The Public Health Division of New Mexico's Department of Health provides essential health services to approximately 43,000 low-income and indigent patients a year across 55 offices. Before governor Bill Richardson's information technology initiatives, New Mexico's public health clinical services relied on paper for virtually every clinical and administrative process. The department contracted with Dallas-based MedNetwoRx to provide a hosted version of the Allscripts Enterprise Health Record (EHR) and Practice Management solution. The software's clinical impact is considerable, including the increased safety benefits of the systemwide EHR. Providers have ready access to medication and treatment histories, increasing their confidence when prescribing new medication or treatment therapies. From an administrative standpoint, the system helps improve clinic oversight. In just one year, the New Mexico project team successfully transitioned 48 clinics to an all digital environment and turned government Richardson's technology vision into reality.