Using an embedded multiple-case study design[6] and integrated qualitative and quantitative methods, the project proposes to measure empirically the degree of seamless coordination existing among municipal, regional or district-level and provincial public health and emergency management agencies in Alberta. Although federal authorities and agencies play an important role in provincial-level responses to public health emergencies, for the purposes of this research, the focus will be on the inter-organizational linkages and organizational environments of provincial and sub-provincial actors; relevant federal-level organizations will be identified for future investigation. The seamless coordination of activities and tasks that should characterize the overall federal-provincial-regional linkages should also characterize the intraprovincial linkages. Fluid communication and resource flows among such diverse organizations and administrative authorities require an integrated and coordinated network of actors. Our research is premised on empirical research that has shown that effective and coordinated approaches to public health threats require a well-integrated and responsive inter-organizational system and that the most appropriate method in which to analyze inter-organizational relations and the degree of integration is one based on network analysis [7] . Yet, strong inter-organizational ties are not enough for effective preparedness if the organizations involved do not have the necessary individual capacity to respond to public health threats. In this regard, fluid communication and integrated organizational connections are but one element in an overall systems-level approach to assessing public health preparedness. As shown in Figure 1 , we view public health preparedness to be a product of several interrelated factors: 1) individual organizational attributes, 2) the inter-organizational networks existing among relevant organizational actors, 3) the institutional environments in which organizations and inter-organizational networks are located and in which threats first emerge, and 4) the integrated coordination of specific action-sets. An actionset refers, in this case, to a subgroup of organizations in the network that come together purposefully to address a specific public health threat. We see these four factors together influencing system-level public health preparedness.