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Communicating the IT strategic plan is one of the primary responsibilities of a CIO. Most importantly, the IT strategic plan should be seen as an enterprise wide activity and not just an IT centric exercise.  IT should be an enabler for the strategy of the business and every IT tactic should tie back to a high priority of the business. In 2016, the BIDMC IT strategic plan has five pillars that align with quality, safety and efficiency imperatives (instead of Meaningful Use, ICD10, and the Affordable Care Act as was the case 2013-2015). The pillars are: