"They'll know whether their patients have had that last blood test, whether they're taking their prescriptions," says Grundy. "The system knows whether or not you're actually doing the right thing and can see which docs are managing disease and which ones aren't."
By putting these powerful tools in the hands of physicians, who have developed the standards by which they'll be judged, and you have a very powerful set of tools for better outcomes and lower costs.
"You have the docs tell you what they want to monitor," he says. "They decide how they want to judge themselves. And when they do that they are very competitive."
Of course, this isn't the only pilot or demonstration project going on with the objective of providing better patient care at a lower cost. But it might be the biggest. Challenges remain, and Grundy expects to learn much more that will change the system as it matures.
"If docs are determining the stuff they want to monitor, how do you keep from reinventing the wheel every time you add a new facility or physician practice?" he says.
Or, how do you deal with natural language ability, massive amounts of information, and structuring it so the human mind will understand.