The 30 CMOs, CMIOs, CIOs, and other leaders from top health systems across the country who gathered for the HealthLeaders Media Health IT & Quality Exchange, held in November 2014 in La Jolla, CA, discussed and debated the growing role of the patient: how their organizations are balancing what patients want with what can be delivered. Healthcare organizations today are challenged as patients demand more and quicker access to doctors and medical records, and clinicians and health IT leaders try to keep up with the change.