Philip E. Bourne discusses the evolving landscape of biomedical data science and the need for enhanced data infrastructure, training, and collaboration within the NIH and broader research community. Key observations include a lack of understanding of existing data usage, the necessity for a sustainability plan for data, and the importance of reproducibility in research. He envisions a 'digital enterprise' model that promotes interoperability and collaboration across academic medical centers to leverage big data for advancements in health.