The article discusses how healthcare facilities manage their information systems. There are three main types of management: strategic, tactical, and operational. Strategic management focuses on planning the overall information system and monitoring its progress. Tactical management deals with specific functions or projects within the system. Operational management ensures the system runs smoothly. IT governance helps make decisions about information systems. Different organizational structures, like a chief information officer, help manage these systems effectively. Balancing conflicting goals, such as system consistency and efficiency, is crucial for successful information system management in healthcare facilities.