Success factors of E – HMS / HIS tend to vary depending upon leadership support, training, technology adoption, user friendliness, etc…HIPAA privacy guidelines and HL7 / RIM framework are identified as the primary determinants and metrics of Global compliance in developing and implementing successful E - hospital management solutions. Also the various case study insights on the broader framework of E – Hospital management solution / HIS paves way for future research on Enhancements in E - Hospital Management domain.