In the “early days” of the evolution of the CMIO role—just a few years ago in many U.S. patient care organizations, and still the case in some even now—the first CMIOs in hospital-based organizations were largely picked out of the crowd of practicing physicians based on being perceived as “tech-head docs” who enjoyed information technology. And the focus was on their helping to select first electronic health record (EHR) solutions and implementing those first EHRs.