The authors contend that integration is emerging as a key concept in managing information resources for the academic health center (AHC) environment, with its multiple functions. They discuss the changing role of computing, which is characterized by a growing symbiosis with the health sciences library, which is increasingly automated. Academic health centers have moved to bring information resources under the control of top-level policy officers and to restructure computing resources into an information utility. With an infrastructure capable of supporting a distributed networked system, outreach is critical. Outreach services and programs range from support services provided by the information utility, informatics programs within the schools, and technology-assisted learning centers.