Over the past decade, healthcare information technology has transformed. Health systems small and large are increasingly automated and dependent on information systems. But even as they have embraced IT, a divide has emerged within organizations. Advanced governance allows some front-running organizations to rationalize IT spending, achieve unprecedented automation, and use critical data to drive the organization. But others -- perhaps yours -- struggle with ineffective steering committees, budgets that slash critical IT support, and disengaged and oppositional users. Which side of this sounds like your organization? Here are some ways to tell.