One of our students, Joe Ring, found this and it is an interesting perspective and one with which I agree.  It is inline with emerging notions of it is more communication technology than information technology that is needed.  

Interesting paper that provides a framework that tries to tease out the issues.  The challenges will be moving from a theoretical framework to collecting data to implementing the data into processes that can demonstrate improvement in quality.  I think there will still need to be an overall quality manager within the proposed framework.   It makes a good comment that "balancing carefully designed incentives that promote professionalism mibht ultimately lead to the highest quality of care. ".  I agree.  

The American Medical Association has added its support for the Medical Home concept.   http://http://www.ama-assn.org/ama/pub/category/20279.html.   It joins a growing number of physician organizations advocating for new models of payment to support the tenets of the medical home concept.   A good history of the medical home can be found at http://http://en.wikipedia.org/wiki/Medical_home.