At the June 2007, Central City Medical Group (CCMG) board meeting, Deb Moore, Executive Director, reported that there were mounting tensions caused by the implementation of an electronic health record (EHR). Physician morale and productivity were spiraling downward. The present challenge was the growing gap between the patient workload and physician capacity, as physicians remained well below historic productivity levels while learning to use the new EHR. The medical director had resigned her post and other senior physicians were threatening to retire. Ms. Moore had a pressing question for the board: should CCMG stop accepting new patients until they returned to full productivity?