At Children's National, patient care is at the forefront and this has been a challenge due to the increasingly changing technological world. Strategic Information Systems (SIS), also known as the Support System (Swayne, Duncan, & Ginter, 2008), was introduced at Children's National in 2005 when the electronic medical record was implemented and the he entire organization has become paperless. Children's National has the nation's first NICU; its state-of-the-art facilities opened less than three weeks ago; consists of 54 private rooms, equipped with two flat-screen televisions, a personal computer, a refrigerator and a futon for family members. Each floor is equipped with a beautiful laundry room furnished in elaborate colors, a large flat screen TV and espresso coffee machine and three desktop computers! Children's National wanted to outperform its competitors by differentiating itself through superior quality and executed its value chain activities better than the opposition. SWOT Analysis The biggest issue facing Children's National is how to best increase the hospital's capacity to serve more patients while maintaining control over the quality of service provided and customer satisfaction.