This presentation discusses preparing for the Healthcare Information and Management Systems Society (HIMSS) exam. It notes that most European countries need 10% cost reductions in healthcare and that by 2016, 67% of the workforce will own smartphones and 40% will be mobile. It also discusses the nexus of forces in healthcare including how clinician and patient behavior is changing communication opportunities and data patterns in ways that supersede old IT and business models. Finally, it provides overviews of Gartner's digital hospital framework and the five generations of electronic health records.