ERP system in place offers healthcare the opportunity to attract world-class physicians, clinicians, and researchers by providing a very effective and efficient environment. This paper analyses the need for: migration from traditional health operation systems to electronic storage and reporting systems - a full operational electronic web based system as a source of data for Health care and a commitment to the use of health system information in evidence-based management decision making. ERP system in place eliminates duplication and manual processes and proactively increases patient safety through the use of efficient and effective information systems. The aim of this paper is to offer an exploration of ERP in the delivery of healthcare in counties its diverse organizational and regulatory settings, since Counties are an important factor in the current Kenyan devolution economies .This model is applied in an empirical study of a project to introduce a ERP system in Trans Nzoia County health care in Kenya. Both qualitative and quantitative methods will be used to obtain a general understanding of ERP implementation in Health sector
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