Systems require visionaries. Interview by Donald E. L. Johnson

If metropolitan and regional multihospital systems are to be an integral part of the future of health care, what will separate the successful systems from the unsuccessful ones? How do administrators bring hospital medical staff members together in a cohesive, cooperative team? In the following interview with Health Care Strategic Management publisher, Donald E. L. Johnson, Don L. Arnwine, former hospital chief operating officer and current president of Arnwine Associates, discusses the elements of a successful multihospital system. Arnwine Associates is an Irving, Texas-based consulting firm.