The document discusses establishing a Health Outcome Infrastructure Initiative to research emerging healthcare infrastructure models using an interdisciplinary scientific approach. It would analyze representative examples to inspire expansion of infrastructure domestically and abroad. The initiative would have three research foci: 1) population-based clinical modeling, 2) patient self-care, and 3) organizational performance improvements. It would establish a Federal Performance Architecture using models, analyses and continuous evaluation to coordinate evidence-based healthcare standards, informatics, organizational effects and demographic considerations to improve outcomes. The initiative aims to provide standards of care, evaluate prevention services, and develop patient-centered informatics to simultaneously improve quality, access and reduce costs through health IT research.