In the engineering field, stress analysis is a discipline that determines whether materials and structures can safely withstand a range of forces or loads. Evidence is mounting that current structures and methods for managing health information are under stress and not adequate for the digital era. Each week brings new reports signaling systemic deficits in information stewardship, integrity, and life cycle management. Anecdotal evidence from health care organizations underscores the need for new approaches to enterprise information management (IM). 

Enterprise IM and information governance are essential strengthening strategies to address a range of information stressors. This article offers a framework that can be used to take stock of which stress fields are currently under reasonable control in your organization and which will benefit from more targeted attention.  It challenges organizations to approach IM and information governance from the perspective of asset management focusing on gaining real value from investments in EHRs and other information and communication technologies.  

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