1 00:00:02,240 --> 00:00:02,899 At athenahealth, 2 00:00:03,279 --> 00:00:06,480 we know your ambulatory practice wants healthier, a 3 00:00:06,480 --> 00:00:09,779 healthier business, healthier care teams, and healthier patients. 4 00:00:10,160 --> 00:00:12,480 But the complexities of modern health care tech 5 00:00:12,480 --> 00:00:14,240 make it hard for you and your care 6 00:00:14,240 --> 00:00:15,855 teams to focus on what matters 7 00:00:16,414 --> 00:00:19,295 most? That's where athenahealth can help. Our AI 8 00:00:19,295 --> 00:00:22,594 native all in one solutions reduce administrative burdens, 9 00:00:22,894 --> 00:00:25,875 streamline billing and payments, and deliver critical insights 10 00:00:25,934 --> 00:00:28,734 when clinicians need it most. That means fewer 11 00:00:28,734 --> 00:00:31,614 clicks, more time for patients, and stronger bottom 12 00:00:31,614 --> 00:00:31,829 lines. 13 00:00:32,710 --> 00:00:35,989 Practicing medicine is complex, but running a practice 14 00:00:35,989 --> 00:00:37,850 can be that much simpler with athenahealth. 15 00:00:38,549 --> 00:00:42,170 See how simpler is healthier@athenahealth.com. 16 00:00:43,925 --> 00:00:45,524 Hello, everyone. This is Scott King with the 17 00:00:45,524 --> 00:00:46,905 Becker's Healthcare podcast. 18 00:00:47,284 --> 00:00:48,645 Thrilled today to be joined by a very 19 00:00:48,645 --> 00:00:50,505 special guest, Prasanna Ruxmahan, 20 00:00:51,125 --> 00:00:52,265 ambulatory operations 21 00:00:52,804 --> 00:00:55,925 transformation specialist with UCI Health. Prasanna, how are 22 00:00:55,925 --> 00:00:56,825 you doing today? 23 00:00:57,509 --> 00:00:58,809 I'm doing fantastic. 24 00:00:59,670 --> 00:01:00,729 How about yourself? 25 00:01:01,269 --> 00:01:03,429 Doing well. We were talking before the taping 26 00:01:03,429 --> 00:01:05,590 here. I got the nice fall weather in 27 00:01:05,590 --> 00:01:07,189 Chicago. A little chilly, but it's not the, 28 00:01:07,430 --> 00:01:09,209 beautiful weather you have in California. 29 00:01:10,585 --> 00:01:12,344 Hey. That is so true. That is so 30 00:01:12,344 --> 00:01:12,844 true. 31 00:01:13,385 --> 00:01:14,984 But at least you get to experience all 32 00:01:14,984 --> 00:01:17,145 the seasons in Chicago. It's the one thing 33 00:01:17,145 --> 00:01:18,924 I appreciate about that city. 34 00:01:19,225 --> 00:01:20,745 We do appreciate that as well, just not 35 00:01:20,745 --> 00:01:23,465 when it's below zero. But, anyways, we have 36 00:01:23,465 --> 00:01:25,145 we have a lot of of big, health 37 00:01:25,145 --> 00:01:26,979 care topics to get to. But before we 38 00:01:26,979 --> 00:01:28,340 jump into some questions for you, I just 39 00:01:28,340 --> 00:01:30,500 wonder if you could please introduce yourself and 40 00:01:30,500 --> 00:01:31,780 and just tell us a little about your 41 00:01:31,780 --> 00:01:32,280 background. 42 00:01:32,979 --> 00:01:36,280 Yeah. So I've actually spent my career focused 43 00:01:36,420 --> 00:01:37,959 on operational transformation, 44 00:01:38,420 --> 00:01:39,319 really, in 45 00:01:39,715 --> 00:01:41,094 ambulatory care settings. 46 00:01:41,795 --> 00:01:43,795 As you mentioned, I currently serve as an 47 00:01:43,795 --> 00:01:47,094 ambulatory operations transformation strategist at UCI, 48 00:01:47,715 --> 00:01:50,855 where I really help design strategies, but also 49 00:01:50,995 --> 00:01:51,495 operationalizing 50 00:01:52,034 --> 00:01:54,629 them to make it easier for our patients 51 00:01:54,689 --> 00:01:56,150 and to connect with care, 52 00:01:56,769 --> 00:01:57,989 whether that's through 53 00:01:58,609 --> 00:02:01,269 smarter scheduling or better use of technology 54 00:02:01,729 --> 00:02:03,030 or closer collaboration 55 00:02:03,329 --> 00:02:04,390 across teams. 56 00:02:05,034 --> 00:02:07,694 My background really blends health care technology 57 00:02:07,995 --> 00:02:10,634 and change management, kind of all centered on 58 00:02:10,634 --> 00:02:12,574 creating sustainable growth models 59 00:02:13,034 --> 00:02:16,155 that support both patients and our providers at 60 00:02:16,155 --> 00:02:16,655 UCI. 61 00:02:19,139 --> 00:02:21,860 Outside of work, I actually developed and created 62 00:02:21,860 --> 00:02:23,780 a maternal health app and have sold that 63 00:02:23,780 --> 00:02:26,340 off, which was really connecting resources in the 64 00:02:26,340 --> 00:02:26,840 community, 65 00:02:27,939 --> 00:02:30,099 for our maternal health mothers if that was 66 00:02:30,099 --> 00:02:32,420 doula programs or diaper banks. How do we 67 00:02:32,420 --> 00:02:34,615 make it easier access for our mothers that 68 00:02:34,615 --> 00:02:35,435 are out there? 69 00:02:35,974 --> 00:02:37,115 What's the app called? 70 00:02:38,135 --> 00:02:40,455 It is called AIM. It's called Advocacy and 71 00:02:40,455 --> 00:02:42,474 Maternal Health, but they probably 72 00:02:42,775 --> 00:02:43,275 rebranded, 73 00:02:44,294 --> 00:02:45,435 what it was called 74 00:02:45,814 --> 00:02:46,314 now. 75 00:02:46,870 --> 00:02:49,349 Well, congratulations. That's awesome. That's so innovative to 76 00:02:49,349 --> 00:02:51,210 to do that and creative. Congratulations. 77 00:02:52,469 --> 00:02:53,990 Yeah. And we have a lot of great 78 00:02:53,990 --> 00:02:56,389 resources right out there when it comes to, 79 00:02:56,389 --> 00:02:59,270 like, government funds or if it's doulas that 80 00:02:59,270 --> 00:03:01,349 are out there helping support our mothers navigate 81 00:03:01,349 --> 00:03:03,435 their health care journey. It's how do you 82 00:03:03,435 --> 00:03:05,775 really connect what's out there and available and 83 00:03:05,835 --> 00:03:08,075 kind of making it at people's fingertips like 84 00:03:08,075 --> 00:03:09,455 we have certain things today. 85 00:03:09,995 --> 00:03:11,675 No. I think that's absolutely wonderful. And I 86 00:03:11,675 --> 00:03:13,115 was actually before you mentioned the app, I 87 00:03:13,115 --> 00:03:15,115 was actually gonna ask you, how happy are 88 00:03:15,115 --> 00:03:16,895 you that you kinda carved out this 89 00:03:17,430 --> 00:03:19,830 path for yourself and career trajectory where you 90 00:03:19,830 --> 00:03:21,849 are specialized in tech, seeing how 91 00:03:22,229 --> 00:03:23,669 prevalent and and needed, 92 00:03:24,069 --> 00:03:25,849 technology is in health care right now? 93 00:03:27,030 --> 00:03:28,650 Yeah. I will say, 94 00:03:29,189 --> 00:03:31,664 it has been a beautiful path in some 95 00:03:31,664 --> 00:03:34,405 way to figure out how you connect technology, 96 00:03:35,344 --> 00:03:37,584 but also how you connect the people to 97 00:03:37,584 --> 00:03:38,245 the technology. 98 00:03:39,025 --> 00:03:40,544 I will say the one thing is you 99 00:03:40,544 --> 00:03:41,364 can have, 100 00:03:42,145 --> 00:03:44,864 AI automation. But if we're not really using 101 00:03:44,864 --> 00:03:47,159 it, sometimes the value there, 102 00:03:47,699 --> 00:03:49,540 is a struggle. But how do you get 103 00:03:49,540 --> 00:03:51,219 people to start to use some of that 104 00:03:51,219 --> 00:03:52,199 technology today? 105 00:03:53,540 --> 00:03:54,040 Absolutely. 106 00:03:54,659 --> 00:03:56,760 And, you know, I wanted to ask you, 107 00:03:56,979 --> 00:03:59,219 what opportunities and headwinds do you kinda have 108 00:03:59,219 --> 00:04:01,275 your eye on right now in health care? 109 00:04:02,474 --> 00:04:04,894 Yeah. So as I kinda mentioned, a little 110 00:04:05,034 --> 00:04:07,594 glimpse with the app and what we're doing 111 00:04:07,594 --> 00:04:08,894 at UCI is 112 00:04:09,435 --> 00:04:11,834 access to care continues to be one of 113 00:04:11,834 --> 00:04:14,495 the most pressing challenges in health care. 114 00:04:15,110 --> 00:04:16,490 And, really, the opportunity 115 00:04:16,949 --> 00:04:18,329 is really in rethinking 116 00:04:18,949 --> 00:04:21,529 how we connect patients to the right care 117 00:04:22,069 --> 00:04:24,629 at the right time. Right? We we're using 118 00:04:24,629 --> 00:04:27,509 data. We're using automation and process improvement to 119 00:04:27,509 --> 00:04:29,050 make systems more responsive. 120 00:04:30,154 --> 00:04:32,395 The headwinds, of course, are right. Those competing 121 00:04:32,395 --> 00:04:35,375 priorities are limited resourcing or the right people. 122 00:04:36,074 --> 00:04:36,574 But 123 00:04:36,955 --> 00:04:38,175 I think when organizations 124 00:04:38,634 --> 00:04:40,895 sometimes make access a shared priority, 125 00:04:41,595 --> 00:04:45,055 it really drives real change across an organization, 126 00:04:46,079 --> 00:04:47,300 but also even 127 00:04:48,000 --> 00:04:48,899 in our communities. 128 00:04:50,959 --> 00:04:52,319 Yeah. I think it's a great point about 129 00:04:52,319 --> 00:04:54,560 the access. That's that's completely needed and and 130 00:04:54,560 --> 00:04:55,060 necessary. 131 00:04:55,839 --> 00:04:56,899 How are you thinking 132 00:04:57,759 --> 00:05:00,899 about growth and adding value to your organization? 133 00:05:02,585 --> 00:05:06,685 Yeah. For me, growth really starts with developing 134 00:05:06,904 --> 00:05:08,605 and investing in our people 135 00:05:09,305 --> 00:05:11,965 and really evolving their skill sets. 136 00:05:12,504 --> 00:05:15,944 As right. I mentioned AI, automation. As they 137 00:05:15,944 --> 00:05:17,245 handle more task, 138 00:05:18,160 --> 00:05:20,879 it's changing how we work. So the real 139 00:05:20,879 --> 00:05:22,180 question kind of becomes, 140 00:05:22,560 --> 00:05:25,600 how do we shift our mindsets and build 141 00:05:25,600 --> 00:05:26,419 new skills 142 00:05:26,959 --> 00:05:30,100 that focus more on problem solving and collaboration 143 00:05:30,480 --> 00:05:31,779 or patient connection? 144 00:05:33,485 --> 00:05:36,064 Really helping our teams evolve in that direction 145 00:05:36,285 --> 00:05:38,305 is one of the best ways to add 146 00:05:38,605 --> 00:05:40,305 long term values to the organization. 147 00:05:41,245 --> 00:05:43,645 But by helping our teams build these new 148 00:05:43,645 --> 00:05:44,145 capabilities, 149 00:05:45,139 --> 00:05:47,319 we're not just adding value to the organization, 150 00:05:47,860 --> 00:05:50,500 but we're preparing for the next era of 151 00:05:50,500 --> 00:05:51,560 health care operations 152 00:05:52,339 --> 00:05:53,560 and patient expectations. 153 00:05:55,699 --> 00:05:56,439 When you're 154 00:05:57,060 --> 00:05:59,745 making hires and and you're you're getting new 155 00:05:59,904 --> 00:06:02,064 staff members in different roles, do you expect 156 00:06:02,064 --> 00:06:03,584 them to be, like, almost as up to 157 00:06:03,584 --> 00:06:05,185 speed on all the emerging tech as you 158 00:06:05,185 --> 00:06:06,305 are, or do you kind of figure that, 159 00:06:06,305 --> 00:06:07,665 you know, this is gonna take some time 160 00:06:07,665 --> 00:06:09,745 to to teach staff members how to implement 161 00:06:09,745 --> 00:06:10,725 some of these things? 162 00:06:11,264 --> 00:06:13,665 Yeah. I think it's definitely takes some time 163 00:06:13,665 --> 00:06:15,920 to teach staff of what 164 00:06:16,379 --> 00:06:19,580 technologies out there. Right? Using power automate, for 165 00:06:19,580 --> 00:06:21,660 instance, how can you automate some of these 166 00:06:21,660 --> 00:06:22,560 tasks, or 167 00:06:22,939 --> 00:06:26,060 leveraging and integrating in an EMR system some 168 00:06:26,060 --> 00:06:27,040 AI capabilities, 169 00:06:27,420 --> 00:06:29,840 kind of like how airline systems have, 170 00:06:30,345 --> 00:06:32,584 their no show rates. How do we actually 171 00:06:32,584 --> 00:06:33,964 see some of these things, 172 00:06:34,504 --> 00:06:36,425 at the front line? So it does take 173 00:06:36,425 --> 00:06:38,504 some time, but it's really investing in the 174 00:06:38,504 --> 00:06:40,044 education for our teams. 175 00:06:40,664 --> 00:06:42,904 Therefore, the foundation is kind of set to 176 00:06:42,904 --> 00:06:44,524 take on these new 177 00:06:44,849 --> 00:06:46,449 shiny bright tools that are kind of out 178 00:06:46,449 --> 00:06:46,949 there. 179 00:06:47,490 --> 00:06:48,769 There are a lot of those right now, 180 00:06:48,769 --> 00:06:49,490 aren't there? 181 00:06:50,529 --> 00:06:51,430 Speaking of 182 00:06:52,129 --> 00:06:54,689 investing and and making investments, what is one 183 00:06:54,689 --> 00:06:55,829 risk or investment 184 00:06:56,209 --> 00:06:58,069 you think is worth making this year? 185 00:06:59,444 --> 00:06:59,944 Yeah. 186 00:07:00,884 --> 00:07:03,524 So instead of a technology or tool, I 187 00:07:03,524 --> 00:07:06,104 kinda would like to say investing in storytelling. 188 00:07:07,925 --> 00:07:11,144 We often focus right on data or metrics 189 00:07:11,204 --> 00:07:14,425 or tools, which are critical, but stories 190 00:07:15,029 --> 00:07:17,610 really give that data or tool life. 191 00:07:18,550 --> 00:07:22,870 They help people understand the why behind the 192 00:07:22,870 --> 00:07:23,370 work, 193 00:07:23,910 --> 00:07:27,509 whether it's a patient success story or a 194 00:07:27,509 --> 00:07:28,410 staff win. 195 00:07:30,014 --> 00:07:30,514 Storytelling 196 00:07:31,055 --> 00:07:33,455 connects the mission to the outcome, and it 197 00:07:33,455 --> 00:07:35,875 helps build momentum for change. 198 00:07:36,495 --> 00:07:38,975 It's an investment that pays off, right, in 199 00:07:38,975 --> 00:07:41,774 engagement and in culture, but storytelling is the 200 00:07:41,774 --> 00:07:42,675 biggest investment 201 00:07:43,134 --> 00:07:44,514 of making this year. 202 00:07:45,350 --> 00:07:46,949 Absolutely. I think it's a great point of 203 00:07:46,949 --> 00:07:49,509 focus for any system or or anyone in 204 00:07:49,509 --> 00:07:50,170 health care. 205 00:07:50,629 --> 00:07:52,710 Where do you see the best opportunities for 206 00:07:52,710 --> 00:07:53,930 growth in the future? 207 00:07:55,110 --> 00:07:56,870 So this one, I kinda have a long 208 00:07:56,870 --> 00:07:58,730 winded type of answer, but, 209 00:07:59,589 --> 00:07:59,830 it's 210 00:08:01,004 --> 00:08:02,705 I see a huge opportunity 211 00:08:03,245 --> 00:08:04,865 in combining, right, technology 212 00:08:05,245 --> 00:08:06,305 and human connection. 213 00:08:06,685 --> 00:08:10,545 Things like course intelligence scheduling or virtual access 214 00:08:11,725 --> 00:08:15,185 and proactive outreach can really transform patient experiences 215 00:08:15,564 --> 00:08:16,680 when done thoughtfully. 216 00:08:17,560 --> 00:08:19,979 Fully. This starts with kind of rethinking 217 00:08:20,279 --> 00:08:23,899 how every touch point, if it's people, process, 218 00:08:24,199 --> 00:08:24,699 technology, 219 00:08:25,319 --> 00:08:27,579 how they work together to serve the patient. 220 00:08:28,199 --> 00:08:30,439 So I'm gonna kinda give you an example 221 00:08:30,439 --> 00:08:33,085 if you can imagine this. If we think 222 00:08:33,085 --> 00:08:34,945 about an outpatient visit, 223 00:08:35,725 --> 00:08:37,745 imagine walking into the clinic 224 00:08:38,285 --> 00:08:38,785 and 225 00:08:39,565 --> 00:08:41,105 everything feels seamless. 226 00:08:41,485 --> 00:08:43,105 You're greeted by your name. 227 00:08:43,725 --> 00:08:47,024 Your basic vital signs are taken already digitally, 228 00:08:48,190 --> 00:08:50,990 And that staff member walks you through, I 229 00:08:50,990 --> 00:08:52,909 like to say, a playlist of the day 230 00:08:52,909 --> 00:08:54,129 of what is expected. 231 00:08:54,909 --> 00:08:57,470 So we might get your health history or 232 00:08:57,470 --> 00:08:59,629 you're gonna do a blood draw, imaging. That's 233 00:08:59,629 --> 00:09:01,070 kinda like what I like to call a 234 00:09:01,070 --> 00:09:03,794 playlist of the day before seeing the provider. 235 00:09:05,054 --> 00:09:07,054 But what if you knew these things? And 236 00:09:07,054 --> 00:09:09,054 now let's say we get you into the 237 00:09:09,054 --> 00:09:10,514 clinic, you're in your room, 238 00:09:11,054 --> 00:09:13,315 but you didn't fill out a questionnaire online. 239 00:09:14,014 --> 00:09:16,174 Instead of delaying the visit or handing that 240 00:09:16,174 --> 00:09:18,860 patient a piece of paper, AI could step 241 00:09:18,860 --> 00:09:21,259 in. Right? Ask you those questions that a 242 00:09:21,259 --> 00:09:23,419 person would ask about your medications or your 243 00:09:23,419 --> 00:09:23,919 history, 244 00:09:24,299 --> 00:09:25,519 and AirBN technology 245 00:09:25,980 --> 00:09:28,559 can automatically pull that into your record. 246 00:09:29,100 --> 00:09:31,955 Then when the provider walks in, they have 247 00:09:31,955 --> 00:09:33,975 all that information they need, 248 00:09:35,555 --> 00:09:37,315 and you talk through some of your next 249 00:09:37,315 --> 00:09:39,475 steps. So you might need a referral or 250 00:09:39,475 --> 00:09:39,975 medications, 251 00:09:42,195 --> 00:09:43,815 in that office. And 252 00:09:44,350 --> 00:09:47,870 what if that referral was scheduled with you 253 00:09:47,870 --> 00:09:49,009 that same day, 254 00:09:49,389 --> 00:09:51,870 understanding the dates and times that are available 255 00:09:51,870 --> 00:09:53,490 to that patient, but you were offered 256 00:09:54,029 --> 00:09:55,950 it right then and there? And then by 257 00:09:55,950 --> 00:09:58,084 the end of the visit, you actually knew 258 00:09:58,084 --> 00:09:59,845 the top three things you need to do 259 00:09:59,845 --> 00:10:01,544 in your next step of that care journey, 260 00:10:02,004 --> 00:10:03,625 whether that's, right, 261 00:10:04,164 --> 00:10:07,365 the kind of connected intelligent experience not only 262 00:10:07,365 --> 00:10:10,725 saves time, but makes patients feel well informed 263 00:10:10,725 --> 00:10:11,704 and cared for 264 00:10:12,290 --> 00:10:13,910 in their next part of their journey. 265 00:10:14,610 --> 00:10:15,990 The future really 266 00:10:16,370 --> 00:10:20,129 isn't about technology replacing people. It's about using 267 00:10:20,129 --> 00:10:21,910 it to enhance operations, 268 00:10:22,290 --> 00:10:22,790 personalization, 269 00:10:24,050 --> 00:10:26,230 and really outcomes in care delivery. 270 00:10:26,845 --> 00:10:29,245 That's where I see the best opportunities for 271 00:10:29,245 --> 00:10:32,125 growth in the future is really redesigning how 272 00:10:32,125 --> 00:10:33,424 we take care of our patients. 273 00:10:33,965 --> 00:10:35,164 And I think you painted a great picture. 274 00:10:35,164 --> 00:10:36,924 The way I was actually picturing being a 275 00:10:36,924 --> 00:10:38,465 patient and walking in and 276 00:10:38,845 --> 00:10:40,225 being a part of all that. 277 00:10:40,589 --> 00:10:42,429 And as great as it sounds, I actually 278 00:10:42,429 --> 00:10:44,509 don't it doesn't seem like it's that far 279 00:10:44,509 --> 00:10:46,589 away, right, with the way technology is. Like, 280 00:10:46,589 --> 00:10:48,449 if you had to give a ballpark for, 281 00:10:48,509 --> 00:10:50,029 you know, some of those things you you 282 00:10:50,029 --> 00:10:52,190 mentioned where everything's kinda automated when you go 283 00:10:52,190 --> 00:10:53,649 in and it saves so much time, 284 00:10:53,955 --> 00:10:55,555 How how long do you think till we're 285 00:10:55,555 --> 00:10:56,455 till we're there? 286 00:10:57,795 --> 00:10:59,735 I think in certain areas, 287 00:11:00,595 --> 00:11:03,315 like, if it's capturing referrals or same time 288 00:11:03,315 --> 00:11:03,815 delivery, 289 00:11:04,595 --> 00:11:06,960 I think we're about 78% 290 00:11:06,960 --> 00:11:09,360 there. But now, right, the use of the 291 00:11:09,360 --> 00:11:11,940 technology and integration with people, 292 00:11:12,559 --> 00:11:14,980 the change management that comes with it, 293 00:11:16,000 --> 00:11:18,160 I think that is a piece that might 294 00:11:18,160 --> 00:11:20,660 take some time to adopt with our teams. 295 00:11:22,475 --> 00:11:24,475 Absolutely. Yeah. I think that shows that there's, 296 00:11:24,475 --> 00:11:25,995 you know, certainly some things to be very 297 00:11:25,995 --> 00:11:28,554 optimistic about. And, Prasanna, thanks so much for 298 00:11:28,554 --> 00:11:29,754 joining us on the podcast. I think it 299 00:11:29,754 --> 00:11:31,355 was an awesome conversation. I look forward to 300 00:11:31,355 --> 00:11:32,654 working with you again soon. 301 00:11:33,514 --> 00:11:35,434 Yes. I look forward to speaking with you 302 00:11:35,434 --> 00:11:36,414 again too, Scott. 303 00:11:38,889 --> 00:11:42,169 At athenahealth, we know your ambulatory practice wants 304 00:11:42,169 --> 00:11:42,669 healthier, 305 00:11:43,049 --> 00:11:45,929 a healthier business, healthier care teams, and healthier 306 00:11:45,929 --> 00:11:46,429 patients. 307 00:11:46,809 --> 00:11:49,129 But the complexities of modern health care tech 308 00:11:49,129 --> 00:11:50,970 make it hard for you and your care 309 00:11:50,970 --> 00:11:52,754 teams to focus on what matters most. 310 00:11:53,315 --> 00:11:55,014 That's where athenahealth can help. 311 00:11:55,394 --> 00:11:58,115 Our AI native all in one solutions reduce 312 00:11:58,115 --> 00:12:01,634 administrative burdens, streamline billing and payments, and deliver 313 00:12:01,634 --> 00:12:04,754 critical insights when clinicians need it most. That 314 00:12:04,754 --> 00:12:07,475 means fewer clicks, more time for patients, and 315 00:12:07,475 --> 00:12:08,730 stronger bottom lines. 316 00:12:09,449 --> 00:12:12,649 Practicing medicine is complex, but running a practice 317 00:12:12,649 --> 00:12:14,509 can be that much simpler with athenahealth. 318 00:12:15,209 --> 00:12:18,909 See how simpler is healthier at athenahealth.com.