Academic health science centers employ faculty and research staff who deman
d and merit a high level of information technology (ITT) support. Often the
ir needs outstrip the ability of IT to provide adequate service. The author
s review the recent history of IT at Baylor College of Medicine, beginning
with the critical review of its operations undertaken by outside consultant
s in 1996. The analysis led to a strategic planning retreat at which three
infrastructure projects and three systems projects were identified. As the
IT program executed these projects, it transformed itself into a more moder
n organization able to provide higher levels of service to faculty and staf
f. Those involved in these changes at Baylor were able to successfully adop
t a corporate model of information services support without sacrificing the
college's academic focus.