Are pilots and zombies keeping digital health in a holding pattern?

We need to get better bridging innovators with nifty tech that can help healthcare and the folks on the inside who are trying to learn how the nifty tech can help; including the users in our development process, but not just the product aspects for product development, but the business model aspects for the customer development part; deploying solutions, keeping in mind that the pilot is a milestone on a path to usage and sales.