Systemness - it is the underlying theme behind the creation of a distributed care delivery network which we refer to as "MedStar 2020." We are not just 10 hospitals and 250 ambulatory sites, but a network of health care that is connected. One way to instill systemness is that all new senior managers across MedStar take part in a 3-day tour of the System, visiting every hospital and several ambulatory sites. Dr. Lisa Boyle and I have the pleasure of being the Leadership Team hosts for the tour occurring this week. Below are some pictures of the group (including MHRI CFO Bill Gayne) at MedStar Southern Maryland Hospital Center and observing telehealth technology for real time neurology stroke consults in MedStar St. Mary's Hospital (60 miles south of Washington). If you are interested I getting real time updates of the tour, follow MedStar's new Cheif Digital Officer Mike Ruiz on Twitter (@ruizm001) as he shares his own experience and perspective.