This paper should focus on implementing Electronic Medical Records into a large organization with multiple facilities that span multiple time zones. the EMR should be inclusive of all the business processes typically encountered in a complex healthcare organization. The paper should be a complete business case analysis of such a decision. This includes but not limited to introduction of a new idea role of Information management and IT in evaluating and prioritizing the idea business process reengineering needed to justify implementing the EMR the needed return on investment for such a decision and the role of portfolio management. This paper should utilize resources from recent (2009 or sooner) peer reviewed articles.