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Health care delivery teams are increasingly adopting healthcare information systems (HCIS) to improve the efficiency and quality of care. Methods for assessing candidate HCIS exist, but are inadequate. Enhanced approaches to HCIS assessment are needed which focus on quality of care goals and compliance with accreditation standards. Performance indicators are often used to measure how well goals are met, but on their own are not sufficient. We presents a five-step framework for modeling the impact of candidate HCIS using User Requirements Notation based on impact points where the effects on operational business processes are measured and linked to organizational goals. A case study illustrates the framework and evaluates its potential.