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Information technology constantly changes and quickly becomes obsolete. The methodology of planning and implementing a health care information system, however, is more constant. Through practical, step-by-step guidelines, the author demonstrates how to establish the strategy and architecture against which vendor and system decisions must be made. Both management and technical perspectives are discussed. Thus, regardless of the technology used, the health care administrator and systems manager learn to implement information systems successfully and to link those systems with business strategy to achieve higher quality and more cost-effective patient care.