For many years, organizational literature has focused on answering the numerous questions surrounding organizational change. The dominant theory used to explain change is Darwin’s evolutionary model, described as a slow continuum of small alterations gradually leading to new forms. Although Darwin’s view lacks proof, or disproof, this evolutionary paradigm is currently in a state of normal science. However, an alternative, paradigm shifting, explanation has surfaced receiving attention and application from several areas. In our interpretivist case study, we apply Eldredge and Gould’s (1972) punctuated equilibrium theory for understanding the change process within the context of an electronic medical record (EMR) system implementation. By examining the stages of the punctuated equilibrium model, we hope to further the understanding of how individuals evaluate change, as we highlight one organization’s successful implementation of an EMR system.