According to Markus's theory of reuse, when digital repositories are deployed to collect and distribute organizational assets, they supposedly help ensure accountability, extend information exchange, and improve productivity. Such repositories require a large investment due to the continuing costs of hardware, software, user licenses, training, and technical support. The problem addressed in this study was the lack of evidence in the literature on whether users in fact reused enough digital assets in repositories to justify the investment. The objective of the study was to investigate the organizational value of repositories to better inform architectural, construction, software and other industries whether repositories are worth the investment. This study was designed to examine asset reuse of medical images at a health information publisher. The research question focused on the amount of asset reuse over time, which was determined from existing repository transaction logs generated over an 8-year period by all users. A longitudinal census data analysis of archival research was performed on the entire dataset of 85,250 transaction logs. The results showed that 42 users downloaded those assets, including 11,059 images, indicating that the repository was used by sufficient users at this publisher of about 80 employees. From those images, 1,443 medical images were reused for new product development, showing a minimal asset reuse rate of 13%. Assistants (42%), writers (20%), and librarians (16%) were the primary users of this repository. Collectively, these results demonstrated the value of repositories in improving organizational productivity--through reuse of existing digital assets such as medical images to avoid unnecessary duplication costs--for social change and economic transformation. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]