Significant Events Influencing the Evolution of the Role of the Healthcare Information Systems Executive.

This systematic literature review seeks to collate the evidence of the evolution of the role of healthcare information systems (HIS) executive in the United States (US) and to identify the significant events which have influenced the development of this role and its impact on the transformation of healthcare organizations. The HIS executive has evolved over time from the manager responsible for in-house computers, advanced data processing (ADP), communication systems, and system conversions to a participatory member of the executive leadership team responsible for delivering technology solutions which transform the delivery of healthcare. The changes in the responsibilities and the attributes of HIS executives have been driven by changes in technology, standardization of clinical data, government regulation, and the ever-changing reimbursement and business environment. The responsibilities and titles of the HIS executive will evolve and adapt as the business environment and the expectations of consumers and payers change.