BOSTON -- CIOs in all industries can face challenges aligning their work with the business units of the enterprise, but in the healthcare industry, perhaps more than most, it is critical to win the support of the executives and front-line workers in the operation, a panel of experts said at a recent health IT conference.\nBrian Drozdowicz, vice president of population health at Caradigm, a joint venture of Microsoft and GE Healthcare, recalls the failings of several health IT initiatives that he has been involved with, a shortfall he traces back to the commanding role of the tech department at the exclusion of the doctors, clinicians and other end users.\nFortunately, he says, those two sides of the enterprise in many healthcare organizations have been working more closely together to implement electronic health records (EHR) and other data-driven projects in recent years.\n"It's changed drastically. Many of the customer projects we worked on four or five years ago were driven largely by IT, by the CIO," Drozdowicz says.\n"In many cases that didn't provide the appropriate transparency over to the clinical side of the business," he says. "Most of the engagements that we have ongoing today that are successful have a very even representation \u2026 [including] having the technical folks at the table to vet out the technology to make sure that it's going to deliver what it's supposed to deliver."\nNew Leadership Roles Bridge the Gap in the Healthcare Landscape\nDrozdowicz and other speakers note the proliferation of new leadership roles within the healthcare landscape that can help bridge the gap between technology and operations, with senior executives now holding titles like chief analytics officer and chief health information officer.\n"Having those on the front lines of these projects is incredibly important to their success, really to build that unified vision and then work it down through the rest of the organization," he says.\nLeigh Williams, director of revenue cycle at the University of Mississippi Medical Center, describes the challenge of the tech team learning "how to work with clinicians" in areas like deploying and managing EHRs.\nPart of that effort is meeting the medical team on its own terms. That process is "a lot about how to tell the story in a way that makes sense and not just being too technical, but really describing something that's going to be good for patient care and honoring the mission that they have in the system, and then getting the right staff people to do it," she says.\nCritical to that effort is having a solid team in place, from the visionary leader to the managers who can coordinate between tech and business and bring a measure of day-to-day accountability to the rollout of new IT projects, she notes.\nBecoming Silent Problem-Solvers\nRay Gensinger, CIO at Hospital Sisters Health System in Illinois, sees his tech team as "silent partners" who sit in on the meetings of executives and medical staff and discern the business needs of the organization.\n"I want those individuals to be in the room to understand what the questions are, what the challenges are," Gensinser says. "And I'll kind of work them in the back room. I don't necessarily want them talking in languages that the physicians and nurses don't understand, but I want them to be the problem solvers."\nAt the same time, he advises healthcare CIOs to be judicious in their approach to scoping out IT projects, cautioning them not to take on too much at once and to focus their efforts and resources on areas that are likely to have the greatest impact and to win the support of the other executives.\n"Pick something that your organization is passionate about and that you can get your leadership team to be passionate about and work that use case," Gensinger suggests.\n"You need to start small. You need to get your arms around something you can understand," Drozdowicz adds. "Learn from that, iterate on it, and continue to spread it out over time."