Before... no infrastructure to facilitate information technology, quality or disease management
![Text Description is below the image.](Horowitz-7.jpg)
Graphical illustration of the relationships between providers and other stakeholders.
Providers are represented by scattered green dots. Hospital and RHCs are represented by a small cluster of green dots, one large dot above three smaller ones. Between the Providers and Hospital/RHCs is a red circle with a line across it (the traditional "NO" symbol) that covers the following text: "Negotiation leverage. Return on investment."
The following text is below:
"Presence of consistent and coordinated community oriented approach???" and the following items in a row of boxes:
- Acquisition and Dissemination of information technology.
- Community Based Quality Improvement Programs and Monitoring
- Continuing Education
- Research
- Practice Management Support
- Evidence Based Medicine
- Workforce Development
Each box bears a red X.
Previous Slide Contents Next Slide ![Next Slide](https://webarchive.library.unt.edu/eot2008/20081004101252im_/http://www.ahrq.gov/images/arrow_rt.gif)