Abstract
Executive nursing leadership is well qualified to direct the global medical information functions, however the literature does not specifically support this as a reality. This article conceives the challenges of a global medical information department while juxtaposing nurse training and leadership. A robust premise is established to include the advanced practice registered nurse among the list of candidates for executive leadership of the global medical information department. Nursing skills are not limited to entry-level medical information positions; executive-level competencies are uniform with the executive nursing leader. The registered nurse contributes a novel patient care perspective to the interdisciplinary team and will provide added value to all activities under the governing practices for a global medical information department.