Discussions and debates over healthcare policy never end, but one point is beyond dispute: Since their founding in 1965, our nation’s community health centers have grown to play a vital role in delivering quality healthcare to more than 28 million Americans¹.

During National Health Center Week, we take time to recognize the work that thousands of providers and staff do every day on behalf of communities across the nation.

When you really think about it, healthcare is all about community. In a complex society, no individual or family is completely on their own. All of us need others to help ensure our health and welfare, whether they are family members, teachers, physicians, nurses, physical therapists, or mental health providers.

National Health IT Week, which runs September 23-27, is the perfect time to pause and think about the communities to which we all belong. This year’s theme, “Supporting Health Communities,” centers on numerous points of engagement pertaining to public health and Population Health.

As the Health IT Week website notes, each of the points demonstrates “how information and technology can transform health and create healthy communities.”

During an April 2018 TED Talk in Vancouver, British Columbia, neuroscientist Poppy Crum, chief scientist at Dolby Laboratories, posed a question that should resonate with anyone who works in the fields of healthcare and technology: “What happens when technology knows more about us than we do?”

Crum is among the featured speakers at next week’s Health 2.0 Annual Conference in Santa Clara, California. Whether we like it or not, she told her TED Talk audience, advances in technology mean that we are “already sharing parts of our inner lives.”

One of the tasks of a healthcare IT company is to develop ways to creatively respond to the realities of our information-saturated age, ensuring that patients’ personal and medical histories are protected while enabling providers to use medical data to improve lives.

In his classic “Economics in One Lesson,” Henry Hazlitt wrote: “The art of economics consists in looking not merely at the immediate but at the longer effects of any act or policy; it consists in tracing the consequences of that policy not merely for one group but for all groups.” ¹

Change “economics” to “healthcare,” and you have a useful guide for medical practices challenged to deliver quality care while controlling costs: Think about long-term consequences for all.

Whether you’re cutting into a juicy steak or biting into a crisp apple, food safety metrics were established to keep you safe and feeling healthy. Meeting all of these requirements can feel overwhelming, so tools have been created to make the process easier and more efficient for food and beverage manufacturers.

The same could be said about quality measures in the healthcare system.

Dinosaurs get a bad rap. Conventional wisdom says they were cold-blooded, had small brains, and were incapable of adapting to rapid climate change following a cataclysmic asteroid impact. The lessons for businesses? Move faster. Work smarter. Adapt.

But let’s face it: Keeping up with the rapidly changing climate in the world of healthcare is hard. Regulations change, reporting requirements grow, and healthcare consumers demand high-quality, convenient, and affordable care — or they’ll potentially take their business elsewhere.

What’s a practice to do? How about learning from the dinosaurs!

As organizations are overwhelmingly dissatisfied with their Electronic Health Record (EHR), many are beginning to make the switch for better healthcare IT. A recent Medical Economics’ study found 62% of practices have already switched EHRs at least once. 

In a new EHR, the organizations are seeking increased efficiency and productivity, advanced functionality, unified solutions, and data analytics. 

But ensuring success throughout the implementation process requires first understanding your practice’s actual needs and then working with a healthcare IT partner capable of meeting those needs quickly, efficiently, and affordably. 

The healthcare industry is undergoing dramatic efforts to improve the delivery of care. Lots of changes have already occurred that have expanded access to quality care. Now, the challenge is to shift the conversation to focus on optimizing health that emphasizes patient-centered care.

A recent report by The Centers for Medicare and Medicaid Services (CMS) determined consumers should remain at the center of care to keep them engaged and healthy. CMS describes an optimal patient-provider relationship as one that “[gives] consumers access to their records, [enabling] them to be more active participants in their care, making care more person-centered.”

“The health of our planet relies on the health of its people,” said the 1990s environmentalist superhero Captain Planet. Captain Planet advocated for the importance of a healthy community for people to live happy and fulfilling lives. 

Health is described as a “state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity” (WHO). Community health, often overlooked, is essential to meeting this definition.

The CDC describes a healthy community as “one in which local groups from all parts of the community work together to prevent disease and make healthy living options accessible.” 

Matt Cady, Chief Innovation Officer at Florida’s Adult Medicine of Lake County, says that before his practice began using eClinicalWorks to track patients moving among care settings, they had a system in place: Post-It® Notes and spreadsheets.

In other words, in spite of having the cloud-based eClinicalWorks EHR, when it came to keeping track of patients moving from a hospital setting to home, they were still, in effect, using paper records. Each provider knew what was going on with their patients, but communicating that information to colleagues was cumbersome and time-consuming.

When Florida medical practices talk about snowbirds, they aren’t talking ornithology. They are referring to the large subset of patients who spend the winter in the Sunshine State and scoot back North in the spring. Such patients pose one of the thorniest problems in medicine because keeping track of their health — from the specialists they have seen to whatever medications they are taking — can be a real challenge.

What kind of medical practices need an advanced tool for determining patient risk, projecting the likelihood of adverse health events, and processing each patient with the highest possible degree of specificity in coding for reimbursements?

Maximizing their clinical effectiveness while holding down costs is never easy, but for today’s medical practices, one sure guide is to follow the spending. And the evidence points overwhelmingly to one area — chronic medical conditions. 

Healthcare has tremendous power to do good, but its very complexity can also bring complications. Nowhere is that clearer than when patients are moving from one care setting to another.

Dr. Martha R. Rodriguez used to have nightmares. Except she had them during the day. At the office.

“We were inundated with lists from the insurance companies,” said Dr. Rodriguez, founder of MMR Healthcare in Boynton Beach, Florida. “Every day we would get a new list — these patients have missing eye exams, these patients are missing mammograms.”

Dr. Rodriguez admits that her knee would sometimes shake when she was faced with yet another list of patients who were out of compliance with recommended exams, because she knew that the data on those lists were sometimes 90 to 120 days out of date.