CMS has signaled a renewed focus on interoperability, a welcome development for healthcare professionals anxious to more easily exchange insightful data. But there's still the matter of how well the people involved in various collaborative "Big Data in Healthcare" initiatives operate together. At some point for most of us in our careers ? usually early on ? we've encountered a project that was initially heralded with a great deal of fanfare, only to ultimately fizzle out after failing to gain enough buy-in. For a project like this to work, a neutral ground is usually needed, offered by a trusted third party.