RT Journal A1 Auerbach AD, Berger MS, Wachter RM T1 AChieving comanagment’s potential requires system redesign and hospitalist-focused training—reply JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2011 FD July 25 VO 171 IS 14 SP 1299 OP 1300 DO 10.1001/archinternmed.2011.324 UL http://dx.doi.org/10.1001/archinternmed.2011.324 AB We thank Levin and Glasheen for their letter. We agree that our chosen quality and safety measures did not include several care processes or complications potentially affected by hospitalists' involvement. However, we would expect that such complications would have led to higher costs of care and potentially even higher risks of mortality and readmissions. Because we observed significantly lower costs and no change in mortality or readmission rate, we believe that it is unlikely that our study completely missed identifying a strong underlying impact on an important care process or complication.1