Public health hospitals in Kenya face significant performance challenges amidst pressures from population growth, lifestyle diseases, and resource constraints. While technology offers potential solutions, gaps exist in understanding the effects of specific implementations. This study aimed to assess the influence of Health Information Technology (HIT) implementation on the performance of Level IV and V public health hospitals in Meru County, Kenya. Grounded in Strategic Choice Theory, the study employed a descriptive research design, collecting primary data via questionnaires from 32 middle-level managers across 14 hospitals. Data analysis utilized descriptive statistics and binary logistic regression. Findings revealed a strong positive perception of HIT's impact. Regression analysis confirmed that HIT implementation significantly predicts higher hospital performance (p < 0.01). Specifically, digitalized health records reduced service time (OR=3.340), telemedicine improved accessibility (OR=2.321), and HIT streamlined processes (OR=2.605) were significant positive predictors. The study concludes that HIT is a critical driver of performance, enhancing operational effectiveness and care delivery. It is recommended that public hospitals prioritize strategic investments in robust HIT systems, including electronic health records and telemedicine, to improve service delivery and overall performance.