If you're looking for an example in which IT is aligned with the business and supports the business operations effort, look no further than Montefiore Medical Center in New York. After a full year of planning, under the direction of a task force featuring over a dozen business unit leaders, the healthcare services provider embarked on a strenuous project to create clinical systems integrating patient records, prescription order entry and other aspects tied to medical professionals' work flow. The essential ingredient making it all happen is the decision to have a top medical leader within the organization serve on the three-man tech leadership team driving the project. 

For more on making e-healthcare a success:
- read this CIO Insight article

PLUS: How another medical group went the e-record route. Article