Notes from a clinical information system program manager. A solid vision makes all the difference

Today's CIS manager will create a vision that connects computerization in ambulatory, home and community-based care with increased responsibility for patients to assume self-care. Patients will be faced with a glut of information and they will need nursing help in determining the validity of information. The new vision in this environment will focus on integration, interoperability, and a new definition for patient-centered information. Creating a well-articulated vision is the first skill in the repertoire of a CIS manager's tool set. A vision provides the firm structure upon which the entire project can be built, and provides for links to life-cycle planning. This first step in project planning begins to bring order to the chaos of dynamic demands in clinical computing.