As healthcare transitions to a skill economy, the role of chief information officer must evolve from transactional to transformative, and from operational to strategic. To develop appropriate training and define pathways, we must  conduct evidenced-based research to identify and define the knowledge, skills, and abilities (KSAs) for this occupational role. This presentation will outline current efforts to  understand the contexts, job titles, roles, priorities, and "vision" for CIO/CMIO-related roles in the U.S. and UK.