The nursing information systems challenge in 1997 is to identify and implement technology and information systems solutions that provide more breadth, depth, flexibility and standardization than ever before, and at a faster pace. To meet the challenge we need more than application checklists. We need to challenge the old approaches to defining needs, implementing systems and training users. Nurses must be educated, involved and accountable for the integration of systems into the patient care process. It's time for new thinking; it's time to ask why we are doing things the same way we did them 20 years ago when everything else about healthcare has changed.