title: Uniting the tribes of health system improvement.
abstract: Nested within a growing national consensus that the performance of the US healthcare system needs to be improved are largely distinct "tribes" of experts with varying interpretations of what would constitute improvement: the quality improvement tribe, the payment reform tribe, the consumer engagement tribe, and the HIT tribe.
authors.affiliation: Office of the National Coordinator for Health IT, US Department of Health and Human Services, Washington, DC 20201, USA. aaron.mckethan@ hhs.gov
authors.forename: Aaron
authors.initials: A
authors.lastname: McKethan
authors.forename: Craig
authors.initials: C
authors.lastname: Brammer
mesh_terms: D018166:Health Care Reform / Q000379:methods*; D006801:Humans; D033183:Interdisciplinary Communication; D008490:Medical Informatics; D009936:Organizational Innovation; D058996:Quality Improvement; D014481:United States