If I were a CIO, the trend that would disturb me most is the growing disintermediation of both training and support. IT is being deliberately bypassed-for both strategic and economic reasons-as its end users increasingly rely on subcontracted help desks and outside consultants for training and help. Let\u2019s not ignore the dirty little secret that help desks and power users in the next cubicle are often the real technology trainers in larger companies.On the surface, this seems to be merely another example of outsourcing. Dig deeper and what we find is that, bit by bit, IT risks losing whatever core competence it has in managing innovation within the company. That\u2019s dangerous because digital innovation isn\u2019t what IT says, it\u2019s what the users actually adopt. Consequently, the abdication of end user support has not only political repercussions for the organization, it has knowledge management repercussions as well. Perverse incentives are in play. CIOs can legitimately ask if it makes sense for their technical experts to spend time educating people who frequently view upgrades as necessary evils. Outsourcing education, training and support has a definite appeal.But the impact on effective implementations quickly becomes apparent. Corporate IT has come to resemble the dehumanizing aspects of many large for-profit hospitals. These are high-tech operations filled with technically competent professionals working against the clock and against the odds?but too often, their bedside manner is nothing short of atrocious. Sure, there\u2019s the rare person who takes the time to discuss and explain. But, essentially, the patient is viewed as a problem to be solved rather than a human being who might have better things to do than be bedridden.There are excellent reasons for this. After all, how many HMOs and health insurance plans reimburse doctors and hospitals for their bedside manner and the ability to explain diagnostics and therapies to patients? To my knowledge, none do.Of course, the more enlightened hospitals understand that no matter how busy things get, informing and supporting patients can be just as important as treating them. No doubt some of that is done to mitigate the risk of malpractice suits, but there\u2019s also a growing recognition that those sorts of practices make for happy and healthier patients. CIOs had better become similarly enlightened. To be sure, IT?intensive companies spend fortunes on their end user training budgets. But the internal economics are shockingly confused. Should training and support really be IT\u2019s responsibility? Why shouldn\u2019t HR and marketing kick in? Maybe we should go the chargeback route and have departments pay for their own training and support on an as?needed basis. Or maybe we should simply declare this an enterprise function and charge it to overhead. That way, everybody\u2019s responsible but no one\u2019s accountable. Accountability is the central issue. Why? Because a mediocre implementation turns even the best app into a marginal investment; a superior implementation elevates even mediocre apps into strategic assets. More often than not, technical excellence is subordinate to excellent training and support in making that happen.The problem here is that, for the help desks, consultants and HR, training and support is an end in itself. For IT, training and support are means to an end: the cost-effective use of IT apps.If IT is held directly responsible for how well?or how poorly?its systems are used, CIOs have no choice. They had better commandeer the training and support process to assure that IT doesn\u2019t become a victim of the blurring of ends and means. But if the company holds individual departments accountable for their IT IQs, then CIOs need to take a different tack. The CIO challenge becomes making sure that IT has a partnership role in deploying implementations.The most dangerous thing that can happen to CIOs is for their company to realize that outsiders do a better job of adding value to innovations than they do.Unless the ultimate destiny of corporate IT is to be outsourced?and you can be sure I will be tracking Procter & Gamble\u2019s back-office outsourcing initiative with morbid curiosity?CIOs have little choice but to figure how to embrace training and support as force multipliers for IT\u2019s own initiatives.The money matters far less than the influence. In fact, this is one of those rare organizational circumstances where CIOs would be better off with less money and more influence. When it comes to end user training and support, CIO should stand for Chief Influencing Officer.