By VINCE KURAITIS, DAVID C. KIBBE, MD and STEVE ADAMS
Over the past several years, many diverse initiatives have arisen offering partial solutions to systemic problems in the U.S. health care non-system.
We see Meaningful Use Criteria recommended by the HIT Policy Committee as a unifying force for these previously disparate initiatives. These initiatives have included:
- Patient Centered Medical Homes (PCMHs)
- Regional Health Information Organizations (RHIOs)/Health Information Exchanges (HIEs)
- Payer Disease/Care Management Programs
- Personal Health Record Platforms — Google Health, Microsoft HealthVault, Dossia, health banks, more to come
- State/Regional Chronic Care Programs (e.g., Colorado, Pennsylvania, Improving Performance in Practice)
- Accountable Care Organizations — the newest model being proposed as part of national reform efforts
Today
While there are some commonalities and overlap, to-date these initiatives have mostly arisen in isolation and are highly fragmented — they’re all over the map. Here’s a graphic representation of the fragmentation that exists today:
