{"id":9486,"date":"2025-09-16T17:00:29","date_gmt":"2025-09-16T21:00:29","guid":{"rendered":"https:\/\/uniteustailstg.wpengine.com\/?p=9486"},"modified":"2026-02-21T02:28:21","modified_gmt":"2026-02-21T07:28:21","slug":"how-meditech-is-enabling-organizations-to-advance-community-care-with-unite-us","status":"publish","type":"post","link":"https:\/\/uniteus.com\/webinar\/how-meditech-is-enabling-organizations-to-advance-community-care-with-unite-us\/","title":{"rendered":"A FHIR-side Chat: How MEDITECH Is Enabling Organizations to Advance Community Care with Unite Us"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":9484,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[102],"states":[114],"topic":[86,132,79],"industry":[74],"series_name":[153],"class_list":["post-9486","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-webinar","states-all","topic-healthcare","topic-integration","topic-rural-health","industry-providers","series_name-fhir"],"acf":{"layout":"webinar","gated_page":{"":null,"title":"","featured_image":null,"description":"","form_title":"Fill out the form to download the white paper.","code_editor":"","title_2":"","description_2":"","embeds":null,"display_cta_button":true,"button_text":"Download the White Paper"},"columns":null,"download_page":{"document":""},"reports_component":{"components":null},"webinar_components":{"components":[{"acf_fc_layout":"video","_acfe_flexible_toggle":"","embed":"https:\/\/youtu.be\/tRvcYnt_QPg"},{"acf_fc_layout":"wysiwyg","_acfe_flexible_toggle":"","subheading":"","wysiwyg":"MEDITECH, a leading EHR provider, is helping organizations improve outcomes by delivering technology and solutions that support population health initiatives. In this pre-recorded Q&amp;A, we\u2019ll explore how MEDITECH has enabled its customers to embed Unite Us in their Expanse EHR to easily identify non-medical needs and connect patients to community services directly within clinical workflows.\r\n\r\nYou\u2019ll also hear from Citizens Memorial Hospital, the first health system to adopt the Unite Us \/ MEDITECH integration, as they share real-world lessons and early impact from using the integration to support whole-person care in their community.\r\n\r\n<strong>Here\u2019s what you\u2019ll learn:<\/strong>\r\n<ul>\r\n \t<li>Why MEDITECH and Citizens Memorial Hospital partnered with Unite Us to support whole-person care<\/li>\r\n \t<li>How the integration enables providers to address drivers of health within the EHR<\/li>\r\n \t<li>The role of FHIR-based interoperability in bridging the gap between clinical and community care<\/li>\r\n \t<li>How this approach is improving care coordination and laying a path for hospitals nationwide<\/li>\r\n<\/ul>"},{"acf_fc_layout":"webinar_transcript","_acfe_flexible_toggle":"","heading":"View Webinar Transcript","wysiwyg":"Hi, everyone, and welcome to the first session of our fireside chat series where we sit down with leaders across the health care ecosystem to talk about the role of interoperability, EHR integration, and community collaboration, empowering more connected person centered care. I\u2019m Katie Keating from Unite Us, and today, I\u2019m joined by Janet Desroches, the associate vice president at MEDITECH, a long time leader in the EHR space and one of our key integration partners.\r\n\r\nWe\u2019re also joined by Casey Piergan, community health equity coordinator at Citizens Memorial Hospital, a comprehensive rural health care system in Southwest, Missouri. Citizens Memorial Hospital was the first hospital to go live with the NIDAS MEDITECH integration, and we\u2019re so excited to have you both join us today. Welcome, Janet and Casey.\r\n\r\nThank you, Katie. Hi.\r\n\r\nSo, it\u2019s great to see you both live today. I had a great time getting to know you before as we prepared for this discussion. And we\u2019re gonna start off nice and easy today with talking about why it is so important for health care organizations to focus on what\u2019s going on outside of the walls of the doctor\u2019s office, such as a patient\u2019s ability to even get to an appointment or refrigerate a medication.\r\n\r\nAnd how have you seen the recent changes and approach to these nonmedical or SDOH needs get updated in recent years? Janet, let\u2019s start with you.\r\n\r\nSure. Thank you, Katie. And it\u2019s an absolute privilege to be doing this with you and Casey today. You\u2019re doing such meaningful work and thank you for what you do.\r\n\r\nIn answer to your question, what we know is it is important for healthcare organizations to put attention on what happens outside traditional clinical settings because social determinants of health such as what you mentioned, as well as financial strain, transportation barriers, and food insecurity, really profoundly influence an individual\u2019s health outcomes.\r\n\r\nFor example, we know that studies link housing insecurity to higher rates of chronic disease like hypertension and diabetes as well as mental health issues. In fact, there was a recent study done in the UK and France that proved that food insecurity is directly linked to increased risks of depression, anxiety, as well as suicidal ideation.\r\n\r\nSo the industry\u2019s approach to these nonmedical needs has evolved significantly. Traditionally, we know clinical data systems and social services platforms operated in silos making it challenging to get a comprehensive view of the patient\u2019s health.\r\n\r\nNow there\u2019s a clear shift towards a more connected whole-person approach to care, and that\u2019s facilitated by what we\u2019re gonna learn about more\u2014the FHIR resources and standardization around interoperability\u2014which have been transformative in bridging this gap. They allow for standardized, secure, real time exchange of data.\r\n\r\nThis enables care teams to better access and act on social needs directly within their clinical workflows and provide better coordination of holistic care. And Casey, I know you\u2019re gonna talk about this in more detail from a real life perspective.\r\n\r\nYeah. That was such a really good answer. That was so good. For someone who works in a clinic, I think it\u2019s definitely very important that we provide SDOH screenings and focus on social drivers of health because if we don\u2019t ask the questions, patients often won\u2019t give you that information.\r\n\r\nThey\u2019re not going to the doctors to talk about how they don\u2019t have transportation to go to the grocery store or go apply for WIC if needed. So I think it\u2019s really important that clinics focus on doing these screenings and asking these questions, just because there\u2019s so much more to a patient\u2019s health care than just going to the doctors to get a diagnosis and leave, then try to figure it out on their own.\r\n\r\nThanks. I know screening is sort of top of mind for everyone these days. There are so many initiatives. And I think for me, the question is always: so what? If I\u2019m gonna be vulnerable with you and I\u2019m gonna share this information, what action are you gonna take to support that?\r\n\r\nYeah. I feel that\u2019s a\u2014oops. Sorry.\r\n\r\nNo, go ahead.\r\n\r\nThat\u2019s a big question that people always ask when they go to the clinic: well, do I have to answer these questions? What are you actually gonna do for me if I answer these?\r\n\r\nExactly. I think when we think about how EHRs have traditionally worked, it\u2019s been really around the documentation and the review of clinicians providing care. When you think about MEDITECH\u2019s approach going forward and taking a more proactive role in identifying or acting on some of those screening results and nonmedical needs, how do you all think about that?\r\n\r\nIt\u2019s a great question. And when you look at it from a macro level, what we\u2019ve been seeing is that things have been evolving and the role of the EHR has become more important in terms of delivering technology and solutions that actively support population health and care of the community at large.\r\n\r\nOne of the interesting things that we\u2019ve seen is alignment with these initiatives in community health needs assessments. Many of us know community health needs assessment is a requirement of health care organizations, not-for-profit health care organizations to put together, and that includes a health care provider as well as community-based services.\r\n\r\nThe goal is to look at what is the prevalence of chronic disease in the community, what is the prevalence of newly diagnosed mental health problems, and then also understand what the social drivers of health are. What are some of those areas such as food insecurity, housing insecurity, even environmental concerns that are in the community?\r\n\r\nThen make a correlation between those things, because one drives the other. When you talk to an organization, this has largely been a driver when they start thinking about their strategy around how they\u2019re gonna use technology as an enabler, taking a look at what their initiatives are and aligning with the community health needs assessment.\r\n\r\nSo they\u2019re creating implementation strategies to address the identified needs and often partnering with community organizations to design and fund targeted interventions.\r\n\r\nCasey really hit on a key point, and that is in order to embed integration with such a powerful service as Unite Us, you need to look at organizationally what you need to do. It really is about identifying nonmedical needs in a discreet way upfront and then being able to understand the workflow and connect those patients to those community services.\r\n\r\nThe beauty of the FHIR-based interoperability is you can do that in workflow and bring that into your EHR. At the end of the day, what we\u2019re supporting is really a holistic person-centered approach.\r\n\r\nThanks. I think so much of that really comes to life when you start to think about a community health needs assessment and how you actually act on that.\r\n\r\nFrom a day-to-day perspective, that\u2019s what you\u2019re doing\u2014really connecting those resources in the community with the needs that people have. When you think about some of the challenges in that work, why was it so important for you all to integrate your MEDITECH environment with Unite Us? And what are some of the challenges it solves in your workflow that Janet was just talking about?\r\n\r\nYeah. So I actually started working at CMH after the partnership with Unite Us and the integration took place. So all I know is sending referrals through MEDITECH and Unite Us, which is great because it\u2019s so helpful.\r\n\r\nHowever, when I talked to other community resource specialists in the past, they say that some of the big challenges were you spend all this time calling agencies and hope that they would actually respond and reach out to the patient if they had time. Or you spend all this time printing off information to provide patients in hopes that they actually contact the people that you give them the information for.\r\n\r\nSo a lot of the issues stemmed from just having hope that people would actually do what you\u2019re trying to get them to do, because there\u2019s a difference between asking someone for help and then actually taking the steps to get the help you need.\r\n\r\nThat was definitely one of the bigger roadblocks to getting people the assistance they needed after doing the SDOH screens prior to the Unite Us MEDITECH integration.\r\n\r\nYeah. I think that it\u2019s always one of the things we talked about, the ability to see what\u2019s happened. And to be able to know when you go and have that next conversation, what really happened between the last time we talked and what\u2019s going on now.\r\n\r\nYes. I know that you are often also challenged by lack of resources in a rural community. Are there any ways that tools or technology can help you with that that you\u2019ve found impactful?\r\n\r\nYeah. Once our community started talking about utilizing Unite Us, a lot of the different community agencies were really interested in getting onboarded because one thing we always have in common is we\u2019re trying to help the same people in the community. But I don\u2019t know if they actually went to Calm to get food pantry benefits, and Calm doesn\u2019t know if this patient went to OCAP to get utility assistance.\r\n\r\nWhat\u2019s nice with utilizing Unite Us is I can see where the patients have gone and if they\u2019ve actually reached out for help. If not, I can follow up with the patient to talk about maybe doing a new referral and bridging that gap between what they said they were going to do versus what\u2019s actually happening.\r\n\r\nI think it\u2019s so important to be able to see that. From our perspective here at Unite Us, it\u2019s really important for us to be integrated with some of our EHR partners because of the way it smooths out that workflow for clinicians and community health workers. When you think about MEDITECH\u2019s strategy to deliver really connected holistic care, how does this fit into your overall strategy?\r\n\r\nThank you for asking. This has been so powerful and I love talking to Casey because she validates some of the past challenges as well as the current challenges around that 360 referral loop. I\u2019m sure we\u2019re going to talk about that in more detail. I\u2019ve been so appreciative of what Unite Us does.\r\n\r\nNow, with some of these FHIR standards, we\u2019ve been able to integrate it into workflow. The core lies in the seamless integration of Unite Us with MEDITECH Expanse EHR. That is the game changer here. It allows us to bridge data silos\u2014like Casey was talking about\u2014so that if we know what\u2019s in Unite Us and what that key data is, we can put it in workflow. That\u2019s powerful.\r\n\r\nThis kind of integration facilitates actionable insights. You don\u2019t know what you don\u2019t know, but if you\u2019ve got a registry of patients that you\u2019re tracking, you know they\u2019ve been referred out. You can easily, one click away, see whether or not they actually followed up and took advantage of those services. That\u2019s really important information and it supports population health management. Are the patients being screened? Are they being referred? Are they taking advantage of those services? And are we seeing improved outcomes as a result?\r\n\r\nThe integration with Unite Us has been a game changer, accelerated by FHIR interoperability and standardization. Ultimately, Unite Us solutions have helped MEDITECH deliver on its vision for a more connected, person-centered ecosystem where critical data follows the individual, empowers the care team, and allows them to collaborate more effectively.\r\n\r\nI think that is so important\u2014being able to follow the data no matter where it is so that you\u2019re able to have the right information in the right place at the right time to take the right action. From your perspective, what makes Unite Us a strong partner to you, and how does the integration reflect on your bigger vision of what might be possible in the future?\r\n\r\nUnite Us is such a strong partner because they truly listen and care about how the platform works for us. A good personal example is that sometimes I just can\u2019t figure things out on the platform. Out of frustration, I\u2019ll email my Unite Us representatives, and they always take the time to hop on a quick Zoom meeting to walk through the confusion with me. That\u2019s so helpful and personable.\r\n\r\nThat makes them such a good partner: the platform truly cares about how the system works for your community.\r\n\r\nI\u2019ve got to say, I\u2019m not going to complain about that. I think our team members really do make magic happen for folks at times, and it\u2019s really good to hear that the partnership is strong and that it supports everything from silly gooseness to technology integration.\r\n\r\nYes. To talk about the technology a little, we are really excited about the integration with MEDITECH because it expands the number of our customers that we\u2019re able to provide that streamlined workflow with. And when we start talking about FHIR standards, they\u2019re expanding across the ecosystem.\r\n\r\nThey started with moving clinical information from place to place, but now also account for things like social needs. For example, if you\u2019re doing a prepare screening, you can share that information between systems as well. The standardization of data and the ability to share it across systems helps follow the person as well.\r\n\r\nWhen we\u2019re talking about this, what role do you see FHIR and other interoperability standards playing in improving how organizations are able to share, track, and act on this information?\r\n\r\nThanks for asking. Now I\u2019m officially going to be using the term silly business\u2014I love that. But to get a little techie: FHIR is the transport methodology, the way that we share data. The standards that have been evolving are also key, like USCDI and CCD, which help codify data and make it meaningful.\r\n\r\nThis has reached an apex where we can leverage FHIR interoperability standards as well as nomenclature standards to exchange data in a meaningful way. From a social care standpoint, we can share, track, and act on the drivers of health across the broader ecosystem.\r\n\r\nTraditionally, clinical data systems and social service platforms operated in silos. This is changing with FHIR and Unite Us. It allows a comprehensive view of the patient across the continuum of care, including community services.\r\n\r\nSpecifically, FHIR has enabled us to standardize secure real-time data exchange. Within the MEDITECH EHR, we can link out via one click to Unite Us. In the background, the FHIR API brings up a view of the patient and key data like history and pregnancy status, without having to re-identify the patient.\r\n\r\nThis can happen when you\u2019re referring out, but also later when managing that patient. It\u2019s integrated into clinical workflows, which means care teams can access crucial social needs directly within the EHR for better coordination, fewer duplicate referrals, and holistic care.\r\n\r\nBeyond individuals, this interoperability also lets us look at things in aggregate and identify trends. From a health equity standpoint, you can look at populations, identify needs, track referrals and services, and see outcomes. That\u2019s the game changer and ties back to the community health needs assessment.\r\n\r\nAs FHIR adoption grows across healthcare, we\u2019re going to see more connected person-centered care, and that is a real game changer.\r\n\r\nI really appreciate that perspective. You said so many things that I felt like you and I could have been in a meeting together any day of the week this week. But I think what you said about population health is really important.\r\n\r\nSome of the power of Unite Us data tied with clinical data is really showing the impact on outcomes and being able to see how many social interventions it takes to improve a patient\u2019s outcomes or to get a patient to a more stable place. Being able to see that in a single longitudinal record or to sort through your patient panel for the day means that you\u2019re always on top of that information.\r\n\r\nThe codification of that data is important as well. Unite Us has been working with the Gravity Project to ensure it\u2019s represented in USCDI and FHIR API standards, so that as we continue to expand, interventions and outcomes are measured consistently across the ecosystem.\r\n\r\nCasey, turning back to you, I know you said that you\u2019ve only existed in a world post-integration, which is fantastic. But as you are an early adopter, are there any initial results or learnings shared from your team in this integrated environment that you\u2019d like other people to know about?\r\n\r\nYeah. Initially when we first went live with the integration, there was hesitation from the clinic because it was new. We had just gotten everyone to learn how to utilize Unite Us alone, and suddenly it was like, hey, we\u2019re actually going to start doing it through MEDITECH now, which is going to be so much more helpful.\r\n\r\nSo in the beginning, there were little road bumps. But once we got those taken care of, the process became super smooth for resource specialists, social workers, providers\u2014anyone could go into the patient\u2019s chart, click the Unite Us button, and be able to create the profile, send the referral, and do everything needed.\r\n\r\nSince the integration took place, we\u2019ve had a lot of positive feedback. People have said that it makes sending referrals so much simpler and less time consuming. When you\u2019re in the clinic with a patient, if sending a referral takes a long time, patients don\u2019t want to sit around and wait. But now with the MEDITECH integration, it\u2019s really just an easy click of the button, and you can send the referral before the patient even walks out the door.\r\n\r\nWith the process so simple, our referrals on the platform have increased. We have a goal of around 50 to 80 referrals a month, and we\u2019ve been really close to hitting or meeting those goals consistently since the integration.\r\n\r\nThat\u2019s phenomenal. I love when people can say they\u2019ve hit a goal. I talk about that on my team all the time. I love what you said about before a patient walks out the door. There\u2019s something powerful about having your clinician\u2019s full attention when you\u2019re right there, and the fact that you\u2019re both clear on what next steps are.\r\n\r\nI know that from Unite Us, we also send an additional notification to the patient, but it\u2019s great knowing everyone\u2019s on the same page about what\u2019s going to happen next.\r\n\r\nFrom your perspective, what sort of interest or feedback have you heard from your customers who are considering this sort of integration? What brought you to Unite Us to start this discussion, and any early lessons you\u2019re seeing?\r\n\r\nI\u2019ve been working for years now in the population health, health equity, and social drivers space. I was introduced to Unite Us many years ago before we were integrated. Unite Us is a game changer and provides a service that is so robust and patient-centered.\r\n\r\nIf we can get our clients to see the value of that and then bring the integration, that\u2019s huge. There\u2019s been significant interest, even with some of the pullback from reporting requirements on social drivers of health. There\u2019s still huge interest from a population health perspective in interoperability and tying in the community health services piece.\r\n\r\nIt not only stems from the community health needs assessment, but it ties into value-based care as well. Certain Medicare Advantage and Medicaid plans want you to treat patients holistically, and that goes beyond medical care. Organizations want this, and they want us to help them implement it in a streamlined, efficient way.\r\n\r\nIn the coming years, I envision this becoming more common out of the gate. We just need to continue to partner and assist health care organizations with planning and execution, using these technology enablers to get them to a more integrated state.\r\n\r\nThat\u2019s so important to remember\u2014that no matter the administration or reporting requirements, people still have to do their jobs day to day. Systems and programs are already in place, focused on whole person health. It\u2019s important to give folks tools that support those programs and support reporting.\r\n\r\nEspecially in value-based care arrangements, there are studies showing how impactful it is to support additional needs to drive down costs and improve outcomes. The more data we can provide to support those studies, the better.\r\n\r\nSo I want to thank you both again for spending so much time with us today. My wrap-up question is always my favorite: what advice do you have for health systems that are just beginning to look at this, or maybe pivoting to population health or incorporating nonmedical drivers of health into care planning? What\u2019s one takeaway you want everyone thinking about from today?\r\n\r\nActually, that\u2019s good because I\u2019m curious what Casey says after me. My experience has been that if an organization is looking at doing this work, they really need to understand and assess what the workflow is, what the roles are, and what the data needs are at different points. Where will the triggers exist?\r\n\r\nCasey was talking about primary care, but this also has a role in the emergency department. So who are all my customers, who are the roles relative to identifying social needs? Think in three areas: screening, follow-up, and outcomes.\r\n\r\nFor screening, who are the roles\u2014community health workers, providers, social workers? What do they need, what is the process, where are the triggers? For follow-up, the same thing. And for outcomes, what kind of data do we need and how are we going to track it?\r\n\r\nMy advice is that it\u2019s really important to start there. We can\u2019t lose sight of the people and process piece alongside the technology.\r\n\r\nYou speak so elegantly, I don\u2019t know how I could possibly top that. The advice I\u2019d give to health systems looking to expand their EHR capabilities is that it\u2019s scary at first to take on a new system. But if you\u2019re really in the business of health care, it\u2019s important to look at pieces outside of just going to the doctor.\r\n\r\nAs we\u2019ve said many times today, there\u2019s so much more to health care than treatment. It\u2019s about transportation, food, housing\u2014things that impact people\u2019s day to day lives.\r\n\r\nIf your community is invested in providing community support, I think that\u2019s something all hospitals and clinics should pay attention to and think about offering this type of referral system. For a rural community, it\u2019s essential, but I think any community invested in its people will see a big impact.\r\n\r\nThat might mean something as simple as driving someone to their SNAP appointment or helping them fill out an application for low-income housing. It makes a difference in everyday lives.\r\n\r\nI love that. Very diverse perspectives that definitely align. That\u2019s a good reminder about change management: the first time you do anything, it\u2019s scary. But if everyone around you has done it before, it\u2019s a little less scary to get started.\r\n\r\nSo I want to thank you both for joining us and sharing your perspectives. MEDITECH and Citizens Memorial Hospital are certainly leading the charge in helping providers deliver more connected, community-centered care, and we really appreciate you sharing with us.\r\n\r\nI also want to thank everyone watching and who joined us today. If you\u2019re interested in learning more about how Unite Us can integrate with your EHR workflows to connect patients to care in the community, please connect with our team at uniteus.com to continue the conversation.\r\n\r\nThis is one in a series of fireside chats we\u2019ll be having, so hopefully you\u2019ll stay tuned for next time."}],"speakers":{"speaker_heading":"Speakers","all_speakers":[{"author":9487},{"author":9488},{"author":9489}]},"organizations":{"organization_heading":"Organizations","all_organizations":[{"logo":9501},{"logo":9502}]}}},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A FHIR-side Chat: How MEDITECH Is Enabling Organizations to Advance Community Care with Unite Us<\/title>\n<meta name=\"description\" content=\"Join us for a \u201cFHIR-side Chat\u201d where we sit down with innovators across the healthcare ecosystem to discuss the role of interoperability, EHR 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