How can IDSs integrate conflicting cultures?

Many integrated delivery systems (IDSs) perform poorly because of cultural differences of their constituents. To reconcile such differences and start to develop one unifying culture, IDSs need to promote a set of cultural values and expectations that support the entire enterprise. Creating a unified, functional culture is a complex process that ranges from identifying the organization's strategic aims and assessing current cultures in light of those aims, to being courageous and consistent in demonstrating the organization's values.