Devers Kelly J. Ph.D.; Shortell, Stephen M. Ph.D.; Gillies, Robin R. Ph.D.; Anderson, David A. C.F.A M.B.A; Mitchell, John B. J.D. M.H.A; Morgan Erickson, Karen L. M.H.AHealth Care Management Review: July 1994 Original Article: PDF Only Abstract Organized vertically integrated health systems are in a key -position to play a major role in present health care reform efforts. To demonstrate a competitive advantage in the new health care environment, however, integration efforts must be successful. Based on a national study of nine organized delivery systems, this article develops measures of three types of integration that occur in vertically integrated health systems— functional, physician-system, and clinical. These measures can be used as a “scorecard” to assess progress toward achieving integration objectives © 1994 Aspen Publishers, Inc.