One of the highlights of an EHR implementation is the organizational change that will ensue. It is here that the greatest challenges to success are found, because it is in the context of the organization that people's day-to-day work lives are changed. The effects of an IT implementation can be transformational for the organization. In order to achieve that transformation, there is a need to understand organization culture, resistance to change, and change management. These skills are addressed in articles that offer insight and wisdom in successfully managing the organization change that accompanies an IT implementation.