[rficcaglia]

Of course, researchers/clinicians can get SBIR and/or NSF grants. From my perspective, funding is not the criticsl path problem.

Lack of a ROI focus and accountability for spending at an organizational level at care delivery organizations is the problem.

Consumer apps can sidestep some of the backwards thinking in care delivery, but if you follow the cost drivers systemically, real innovation that moves the cost needle can be as simple as reducing redundant labor costs, or increasing patient self-service at care delivery interfaces. Nothing that can't be done with circa 1996 web technologies.

Unfortunatelty, human/political organizational barriers to such changes protect entrenched interests and prevent game changing innovation.

That said, I am seeing some minimal attention to real change as accountable care/quality metrics become more front and center due to MU2. Let's hope it doesn't degrade into more subsidies for entrenched vendors to maintain the status quo.