EHR vendors and clinicians need to find a way to come together to both design software that will make clinicians lives easier, but also to change any billing/legal/compliance hurdles that are in the way of putting this technology in clinics. If someone can put all of these pieces together we could see some powerful changes. Perhaps Dr Gawande's new venture with Amazon, Berkshire Hathaway and JPMorgan will give him a chance to control both sizes of this puzzle and create a better environment for clinicians and patients.