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408: Tenet Healthcare CIO Paola Arbour describes the process of transforming Tenet’s IT organization from a cost focus to an investment focus. The transformation centered around 4 imperatives: enhancing the voice of the customer, changing the language of IT, building an innovation culture, and focusing on talent. Paola highlights the importance of transparency, communication, and collaboration among teams to successfully lead an organizational change of great scale. We also discuss Paola’s prior experiences serving CIOs, the need for greater mentorship for women in technology, artificial intelligence, data analytics, and a variety of other topics.