The United Kingdom (UK) Department of Health's current information strategy (Department of Health [DH] 2012) sets a 10-year framework that covers public health, healthcare, and social care in England. It confirms that data from clinical records will be used to audit quality, guide commissioning, and allow benchmarking of services. This will be facilitated by a shift from an England-wide information system to local systems, with responsibility for these resting with commissioners and providers (DH 2012). Organizations are now in the process of planning these changes, so presenting an opportunity for occupational therapists to collaborate on identifying information requirements in order to influence systems to demonstrate both clinical and cost effectiveness.Although electronic records have been available to occupational therapists for a number of years, as with other allied health professionals, the uptake has been slow (Pettigrew 2012). Practitioners, professional bodies, and regulators have been urged to engage in this agenda in order to quantify the improvement made to the lives of patients, to demonstrate organizational and financial outcomes, and to strengthen the professions' visibility in the new commissioning landscape.Significant progress has been made in nursing to work collectively on standardized information sets to evaluate health outcomes (Hardiker 2011, VanDeVelde-Coke et al 2012). Nurse leaders have called for a cultural change in how practitioners think about what information they need to drive quality, how that information is collected, stored, and retrieved, and how this information can provide evidence of the relationship between costs, the process of care, and its resulting outcomes.The College of Occupational Therapists (COT 2014) has launched a strategic vision for occupational therapy informatics for the next 10 years. This sets out the key areas of informatics that are important to occupational therapy practice, research, education, and commissioning occupational therapy services.This practice analysis looks at clinical information across a number of occupational therapy services and discusses the profession's readiness to demonstrate clinical and cost effectiveness. The first section considers the extent to which occupational therapists use the tools available to them within the electronic record. It then examines the information from a single organization This practice analysis considers the extent to which mental health occupational therapists utilize standardized assessments and other tools within local electronic clinical records. There is further analysis of a clinical dataset from a single service that highlights limitations in its use to inform cost effectiveness evaluation. The paper highlights the opportunity for the profession to promote greater consistency across clinical datasets at a time when many electronic record systems are being updated. This will require a collaborative approach to allow cross-organizational benchmarking and to adopt a set of variables and other outcome...