The document discusses the role of healthcare technology management systems (HTMS) in developing effective use of technology in healthcare. It outlines the components of an HTMS, including planning, implementation, maintenance and improvement of services. It also discusses clients of HTMS, levels of maintenance, skill building of medical personnel, training requirements, and how to evaluate the functioning of an HTMS through checklists at different levels. A key focus is on the role of HTMS in telemedicine and its responsibilities in areas like training, infrastructure development, software customization, testing and maintenance.