The document discusses challenges in the relationship between CEOs and CTOs/CIOs. It notes that only 30% of CTOs reported directly to CEOs in 2012, down from 40% in 2009. CEOs want a "one throat to choke" approach and prefer discussing tech trends rather than IT projects and costs. They also want CTOs to have a new set of skills around bringing in revenue and negotiating deals. The document advocates for CTOs to improve how they market and represent their teams, get IT professionals more visible in the business, and focus on talent strategies and hiring practices.