is a little behind in quality healthcare reform compared to other countries. In a year-long study of eight countries: Australia, Canada, England, France, Germany, Singapore, Spain and the United States, results show a concerted effort to improve quality while attempting to reduce costs by identifying three system components integrated (connected) ) health. Technology adoption, health information exchange and future vision comparisons of the eight countries show that Singapore is at the forefront of the vision. According to the Accenture report “Strong government vision and leadership drive progress. Through MOH and MOH Holdings, the Government of Singapore provides the clear vision and strong leadership essential to connected health. This has ensured that progress is highly targeted and rapid.” (Accenture 2011) Some of the challenges faced internationally were initializing an IT method for capturing member information, a better way of communication between suppliers, and reducing quantitative cost analysis. While each country has different methods of providing care, most are funded partly or fully by government funding. The United States, funded by the government and commercial insurers, is at the forefront of technology with its methods of exchanging digital information. Today's CHTs can learn from integrated care programs that have shown positive results. By learning cost-cutting methods used in other nations, the United States can set itself apart