This article outlines a comprehensive strategic and operational plan for creation of the EHR Franciscan Missionaries of Our Lady Health System Implementation Team to enable implementation of a centrally hosted, interoperable ambulatory EHR throughout all hospital markets of the Franciscan Missionaries of Our Lady Health System, in Louisiana. This initiative involves a "focused factory" approach to competitively meet market demands for ambulatory EHR delivery under EHR Stark safe harbor provisions; leverage economies of scale; promote information exchange; improve care delivery; and foster physician collaboration, adoption and satisfaction. The plan consists of two phases--a 120-day rapid implementation of EHR for one practice site in each of the System's four markets and ongoing 60-day standard implementation for qualifying physician practices in all the hospitals in the System's markets.