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The End of Silos: Rebuilding the Healthcare Stack

Healthcare technology has made it possible to solve more problems with specialized tools. But when those tools do not work well together, the people using them are often left to manage the gaps.

That was the focus of a recent Elevate panel, “The End of Silos: Rebuilding the Healthcare Stack for a Platform Era,” presented by Medallion. Elation’s VP of Engineering, Phill Tornroth, joined Shehzad Moiz of SimplePractice and Erik Pupo of Guidehouse to discuss how healthcare organizations can move beyond disconnected point solutions and build more connected technology environments.

The clinical cost of disconnected systems

A disconnected technology stack creates more than an IT challenge. When scheduling, billing, clinical documentation, care management, analytics, and patient engagement tools operate separately, teams often have to reconcile information and repeat work across systems.

For physicians and care teams, that can make it harder to find the right information at the right time. It can also create additional administrative work around care delivery, follow-up, and reporting.

The panel explored how a platform approach can help healthcare organizations reduce that burden by making systems more open, connected, and useful within everyday workflows.

Three themes from the conversation

1. Vendors need to take more responsibility for interoperability

Healthcare organizations should not have to build a web of custom connections every time they adopt a new capability. Vendors have an important role to play in making it easier for systems to exchange data securely and for teams to use that information without adding more manual work.

As Phill explained during the discussion, “I think it’s refreshing that there’s a lot more responsibility today expected from the vendors themselves.”

Interoperability should not be treated as a separate technical project. It should be part of how healthcare technology is designed and delivered.

2. AI should reduce toil, not create another system to manage

The most valuable use of AI may not be the most dramatic. AI can help reduce repetitive work such as documentation, coding, information gathering, and follow-up, while allowing clinicians to remain focused on patient care.

Phill described this as one of AI’s most practical opportunities: reducing “toil.” For AI to deliver on that promise, it needs to work within the tools and workflows teams already use. It should support clinical judgment, not add another destination for clinicians to monitor or another process for staff to maintain.

That is the thinking behind Elation’s clinical-first AI platform and Note Assist, which bring AI-powered documentation and follow-up into the EHR workflow.

3. Modernization should create value along the way

Healthcare organizations do not always need to choose between maintaining current operations and pursuing long-term transformation. A more incremental approach can help teams address specific challenges, deliver useful improvements sooner, and learn from each step before moving to the next one.

This approach may be less tidy than a single large-scale migration, but it can be more practical for the people responsible for delivering care every day. It gives clinicians and operations teams a chance to see progress in their workflows while building confidence in the technology over time.

Elation’s platform and API capabilities for primary care organizations reflect this same focus on helping healthcare innovators build connected applications and workflows without starting from scratch.

Building a simpler healthcare stack

The future of healthcare technology will not be defined by how many tools an organization can add. It will be defined by how well those tools work together and how much connecting, organizing, and repetitive work they can take off clinicians’ plates.

For primary care, that means creating a technology environment that helps physicians find the information they need, supports care teams in following through, and makes it easier for organizations to adapt as healthcare changes.

Listen to the full Elevate conversation.



About the Author

The Elation Team consists of highly trained and knowledgeable professionals committed to advancing high-value primary care. With diverse backgrounds in healthcare, technology, and patient advocacy, the team has been delivering innovative solutions since 2010. Elation's clinical-first, collaborative EHR platform empowers primary care organizations to provide personalized, high-quality care.

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