Katherine C. Nordal discussed implementation of health care reform during her opening address at the 30th annual State Leadership Conference. Mark B. McClellan provided insight on how economics will drive system changes in health care reform. Frank V. deGruy, Robin Henderson, Rebecca B. Chickey, and Elizabeth Winkelman discussed the need for greater cooperation among health service providers during a workshop on Integrated Care in Hospitals and Health Systems. Alan Nessman addressed privacy, confidentiality and security concerns during the session on electronic health records.