Healthcare IT Trends: Look Into the CHIME CIO Survey Findings
Dating back to 2020, we have conducted a survey of healthcare executives, all CHIME members to gather insights on the evolving landscape of healthcare IT.
This analysis equips healthcare executives with the knowledge needed to drive efficiency and enhance patient care through strategic IT initiatives.
Year 2026
For CIO priorities across application rationalization, cybersecurity, EHR momentum, and OpEx‑driven budget pressures, read part 1.
For insights on staffing pressures, managed service adoption, and how CIOs are executing modernization through partnerships and talent strategies, read part 2.
For the full breakdown and analysis of the survey questions by small and large hospitals, read part 3.
Key Findings and Key Differences
Application Rationalization, Cybersecurity, and EHR Optimization Now Share the #1 Priority Spot
For the first time, CIOs reported a three‑way tie between application rationalization, cybersecurity, and EHR implementation/ optimization as their top 2026 priorities. These initiatives signal a collective push toward simplifying technology ecosystems, securing the enterprise, and modernizing the clinical core simultaneously.
Implications: Health systems must carefully coordinate sequencing, staffing, and funding since all three priorities require sustained effort and cross‑functional involvement. This shift also signals that CIOs are restructuring foundational systems to prepare for automation, AI, and long‑term operational efficiency.
Workforce Stability Masks Severe Skill Shortages in Cybersecurity and Infrastructure
Turnover remains low, but specialized talent, especially cybersecurity skills, continues to be extremely difficult to hire. As a result, CIOs are depending more on contractors, internal reassignments, and managed services to execute mission‑critical work.
Implications: Long‑term skill scarcity will force organizations to rebalance internal roles toward strategic functions while shifting specialized and operational tasks to external partners. Managed services and fractional staffing models will become central to sustaining cybersecurity readiness, project momentum, and infrastructure support.
Growing Dependence on Managed Services and External Partnerships to Fill Capability Gaps
CIOs are increasingly embracing managed services as a core operating model. With persistent cybersecurity and infrastructure skill shortages, leaders are turning to partners who can provide 24/7 coverage, specialized expertise, and operational stability.
Implications: Healthcare organizations will rely more heavily on trusted partners to maintain service levels, address specialized security and infrastructure needs, and keep modernization projects on track despite internal staffing limits. This shift positions firms like CereCore, who offer managed IT services, cybersecurity readiness, fractional leadership, and EHR optimization, as essential extensions of IT departments seeking sustainable, scalable support.
*The 2026 online survey and the data reported is based on responses from 24 healthcare executives, all CHIME members, sponsored by CereCore.
Historical Survey Results
Find a detailed analysis of the survey results from 2025-2020.
Year 2025
Year 2024
Year 2023
