This document discusses emerging technologies in healthcare and information technology for 2019 and beyond. It mentions technologies like artificial intelligence, machine learning, blockchain, telemedicine, and virtual reality. It predicts that blockchain will change both currency and data transactions. The growth of telemedicine combined with consumer adoption of virtual reality and blockchain will expand medicine outside of physical hospitals. For healthcare, this could mean unification of leadership, single sign-on, wireless connectivity, and licensing. Infrastructure and services may also be outsourced. The document recommends that UVA actively participate in ongoing unification discussions to shape decisions and drive initiatives to strengthen the library's reputation. It suggests areas where the library could focus resources like maintaining classrooms, expanding computing, collaborating on