At its recent CIO Roundtable, sponsored by Impact Advisors on November 19, 2021, the Scottsdale Institute convened 18 Members and Guests, representing 16 organizations, to discuss topics like innovation versus adoption, desirability versus efficiencies, brands versus platforms, and Pandemic Speed versus sustainability. Even as we’ve accelerated our decision-making and willingness to “fail fast,” other opportunities have emerged as longer-term milestones on the health-system roadmap. The question is, which ones will take us where we need to go?