Description Analyze the changes in approach, methodology, and priorities that have occurred in the field of health information technology (HIT) governance in the recent 10 years. Discuss: The increasing number and scope of competing demands on health IT resources; The need for alignment between an organization’s existing and emerging governance structures; The central role of prioritization in governance; The importance of technology choices being guided by an IT governance structure, not the other way around; The dimensions of health IT capability that are evaluated and scored in an organization’s IT governance self-assessment; and The rapidly changing nature of this field and the need for organizations to be prepared to adapt quickly to these inevitable changes. A template/sample structure for the paper: 1. Introduction 2. Background of HIT governance 3. Discussion 3.1 The increasing number and scope of competing demands 3.2 The need for alignment 3.3 The central role of prioritization 3.4 The importance of technology choices 3.5 The dimensions of health IT capability 3.6 The rapidly changing nature 4. Conclusions