Prepare a paper that addresses the following requirements:

Analyze and evaluate the implications of 3-5 major initiatives associated with healthcare reform on the designing and planning of 21st century healthcare information systems.

Evaluate the challenges associated with each trend and ways to overcome them.

Include an assessment on the impact the each initiative may have on the following:

Leadership, governance, and the role of a healthcare chief information officer (CIO)

Strategic health management information system (HMIS) planning and organizational culture

Characteristics and capabilities of an enterprise resource planning system

Review legislation and regulations that could influence the implementation of health information management systems.

Explain how CIOs might assess the merits of each initiative on vision, mission, and strategy.

Predict the global trends in the adoption of major standards and use of HMIS over the next five years.