Shows how health care administrators and clinical leaders can improve organizational effectiveness and responsiveness by fostering collaboration among different disciplines within their institutions. Provides six original case studies that show how integrative approaches can be applied in practice. Offers useful guidelines for choosing people to serve in key integrative positions, supporting the new structure through reward and information systems, and carrying out the change process.

Dr. Charns is Professor of Health Policy and Management and director emeritus of the VA Center for Healthcare Organization and Implementation Research, a VA Health Services Research and Development center of innovation.