The purpose of this chapter is to provide context for the existing definitions, methods, and strategies to develop organizations and manage change in the healthcare industry. The authors have compiled some of the more commonly used methods and presented the ideas as closely as possible to the original author's intent for the methodology. Where practical, the more recent discussion in the literature is also represented. With this context, the last section of the chapter discusses the scope of the scalability of methods to support a multinational conversation of electronic health records interoperability.