There is no question – hospitals and health care systems face unparalleled change at an alarming speed. For example, the average hospital must coordinate care among 229 physicians across 117 practices for its Medicare beneficiary population alone, not to mention Medicaid and private pay. The situation continues to become more complex – and at an accelerated rate – due to aging baby boomers and conditions resulting to a generally overweight population. Individuals with 4+ chronic diseases at time of admission are expected to be more than double in 2012 beyond what it was just ten years ago. Increasingly, Hospitals see declines in inpatient volumes offset by growth in outpatient settings. This trend is exacerbated by the favorable mix that tends to accompany those served in an outpatient setting.