Always at the forefront of scientific progress, the world of healthcare continues to advance as technology and software are drawn in and adopted. But its uptake is uneven at best with some doctors having to cycle across cities with floppy discs in their bag while others experiment with artificial intelligence. With tightening budgets, the efficiency that comes with software and automation is vital but, in the world of healthcare, the ability to process and share results quickly can also mean the difference between life and death. In this landscape, the job of a CIO is more and more important: ensuring that the potentially disparate elements of healthcare are connected, interoperable, well-equipped and staffed. Speaking to Hg's Dr Katherine Wiles, Kara Marx has been working at the crossroads of healthcare and technology for many years. Until very recently the CIO of Northern Arizona Healthcare, she has been perfectly placed to watch things evolve and take note of the difference between the rushing to adopt the latest tools and ensuring that each addition brings value to what are some of the most complex organisations on the planet.