Health care organizations around the world are recognizing the benefits of maintaining electronic medical records for patients with improved quality of service, free flow of information (across multiple locations), reduced cost of operations resulting in cost efficiencies, better health and efficient utilization of resources. Recognizing these benefits as opportunities, health care providers have or are in the process of migrating from paper-based health care records to electronic medical systems. This transition is not always free from challenges. This study presents recommendations for managing challenges with data conversion from paper form to electronic database based on a case study done by students from Colorado Technical University, Colorado Springs, CO, USA, for a prominent eye hospital in Jalna, India, using appreciative inquiry. The Culture, Administrative, Geographic and Economic (CAGE) framework at the industrial level is applied to evaluate the options considered for data conversion and transition.