At the HIMSS (Health Information Management Systems Society) conference in February, I attended the eCollaboration Forum, which explores collaborative platforms as foundations for a transformation to Accountable Care. One of the sessions was headed by a panel of doctors advocating a change in the overall healthcare delivery process, including a shifting focus away from institutions and toward consumers and ePatients. You could feel the passion and commitment of each member of the panel as they described their day-to-day encounters with their patients. Panelists discussed several reasons why the move toward patient engagement is slow to come in the industry, but many of the reasons related to health information technology vendors (or, as the panelists put it, “the people from the dark side.”) Panelists cited an unwillingness of vendors to change, bloated and dysfunctional companies, a misunderstanding of providers’ situation and/or needs, and plain old lack of innovation as some of the main disconnects between vendors and the users of health information systems. The discussion was a wake-up call for me. I was appalled to see the inherent disconnect between the vendors and users of the products we create, and the realization caused me to think about my unique role in the healthcare IT ecosystem.