Managed print services has evolved from basic document management to encompass output management, workflow analysis, change management, and comprehensive cost analysis across the entire document lifecycle. It can help CIOs streamline processes, cut costs, and better align IT with business goals. When evaluating providers, CIOs should consider the assessment of current infrastructure and requirements, the expertise in change management, and the need for an extensive, ongoing strategic partnership focused on continuous process improvement rather than a one-time project.