One solution Tom offers, for vendors to pay 100 percent of the costs of implementing a pilot technology at a healthcare system, may appeal to too-busy or the too-habituated health systems, and probably plays well to an AMA-type crowd.
But here's where Tom and I part ways. Again and again, I see health systems willing to risk investing time and money in some iffy technology. It may be that the emergency department, with its immediate demands, would naturally be risk-averse. But for the risk-takers, there are payoffs—although not guaranteed ones.
But that isn't stopping innovators within the healthcare system from taking risks, even as the physicians of CEP America go about the business of saving lives. Healthcare technology is multi-faceted, and to simply expect change to be underwritten by Silicon Valley or other tech companies is as unrealistic as expecting Silicon Valley to send every health IT product developer to medical school.
There will be, and are, middle ways of innovating. I hope the next two years of health IT innovation give Tom a reason to have a less scathing assessment by 2016.