Processing rehabilitation admissions and case management records in a three-person office in a major academic medical center had become cumbersome and redundant due to multiple information management approaches and requirements from various sources. Simple questionnaires and brief, casual meetings with pertinent personnel defined what was working well and what was problematic and helped establish a foundation for change management. Analysis of the existing paper system revealed more than 300 data items used more than once throughout the departmental processes. A simple timing trial, based on selected segments of a workflow diagram, revealed the potential to save 3 to 3(1/2) hours per case by revising a departmental database, decreasing work redundancy, and creating an electronic case file. Because the work environment utilized Microsoft Office and Access databases, a plan was developed to utilize these resources to streamline the workflow and eliminate duplication of effort in the admission/case management documentation processes.