In some ways, yes, but not extinct totally...there still needs to be some overall management at the top levels to determine which products, outsourced software, etc. will be incorporated on a network....and here are some of the reasons below...good article and well worth reading...shoot it's not hard to stay up to date with HealthCare technology, but managing the infrastructure is the challenge...infrastructure calls the shots from Software as a Service, all the way down to hardware utilized....this is such a huge movement and I have to give credit to Microsoft in image helping the issue with their "Technology Solution Centers"...as this is in house help and solutions imagefor the process, before it is ever rolled out in real time...and cuts the development time and roll out of software immensely....can't get that anywhere else that I'm aware of....and healthcare is one big market with some dire needs to be met....BD 

"While ITs demise won’t happen overnight, the trend is clear."...BD

image Many senior business executives don’t fully understand how IT processes function, nor do they completely grasp the ramifications that technical decisions can have on non-technical business strategies.

As the older generation of marketing- and finance-oriented, computer-illiterate senior managers die off and retire, you’ll gradually see a new generation coming in that is fully comfortable with the day-to-day activity and the strategic possibilities of IT, and who will be able to work more closely with CIOs.

Microsoft pushes IT, the purchasing department obliges, users become unhappy, and IT moves inexorably towards its own demise, in the form of long-term institutional suicide.

Since the days of punch cards, IT has believed itself to be guardian of precious computing resources against attacks from non-technical barbarians known as “users.” This arrogant attitude, born of once-practical necessity in the era of early data centers, reflects inability to adapt to present-day realities. Such attitudes, combined with recent technological and social changes, are pushing IT to share the fate of long-extinct dinosaurs.

Is IT becoming extinct? | IT Project Failures | ZDNet.com

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