custom, programming. The “buy” alternative relates to what was described in this paper, in that General Hospital did not have the resources to devote to developing software for their Home Health segment, and as such enlisted the researchers to assist in that endeavor. The “outsource” choice alludes to several different options available, under this umbrella, on the modern-day IT landscape. The decision to outsource could range from an application service provider (ASP) delivering the solution over the internet (or the “cloud”) to complete transfer of the IT operation to a hosting provider or even a server co-location vendor.