STEPHEN M. SHORTELL is Blue Cross of California Distinguished Professor of Health Policy and Management and professor of organization behavior, School of Public Health, University of California, Berkeley. ROBIN R. GILLIES is research specialist in the School of Public Health, University of California, Berkeley. DAVID A. ANDERSON is a founding principal of Health Care Futures L.P. in Itasca, Illinois. KAREN MORGAN ERICKSON is a principal with Hamilton HMC, the health services division of the international management consulting firm Kurt Salmon Associates. JOHN B. MITCHELL is a founding principal of Health Care Futures L.P. in Itasca, Illinois.