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Individuals suffering from serious mental illness (SMI) face many challenges of navigating a complex and often fragmented health care system and may die significantly earlier from co-morbid physical health conditions. Integrating mental and physical health care for individuals with SMI is an emerging trend addressing the often-neglected physical health care needs of this population to better coordinate care and improve health outcomes.

Population Health Management (PHM) provides a useful framework for designing integrated care programs for individuals with SMI.

This paper examines the structure and evolution of the integrated care program in Missouri in the context of PHM, highlighting particular elements of PHM that facilitate and support development of an integrated mental and physical health care program.

As health care reform provides external motivation to provide integrated care, this study can be useful as other states attempt to address this important issue.

This article aims to represent three ethnographers researching an organizational event within academia: the Second International Congress of Qualitative Inquiry. It explores the divergent viewpoints of their ethnographic experiences as well as reflecting upon their relationships with each other as they attempted to understand each others’ viewpoints.

This ethnographic project involved participant observation, full participation, and narrative interviews. However, as the project continued, it evolved to reflexively examining the authors’ own viewpoints and relationships challenges.

This paper contributes to understanding ethnographic research of organizational events in several ways. First, it is an exemplar of how three ethnographers examining the same organizational event view it through differing lenses. Secondly, it shows how the authors worked together through the research, struggling to understand each others’ varied political and personal lenses through dialogue.

The research examined only one organizational event, therefore the findings are specific to this site and the same results may not necessarily be found in other organizations.

This paper is unique in that three ethnographers from different generations and different political worldviews can come together for the purposes of research, examine an organizational event and learn to cooperate with and appreciate each others’ viewpoints.