An article in the New York Times (October 10, 2012) describes the rise of retail clinics in Manhattan, with costs of care 30-40% below doctor’s offices and 80% lower than emergency care. The result of many retail locations is a drop in patients at full service hospitals and closure of St Vincent’s – a Greenwich Village hospital. As services provided to patients fragment, the consequent capacity realignment, along with doctor and nurse practitioner service provision locations, is uncertain. Should hospitals link up with these clinics to move care to the most effective location, increasing service quality while lowering costs ? Will the fragmentation of treatment across locations decrease visibility and increase overall costs ? How should information systems be standardized to permit seamless service to patients ?