My hospital board have used both EMR and paper-based record from the vendor in Thailand. We did not develop ourselves. Despite this EMR have been developed, the hospital staff could not utilize it efficiently. Previously, staff in my hospital had used the electronic medical record merely for OPD patient for each visit registration, drug prescribing, and financial record but not IPD. When the patient comes to follow-up, the doctor needs to find out paper-based IPD records, nurses and physicians’ former and home-medicine prescription. It showed that even though EMR could be implemented in the other hospitals, my hospital and some other hospitals could not utilize it successfully. The reasons of system failure are staff had not been well trained enough before implemented the system and there is no re-evaluation on users’ ability. The system does not fully achieve the objectives of the users, however, the price was reasonable. The system may need to be upgraded and the technical support team may need to be educated and rebuild the system again as AGILE model.