Globally, over a billion people lack access to basic medical insight, and 150 million suffer financially as a result. In the United States, 30 million underserved Americans rely on the nation's safety net system of more than 10,000 community health centers and free clinics for primary care services.
Yet, a critical gap remains: 91 percent of safety net clinics cannot get reliable, fast access to specialist care for the uninsured, leading to sicker patients and increased ER visits and hospitalizations. For the one in ten Americans who lack health insurance and need specialty care, the options are limited: pay out of pocket or delay treatment.
The Human Diagnosis Project (Human Dx) has developed an electronic consultation (eConsult) system enhanced with collective physician intelligence to help physicians provide specialist expertise to those who cannot afford it.
Over the next five years, the Human Dx Alliance—which includes several of the United States' leading medical bodies, safety net providers, and physicians from more than 70 countries—aims to implement this system across the country. Human Dx will enlist 8,000 safety net clinics and 50,000 specialists to provide electronic consultations for more than three million patients, while permanently extending the capacity of the safety net to close the specialty care gap for its 30 million patients.
Each patient helped will add to an open intelligence system and that brings about a more inclusive and sustainable future of medicine, delivering this expertise first for the U.S. and ultimately, globally.
The team made the following changes to its proposal since it was first submitted in October of 2016, informed by additional research, project development, and authentic engagement with communities of interest—defined as beneficiaries, those who might suffer harm, other funders, and competitors.
- Launched the Human Dx Alliance for the Underserved, a partnership of many of the nation's leading medical bodies and research experts.
- Launched a national loan repayment program for specialists who commit to helping the underserved for one year.
- Developed a sustainable financing model, which will reach breakeven by five years through reimbursements for public (e.g., state Medicaid) and private payers.
About Our Team
The Human Diagnosis Project is a worldwide effort structured as a partnership between the social, public, and private sectors. Its leadership includes project leads from the Human Diagnosis Project and advisors from its lead implementation partners.
- Dr. Shantanu Nundy, Director of the Human Diagnosis Project Nonprofit
- Jay Komarneni, Founder and chair of the Human Diagnosis Project
- Christopher Khoury, Vice President, American Medical Association
- Dr. Ronald Yee, Chief Medical Officer, National Association of Community Health Centers
- American Board of Internal Medicine
- American Board of Medical Specialties
- American Medical Association
- Association of American Medical Colleges
- Association of Clinicians for the Underserved
- National Association of Community Health Centers
Project Contact: Tyler Brandon, Community Lead
Deep Learning for Healthcare: Review, Opportunities and Challenges
National Center for Biotechnology Information, U.S. National Library of Medicine