The migration to modern information systems and advancement in noninvasive health monitoring devices enable highly mobile users to support increased efficiencies and improvements in delivery of healthcare. Users of these systems are likely to have different needs or views of information either because of organizational role or because of geographic location. In this distributed architecture, available resources must dynamically be able to be reassigned to respond to external factors such as changes in the environment, changes in short-term objectives, reallocation of responsibilities, and changes in resource consumption patterns. This paper describes a framework for healthcare decision making and management of healthcare operations through the application of dynamic resource management using information technology for what we call active management of healthcare operations.