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Hospitals are in a great pressure between cost savings and a growing need for patient care. This pressure makes it essential to measure, follow up and develop the processes in order to make them more efficient. This kind of development requires new managerial tools and also new ways of storing the data in hospitals. This study evaluates the opportunities and challenges of electronization in hospitals from the managerial point of view. These opportunities and challenges rise from developing a model for measuring the costs, quality and time of the patient care process in one case hospital. As a result we conclude that if benefits from managerial innovations are to be achieved, electronization of hospitals databases is required.