Computer systems and applications in healthcare have a life cycle that begins with identification of an idea or need, requests for proposals, selection, planning, implementation, optimization, maintenance, support and eventually, replacement or decommissioning. Different stages of system implementation require a detailed understanding of how system engineering operates within the health care arena. For example, understanding project planning and management, design level approaches, design that supports patient safety management, development, implementation, operational support, and learning about different management strategies can help. Tools such as Failure Mode Effects Analysis can be used to anticipate failure points and to put appropriate measures into place to reduce or eliminate the potential for error. Six Sigma tools can also be used to increase efficiency and reduce waste. Project management skills are mandatory to insure the new information technology or automation system is implemented on time and within budget. The student pharmacist will gain a basic understanding of value statements, finance, and return on investment in order to gain project approval from the executive suite. Also, the student will learn to create and analyze report using Structured Query Language (SQL).