The CIOs o hospitals and medical centers do in fact have a lot of responsibility on their shoulders today. I mention technology as we see it today as that does have an impact as the best laid plans of yesterday may fall on their face tomorrow and they know this. With being close at the the pulse of where everything has to take place, they are a very good indicator of what lies ahead. These CIOs also have some very tech complicated issues they need to translate to layman’s terms as well to get funds, equipment, software and more and sometimes with a direction of Health IT changing maybe they only have a few hours to accomplish this. 
These departments today are pounded upon by others for the “right answers” and projections and sometimes others higher up in management cant’ comprehend why some of their opinions may change from week to week in staff meetings, which in essence shows they are out there doing their job if this occurs as it is what is today. When taking a look at existing staff it might be fine today, but come tomorrow there’s something new added to the platter.
We are way beyond IT and IS departments being able to create “magic” as they have done for a number of years and this does not reflect in any way on a lack of talent, it’s that left curve they deal with every day and every hour for that matter and I would also go so far as to say these folks have “brains that hurt”; and maybe that could be a good topic for a poll to see how many 
have “sore brains”. These are the “creative technologists” that make it all happen. You can read a prior post from earlier this year that explains this a bit more.
What is a Creative Technologist – Hybrid Executives - We Have a Big Shortage in Healthcare
“The job title itself is less important than being open to a hands-on and holistic view of technology as part of communication, as part of business, as part of the human experience, and therefore as part of culture.”
Without the creative technologist input, the rest can easily go downhill and CIOs are the creative technologists in our times today. They sketch with technology, just like a visual creative can sketch with a pencil. In agencies with a more siloed approach, first, please rethink that – technology can’t live down the hall anymore; it’s part of everything that everyone in the company does
Thus I say today that every CIO is a “creative technologist” when you stop and think about it and their input should not be overlooked as there’s a lot of wisdom there if one listens. BD
PHOENIX – In West Texas, where unemployment is at 2 percent, the popular chain Chili's had to close some of its restaurants because there were not enough employees to fill the jobs. Imagine what it's like for a healthcare system in that part of the country to recruit IT staff, says Gary L. Barnes, CIO of Medical Center Health System in Odessa, Texas.
Barnes served as moderator of a panel on IT staffing shortages Wednesday at the CHIME10 Fall CIO Forum in Phoenix. He was not alone in worrying about staff shortages. The four-member panel – from Maryland, New York, Massachusetts and Tennessee – shared similar concerns. To boot, a new CHIME survey released Wednesday revealed that 51 percent of CIOs across the country are worried they will have to put off planned implementation of electronic health record systems if they don't find the people to get the job done.
"We're running scared right now," Abel said.
Schade commiserated. "A small organization can't absorb turnovers," she said. "Once they have those openings, they have nowhere to go."
CIO survey forecasts IT staffing troubles ahead | Healthcare IT News
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