Although healthcare information systems are increasingly sophisticated, they are capable of burying some users beneath flurries of unneeded reports while failing to provide sorely needed data for others. Environmental issues and patient privacy concerns add to the need to conduct periodic audits that explore how computer reports are distributed, used, retained, and discarded in health-care organizations. The process begins by reviewing and updating a report distribution list, a master document that shows why and how reports are created and circulated.