the first key element to build vertical integration is to rely on a strong information system to ensure information sharing between providers and across levels of care interoperability of information systems is essential to connect health care professionals and services to coordinate patient care see lesson norway s information system was not established to support information sharing between primary care municipalities and hospitals in particular information on the quality of primary care at local level was nearly total absent at the outset of the coordination reform in light of this payment systems should reward multidisciplinary care and chronic disease management which as mentioned previously are core components of integrated care in norway appropriate incentives were implemented until as a means of encouraging health services to embrace integration and to promote highquality and patientcentred care