Introduction This project will involve the use electronic health records (EHRs) among certain community physicians. Electronic health records are vital in the health care industry because they provide cost savings, improve efficiency and reduce the chances of performing life altering mistakes. Physicians achieve these benefits through error-reduction in prescriptions, tests, preventive care and procedures. This project can boost healthcare quality in the selected community, and thus heighten patient outcomes. Needs analysis This phase involves two principle segments: stakeholder identification and stakeholder need determination. The stakeholders to be involved in this project are as follows: physicians in the selected community, electronic health record vendors, health care providers and consumer groups. The physicians will emanate from hospitals in the selected community, clinics, medial centers, community hospitals and physician associations. Consumer groups will involve public interest groups such as consumer foundations, universities and coalition groups. It will also involve health care providers like insurance providers (Ohseroff et al., 2007). Their needs can be divided into three categories: improvement of preventive care through physician vigilance, identification of allergic drug prescriptions or harmful identifications, and management of chronic conditions among the patients. One can subdivide all these needs into smaller ones that start with the elimination of paper medical records. Physicians waste a lot of time and resources in pulling charts. EHRs will reduce the number of employees needed to pull the charts and the amount of time spent in writing notes. Another need is avoidance of duplicated diagnostic tests. This will create cost savings for health service providers who must pay for inappropriate tests when no monitoring system exists. HIT implementation through EHRs will send alerts to physicians when lab tests are redundant. This project will also deal with another need, which is to prevent the unnecessary use of radiological services. The EHR will provide a decision support system to physicians who would then minimize the use of unnecessary radiological services. This project will address the need to use cost-effective prescription drugs. The physicians involved will get clinical decision support through the use of EHR. This information can assist them through the use of generic prompts as alternatives to branded drugs. Furthermore, the systems can provide them with alternatives on cost effective drug management or inexpensive therapies; this initiative with target outpatient settings particularly. Most health care insurers will benefit, and so will pharmaceutical companies. Physicians will not benefit financially from that component. Physicians and nurses need to improve their productivity. They can achieve this through reduction of the time that they allocate to paper documentation. Lastly, the stakeholders need to reduce the length of stays in hospital. This project will assist in achievement of that objective by avoidance of costly errors, reduction of the time it takes to administer drugs, and increment of the physician’s ability to perform clinical functions (Wang et al., 2003). This aspect may not benefit physicians directly but will benefit patients and healt