Caro, Denis H. J.2010-10-272010-10-2720102010-10-27WP.10.09http://hdl.handle.net/10393/19652http://dx.doi.org/10.20381/ruor-2577Le texte intégral de ce document de travail n'est pas disponible en ligne. Pour plus de renseignements sur ce document, veuillez communiquer avec la Direction de la recherche de l'École de gestion Telfer à l'adresse recherche@telfer.uottawa.ca. // The full text of this working paper is not available online. For more information regarding this working paper, please contact the Telfer School of Management Research Office at research@telfer.uottawa.ca.Traumatic Brain Injuries (TBI) continues as a 21st century that remains subterranean and mostly invisible scourge in our societies, although it has consequences for high health care costs and diminished quality of life for its victims and society. Traumatic Brain Injury (TBI) care systems efficiently and effectively integrate all of the key care service components on multidimensional system levels to reduce mortality and morbidity rates, risks and incalculable human suffering from neuro-traumatic events. These care systems seek to promote primary and secondary prevention and assure positive tertiary and rehabilitative care outcomes, with full cognitive and physical functionality and social reintegration. Its systemic strategies include the creation of social ecologies which mitigate the risk of TBI, and provide appropriate and timely TBI and rehabilitative care effectively. Current TBI care systems operate largely in silos, each with diverse clinical and resource priorities and supported through disparate information systems. Paradoxically as each silo attempts to sustain life and mitigate the impact of pathophysiological aspects of TBI, the systemic sustainability of the entire TBI care system is compromised. This paper examines the implications for future systemic sustainability of such systems through regionalization, intelligence systems, virtual environments and transformational leadership.