owners, and handoffs that teams can run.

Network of stakeholders icon representing the ecosystem in one room

Ecosystem in one room

Bring the ‘village’ that runs the system into one room to test assumptions, align on what’s feasible, and define the transition from debate to action.

Black cube icon representing Canada as a “black box” system with hidden constraints

Make the black box testable

Turn hidden capacity, workflow, and governance constraints into a shared model teams can use to sequence decisions and execution.

2x2 matrix icon representing sequencing decisions for momentum

Sequence for momentum

Identify the smallest set of moves that unlocks progress now, while building the longer roadmap with owners, timelines, and dependencies.

Why convening the village matters

Here’s what fragmentation looks like when you measure it.

THE COST OF CANADA’S BLACK BOX

Fragmentation is measurable. So is the value of convening the village.

Complex-therapy launches fail at the seams: internal silos, multi-step care pathways, and hard capacity limits in the health system. When constraints stay hidden, plans reset across handoffs—and patient access stalls.

77 %

Leaders report fragmentation

77% of leaders report that silos between departments hinder strategy execution and innovation. When ownership is split, plans reset at handoffs—and delivery breaks down at the seams.¹

10 +

Roles in the “village”

Complex-therapy delivery can involve 10+ distinct practitioner roles from diagnosis to administration to monitoring. If the “village” isn’t aligned, handoffs fail—and execution stalls.²

< 2 %

Access to complex treatments

Modeled capacity suggests fewer than 2% of eligible patients could access required resources in year one for an Alzheimer’s DMT. It’s one example of how capacity constraints can collapse access.³

WHAT WE SOLVE

Fragmentation is the rate-limiter.

Canada’s health ecosystem is not one system. It’s a network of provincial realities, capacity constraints, competing stakeholder priorities, and workflow handoffs that don’t show up in internal planning. The result: it feels bigger than any one plan—teams debate “what’s true,” struggle to prioritize where to start, and execution becomes reactive firefighting.

Early warning signs of fragmentation:

Network constraints icon representing invisible constraints that derail execution plans

Invisible constraints derail the plan

What kills momentum is rarely in the slide deck: diagnostic capacity, workflow choke points, role ambiguity, and local rules that only show up when you map the real pathway.

Gears icon representing misaligned definitions of bottlenecks and rate-limiters

No shared definition of “bottleneck”

If teams can’t name the same rate-limiter, they’ll optimize different KPIs—creating motion without progress. You don’t have a strategy problem; you have a shared-reality problem.

Handoff icon representing decisions decaying across cross-functional and field handoffs

Decisions decay across handoffs

In complex launches, every transfer point reopens the debate (Access → Medical → Field → Site). Without clear decisions and owners, agreements erode and execution resets.

Decision-path icon representing analysis cycles replacing sequencing and first steps

Analysis cycles replace sequencing

Advisory boards add input; roundtables add “we all agree.” But if priorities, owners, and first steps aren’t locked, sequencing stalls, teams firefight, and constraints surface late.

That’s what a Mind Meeting alignment sprint is built to solve.

Instead of rerunning the same meetings and getting the same outcome, you leave with shared decision logic, accountable owners, and clear, sequenced next steps.

THE EVIDENCE

Why Mind Meetings work.

Advisory boards sample one stakeholder slice, and roundtables surface perspectives without forcing decisions. Mind Meetings convene “the village,” run a rigorous decision process, and leave you with a first-wave plan in about 16 hours.

10 X

Health ecosystem coverage

Advisory boards typically convene one external stakeholder type at a time. Our workshops bring 10+ stakeholder types together with your team, so constraints surface early, trade-offs get tested across the ecosystem, and you avoid rework after the meeting.⁴

6 X

Better decision process

Getting the right people in the room is only step one. The decision process drives outcomes 6X more than extra input or analysis. We run a structured sprint so leaders decide with confidence—unlike roundtables that surface views but don’t lock decisions or owners.⁵

16 hrs

From debate to first-wave plan

Complex problems don’t resolve in one pass. Mind Meetings use tight cycles to surface constraints, compare options, and converge on decisions. In about 16 hours, you leave with a first-wave plan your team can execute—unlike 2–3 hour advisory boards or roundtables.⁶

The difference

Input isn’t the constraint. Execution is.

Roundtables and advisory boards surface views. Mind Meetings produce a decision-grade plan—with owners and a 30/60/90 first wave—built with the full village.

What you get
Mind Meeting

(3-day alignment sprint)

Advisory Board

(Expert input session)

Stakeholder Roundtable

(Multi-party discussion)

Working time

~16 hrs (3 days)

2–3 hrs

2–3 hrs

Stakeholder coverage

Full “village” (end-to-end)

Single slice

Broad, selective

Deliverables

Decision-grade plan (owners + 30/60/90)

Advice + insights

Consensus positions

Execution ownership

Sponsor team + coalition

Sponsor team translates

Coalition-led follow-through

Best used when you need

Black-box clarity + coalition + 30/60/90

Expert input

Coalition + shared positions

Trusted by industry leaders

USE CASES

Where Alignment Sprints get used

When execution is a team sport—across functions, sites, and stakeholders (the ‘village’ that makes the system run)—and the plan won’t move without shared constraints and clear trade-offs.

Implementation readiness

Turn strategy into an executable operating plan across sites and provinces—with owners, sequencing, and timelines.

Pathway design

Align on the end-to-end workflow—handoffs, roles, governance, decision points, and bottlenecks.

Patient flow and revenue modeling

Stress-test patient volumes and site throughput assumptions—so forecasts reflect real pathways and constraints.

Cross-functional misalignment

Convert internal disagreement into explicit trade-offs, shared decisions, and accountable owners.

Stakeholder fragmentation

Reconcile payer, clinician, and patient priorities early—before positions harden and progress stalls.

Stop hand sign icon representing advocacy efforts stalling due to policymaker inertia

Policy and system inertia

Move from “we agree” to action—coalition-backed asks and first steps that don’t depend on government timelines.

How a Mind Meeting works

From fragmentation to strategic alignment

A 3-day working session that turns unshared reality into clear decisions, owners, and next steps.

1
Scope the real constraint
Align on what’s true, where the bottleneck sits, and who needs to be in the room.
2
Make the trade-offs explicit
Map the pathway, test feasibility, and lock the key decisions across functions and stakeholders.
3
Sequence and assign
Leave with owners, timelines, and the first wave of actions—so it feels solvable and you know where to start.
1
Scope the real constraint
Align on what’s true, where the bottleneck sits, and who needs to be in the room.
2
Make the trade-offs explicit
Map the pathway, test feasibility, and lock the key decisions across functions and stakeholders.
3
Sequence and assign
Leave with owners, timelines, and the first wave of actions—so it feels solvable and you know where to start.

THE MIND MEETING DIFFERENCE

From fragmented views to system solutions

Traditional stakeholder engagement collects opinions in isolation. Mind Meeting workshops unite diverse healthcare professionals in structured dialogue that surfaces hidden insights and builds genuine consensus.

CASE STUDY

Building healthcare system readiness before Leqembi arrives

When breakthrough therapies meet system barriers, traditional consulting approaches fail. Here’s how Eisai Canada created unprecedented stakeholder alignment to ensure patient access.

The Challenge

  • Eisai Canada’s breakthrough Alzheimer’s therapy lecanemab (Leqembi) requires regular MRI monitoring for patient safety.
  • However, Canada’s MRI infrastructure faced 130+ day wait times while the therapy demands 30-day monitoring intervals.
  • External stakeholders including radiologists, neurologists, MRI technologists, payers, and patient advocates operated in disconnected silos with no shared understanding of implementation requirements.
  • Without addressing these hidden misalignments, even a positive CADTH recommendation would fail to deliver patient access.
  • Traditional approaches proved inadequate for this systemic complexity. Siloed advisory boards—where radiologists, payers, and patient advocates meet separately—create an illusion of consensus while critical misalignments remain hidden.
  • Large symposium-style gatherings, meanwhile, suffer from hierarchy and group dynamics that silence diverse voices.
  • Eisai needed a methodology that fostered genuine collaboration without these limitations.

The Approach

  • The solution was Mind Meeting Group’s 3P Framework—combining diverse People, structured Process, and clear Positioning to enable 28 stakeholders to work as equals toward shared solutions.
  • Mind Meeting Group orchestrated 28 diverse stakeholders into structured three-day dialogue before Eisai’s reimbursement strategy crystallized.
  • Participants included seven Eisai internal functions, four payer/policy experts, four patient advocates, three radiologists, two neurologists, two MRI technologists, two MRI systems experts, one person living with dementia, one geriatrician, one family physician, one biomedical engineer, and external consultants representing health technology and government affairs perspectives.
  • Through systematic convergence and divergence cycles, teams identified 180 distinct system barriers, generated 125 potential solutions, and converged on 19 prioritized recommendations spanning infrastructure, clinical protocols, funding models, and stakeholder coordination.

The Results

  • The workshop achieved 100% stakeholder alignment on implementation recommendations—a critical strategic asset across traditionally siloed groups.
  • Eisai discovered existing capabilities previously unrecognized. As Eisai Marketing Director for Neurology Alex Flint, observed: “There are many more resources and pieces to this puzzle that already exist than we previously recognized!”
  • The process surfaced infrastructure gaps that would have emerged as fatal submission barriers and secured stakeholder commitments to system-level solutions.
  • Rather than discovering MRI access constraints during CADTH review when modification becomes impossible, Eisai entered their commercialization process with a strategy for system readiness validated by implementation partners. 
  • As General Manager Pat Forsythe noted: “After working with Mind Meeting Group, we’re in a better position to help decision makers understand the issues, work towards solutions, and bring real hope to patients.”

THE MIND MEETING DIFFERENCE

Expert facilitation that unites diverse stakeholders

Our proven methodology works seamlessly online or in-person, bringing together academics, clinicians, patient advocates, and industry experts from across Canada to co-create solutions they’re committed to implementing.

THE MIND MEETING GROUP TEAM

We help teams move from “we all agree” to action.

We’re a team of strategy consultants and facilitators who bring cross-functional leaders into one room to make trade-offs explicit, align on what’s true, and leave with accountable owners and sequenced actions.

Photo of Mind Meeting Group Founder and Lead Facilitator Mark McCarvill
Mark McCarvill
Founder & Lead Facilitator
Photo of Mind Meeting Group Facilitator Karen Elkin
Karen Elkin
Facilitator
Photo of Mind Meeting Group Facilitator Lynn Fergusson
Lynn Fergusson
Facilitator
Photo of Mind Meeting Group Facilitator Michelle Nelson
Michelle Nelson
Facilitator
Photo of Mind Meeting Group Facilitator Judy Wolf
Judy Wolf
Facilitator

READY TO BUILD ALIGNMENT?

Let's discuss your challenge

Tell us about your commercialization challenge and we’ll schedule a confidential conversation to explore how a Mind Meeting workshop can help.

Sources and research citations

  1. 77% fragmented. AchieveIt. 2025 State of Strategy Execution Report (survey of 250+ senior organizational leaders): 77% of leaders report that silos between departments hinder strategy execution and innovation.
  2. 10+ roles in the “village.” Alzheimer’s anti-amyloid DMT exemplar (Canada): delivery typically spans 10+ distinct practitioner roles across referral, eligibility confirmation (PET or CSF), MRI safety monitoring, infusion administration, and follow-up—e.g., family physician and/or nurse practitioner (early identification, coordination), neurologist, geriatrician, and/or geriatric psychiatrist (specialist assessment/prescribing model varies), nuclear medicine physician (amyloid PET oversight), PET technologist (amyloid PET scanning), lumbar puncture proceduralist (often neurologist or anesthesiologist, when CSF is used), clinical laboratory technologist (APOE genotyping and/or CSF biomarker analysis), radiologist/neuroradiologist (ARIA/MRI interpretation), MRI technologist (serial MRI acquisition), infusion nurse (IV administration), and pharmacist (medication oversight).
  3. <2% access. Black SE, Budd N, Nygaard HB, et al. “A Model Predicting Healthcare Capacity Gaps for Alzheimer’s Disease-Modifying Treatment (DMT) in Canada.” The Canadian Journal of Neurological Sciences. 2024;51:487–494. doi:10.1017/cjn.2023.270.
  4. 10X health ecosystem coverage. “Coverage” here means unique external stakeholder types in the ecosystem relevant to the therapy/workflow (e.g., diagnostic, clinical, payer/policy, patient, operational roles)—not the number of people in the room. A typical advisory board convenes one external stakeholder type at a time (e.g., specialists only). Across each of MMG Alzheimer’s readiness workshops (Biogen, Eisai), we convened 10 unique external stakeholder types together with the sponsoring pharma team—~10X the stakeholder-type breadth of a single advisory board. Source: MMG stakeholder coverage analysis and participant rosters (Biogen Alzheimer’s readiness workshop; Eisai MRI system readiness workshop).
  5. 6X better decisions after input. Based on McKinsey research on 1,048 major corporate decisions over five years (e.g., new products, M&A, capital allocation). The analysis found that decision-process quality explains decision effectiveness roughly 6X more than the amount of analysis alone. Source: Dan Lovallo and Olivier Sibony, “The case for behavioral strategy,” McKinsey Quarterly (2010).
  6. 16 hours from debate to first-wave plan. “16 hours” refers to the approximate net facilitated working time in a three-day Alignment Sprint (excluding breaks). Within that window, teams convert input into a sequenced first wave of actions with named owners, plus a roadmap of timelines and dependencies. Source: MMG Alignment Sprint agenda and workshop outputs.