A national-scale framework for monitoring environmental contaminants in fish and effects of contaminant exposure on fish in large U.S. rivers has been proposed by the Biomonitoring of Environmental Status and Trends (BEST) Program of the U.S. Geological Survey (USGS). The framework shares many features and objectives with the USGS National Stream Quantity Accounting Network (NASQAN) Program, which monitors water quality in large U.S. river basins–those with drainage areas of 250,000 to 1,200,000 square miles at their most downstream stations. Because the two programs appear to be complementary, this study was initiated in 2001 to investigate alternative techniques for summarizing and integrating the water-quality data with the fish-contaminant and fish-health data, and to provide recommendations to the BEST program for future integrated studies.