In the conference room of a D.C.-area hotel, Rob Gibran rose from one of many round tables, waited in line, stepped up to a mic, and called for an impromptu vote.

Does anyone believe ICD-10 is ever really going to become part of the American healthcare system?

Not a single one of the approximately 100 stakeholders present raised a hand in response to the Cognosante senior IT business analyst Gibran's poll. Crickets.