**EXHIBIT
      10**








April
      18,
      2003








Robert
      Tysall-Blay


Claygate


New
      Town
      Road, Storrington


West
      Sussex RH20 4JJ


United
      Kingdom





Dear
      Rob:





We
      have
      appreciated the opportunity to meet with you and feel that you will be an
      excellent fit with Mediware Information Systems. I am pleased to confirm our
      discussions and to offer you a position as CEO for Mediware International.
      You
      will be reporting to me as President of the Mediware Worldwide Pharmacy
      Division. The following outlines the terms of the offer.





Compensation
            An
                annual compensation package will be comprised
                of:





(a)
      An
      annual base salary of £85,000.





(b)
      A
      bonus opportunity of £65,000 based on criteria to be mutually agreed upon within
      30 days of start date. £30,000 of this bonus opportunity will be commission
      bonus, to be earned and paid as sales occur. The remaining £35,000 will be a
      performance bonus opportunity to be paid at the end of the Company's fiscal
      year. Details of the above will be worked out within 30 days of start
      date.





(c)
      A car
      allowance of £10,000 annually.





(d)
      options for the purchase of 30,000 shares of the stock of Mediware Information
      Systems, Inc. These options vest in accordance with Mediware's normal policy
      of
      25% per year. As with all Mediware options, grants are subject to the approval
      of the Mediware Board of Directors.





Vacation:
            You
                will be entitled to four weeks paid vacation per year. After two
                years,
                this is increased by one working day per year up to a maximum of
                25
                working days annually. The Company also observes 8 public holidays
                per
                year.





Pension
                Plan:
            The
                Company pension plan is administered by Standard Life. If the employee
                contributes at least 3% of annual salary to the Standard Life Pension
                Scheme, or Personal Pension Scheme of his choice, the Company will
                contribute a matching 3%. The maximum Company contribution is 3%
                annually.





Reimbursements:
            During
                the term of your employment, you will be reimbursed for any qualifying
                travel and business-related
                expenses.





Termination
                Notice:
            The
                termination notice period will be thirty days for both employee and
                employer.





Start
                Date:
            Your
                official full-time start date for this new position will be June
                1,
                2003.


As
      a
      matter of policy, I am required to state that the Company employs on an at-will
      basis. By accepting this offer, you hereby agree to honor the terms and
      conditions of Mediware's "Employee Agreement."





If
      you
      have any questions, please give me a call. We look forward to having you as
      an
      integral member of our team.





Very
                truly yours,Michael
                CrabtreePresidentWorldwide
                Pharmacy Division








Agreed
                / Accepted:
            
            
            
            Date:Signature