The goal of this case study is to provide an objective representation of the benefits that accrue from the best practices–based implementation of the technology in question. The Johns Hopkins Hospital is modernizing its access systems in collaboration with Imprivata and its OneSign single sign-on application. This analysis is intended to present the implementation of single sign-on technology; examine the business issues it addresses and the IT approach, the business goals and ROI from the project, and the business risk and situational complexity; and provide insight into the success and failures of and lessons learned from the implementation.