HIT leaders frequently tell us there's been a sea change in their relationships with board and top C-suite executives. After years of trying to get heard, the head honchos now "get it" technologically, acknowledging the mission-critical importance of IT through increasingly large investments.

However, a number of recent conversations I've had with CIOs and other health informaticists gives me the sense that there are still disconnects between executives and IT professionals about what "enterprise computing" means. 

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