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When William Greskovich became CIO at Baltimore's St. Agnes Hospital in 1997, he made a strategic decision that changed the course of IT at the community facility. Rather than adhering to the hospital's "best-of-breed" tradition of buying multiple systems, Greskovich convinced the hospital's board that consolidating on a single platform would yield operational and financial dividends. During the spring of 1998, St. Agnes began an 18-month transition to Meditech, the hospital information system from Westwood, MA-based Medical Information Technology, Inc.