The study showed clearly that even though there were consistent themes and initiatives, every jurisdiction has its own set of unique problems and opportunities. Each has a variety of stakeholders with dissimilar interests and goals. Consequently, the most effective business cases will be tailored to those particular circumstances, including the extent of integration achieved through previous efforts. This suggests that the business case materials should include tools to assess the political and organizational environment, technical capacities of existing systems, as well as the capacity of the participating organizations to undertake the proposed activities. The materials should also emphasize methods and resources rather than specific cases that may not be appropriate to many settings.