Serving as CIO of Good Samaritan Hospital in Vincennes, Indiana, Chuck Christian says he is blessed with a great team. But there's far more to life these days than running an IT department. "Some days I feel like a crow," says the down-to-earth Christian, whose staff comprises 29 workers. "I keep looking to that next shiny thing. It feels like adult ADD. It's difficult to know where to focus."

What is the source of all this distraction? In a nutshell, it's Washington, D.C. Christian's lament is widespread these days. Ask hospital CIOs about their holiday wish list, and you pretty quickly catch on to that theme.

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