The report has a focus on Building Information Models (BIM), an IT-technical tool- and workmethod that have emerged increasingly in the construction industry in recent years. How this IT tool is used in medium-sized building construction companies is presented in this report.The purpose of the report is to promote positive development towards more efficient and resource-efficient work processes in the construction industry by providing knowledge on how the use of BIM exists among these companies, why it is the way it is, if BIM is needed and what can change the current status in any direction.The work-method has consisted of literature studies and interview surveys.The work began with studies of reports and texts related to BIM and interviews with representatives of leading construction industry companies and a couple of industry organizations with focus on BIM. This was followed by continued literary studies focused on change and change management, survey and interview techniques. This work led to various basic theories and explanatory models as the basis for and the design of the interview questions asked at the main interviews.The main interviews was conducted with eleven medium-sized building construction companies and gave a result that showed that companies generally looked at BIM as something positive with advantages such as easier communication and as a means to reduce errors in production. The result also brought some light to the fact that there existed challenges like software compatibility and dependency between the parties involved in the project, which means that for the technology to be able to provide wanted benefits all parties involved have to use the workmethod.The reasons for the low usage among medium sized construction contractors was several, the most common was the lack of demands of the clients. The reasons were also the absence of need, costly investments, competing objectives, compatibility issues with software and lack of knowledge of BIM.In order to promote a greater usage of BIM it is proposed that the technical obstacles are eliminated through standardization and development of the processing method and software, it is also proposed that the competing objectives are eliminated by spreading and increasing knowledge of BIM in the industry, both amongst entrepreneurs, -to promote good staff training so that the staff will want to work with the technology, and amongst construction clients, -so that they start asking for BIM and thereby provide the technology with a competitive edge.