From the folks at internet2: Final Report: A Workshop on Effective Approaches to Campus Research Computing Cyberinfrastructure.
This is from back in July, but the link just got re-sent to me yesterday, and I hadn't noticed it back then. The report's analysis and recommendations are not specific to clinical research or even to biomedical research, but are still very relevant to our world. Between the advent of the genomic/proteomic/metabolomic era and its petabyte-level data storage requirements and the introduction of HIPAA Privacy and Security regulations, the need for a state-of-the-art, reliable, secure IT infrastructure in biomedical research is becoming mission-critical. As I have noted before, the barriers are mostly non-technical, but instead related to issues of financial incentives, organizational culture, and human nature:
Major negative reinforcements exist in the current environment. For example, grant solicitations at several major funding agencies seem to favor "autonomous, small clusters in closets" over more sustainable and secure resources. Personal lambdas are sought by scientists less for their performance needs than to obviate the "friction" of campus network security. Lack of coordination of Institutional Research Boards (IRBs) creates major obstacles to inter-institutional data collaborations. Campuses may be legally liable to continue to provide services that were committed to by researchers who have since left these institutions; such situations can dissuade a campus from future commitments.
"Lambdas" are light frequencies, and refer to reserved bandwidth on optical backbones such as those used in Internet2 implementations such as the Abilene network.