Healthcare delivery systems are rethinking their strategic plans in light of diminishing capital reserves. The traditional, vertical, “bricks and mortar” approach will handicap many hospitals. Healthcare organizations with a clear focus on quality, patient safety, and medical staff alignment will be successful in the long term. How can hospitals build relationships with their physicians to make the practice of medicine more efficient and less complicated? Using health information technologies as a horizontal integration strategy to build physician alignment is an approach that is capturing national attention.