"Tonges' book should be required reading in all health care administration programs. Under one cover, this dynamic, up-to-the-moment book shows how clinical integration can and must be achieved in today's managed care environment." --Barbara Barnum, RN, Ph.D., FAAN, professor of clinicalnursing, Columbia University School of Nursing

"Every biochemical system has a rate limiting reaction. In the case of clinical integration, the limitations come from the vagaries of physician culture and the lack of a unified information system. Tonges and her colleagues in their new book provide us with all the necessary enzymes to speed this rate limiting reaction along. Most integrated delivery systems want us to believe that they have overcome these limitations and created a clinically integrated enterprise. The contributors to this volume know what a canard this is, and the distillation of their observations, insights, advice, and case studies will help even the most incredulous physician believe in clinical integration. The vocabulary may be foreign at first, but the chemical reaction when complete, will provide both heat and light." --David B. Nash, associate dean and director, Health Policy and Clinical Outcomes, Thomas Jefferson University Hospital