This is a fundamental issue about setting clearly defined goals and objectives, appropriateutilization of resources, effective measurements, and communicating updates and milestones.
If successful, awareness of the relevant digital health opportunities and expertise in their appropriateutilization would by that point be located in the individual functional areas.
If the government wanted to regulate, they could demand an annual report on each patient they support, giving the actual utilization, health care outcomes and proof of appropriate management of common illnesses, immunizations and cancer screening.