Among key drivers of healthcare reform in Canadian society are the challenges faced by the rapid rate of technological change and its impact on organizational performance in terms of efficiency, cost-effectiveness, and innovation in business and operational processes. However, despite the noted significance of the impact of technological change on healthcare organizations, the challenge of healthcare technology management (HCTM) has received only scattered and marginal attention in the technology management (TM) literature. The lack of formalization in HCTM construct, attributes, and measures motivated an empirical study to develop a metric for HCTM. This metric was then used to assess HCTM practices in teaching hospitals across Canada. The project began with an analysis of developments to date in the fields of Management of Technology and Management of Medical Technology. An extensive literature content analysis generated a set of definitions and attributes of the conceptual TM construct, which was eventually extended to HCTM. A measuring instrument was developed through a formal design process involving expert panel review, pilot testing, instrument refinement, and field-testing to extract and measure HCTM performance indicators. Administration of this metric with the help of the Association of Canadian Academic Health Organizations via a Web-based survey of senior healthcare administrators provided insights into the HCTM status of Canadian teaching hospitals and its relationship with organizational performance.