This document discusses challenges and the future of Health Care Information Technologies (HCIT). It asks students to discuss major challenges for managing HCIT in the context of health care reform, and how existing and future HCITs should be managed. It also asks what the future of HCIT looks like in terms of software development, education, research, and practices, and what challenges could arise. The document provides a class text on health care administration by Wolper for additional context.