This course delves into the stakeholders that make up an IDN, explaining who’s who and what makes them an essential cog in the IDN wheel. Ryan Haumschild, PharmD, of Emory Healthcare and Winship Cancer Institute, explains critical roles in an IDN, variations to watch for, whom to engage with and avoid, and the makeup of hospital and clinic structures and service lines. The course then dives into IDN decision-making processes and structures, focusing on which IDN personnel can influence a brand’s position—and how. The course concludes by outlining community- and hospital-based roles and behaviors. It explains cultural differences by setting and outlines the structures that tie community oncologists to the IDN.