By analyzing Epic EHR data, Amanda and the Epic Team identified systemic challenges contributing to increased provider workloads and missed patient care opportunities. Their goal was to provide care teams with a comprehensive patient picture, helping close care gaps and enhance clinical decision-making. Through Epic tools, they assessed where the greatest needs were, connected care team members, and developed targeted interventions to improve patient follow-up and outcomes. Their work was inspired by the need to bridge gaps in care coordination, reduce provider burden, and ensure equitable patient access to healthcare.

Amanda and her Epic Team faced significant challenges in navigating the complexity of healthcare data integration and workflow transformation.

• Shifting Payment Models – The team had to develop solutions aligned with a payer-driven system transitioning from fee-for-service to value-based care.
• Interdepartmental Coordination – Decision-making required collaboration between administrative, clinical, and IT teams, each with unique operational needs.
• Provider Buy-In & Adoption – Integrating data-driven solutions into daily workflows meant overcoming resistance to change while ensuring new processes reduced provider burden rather than adding to it.

Despite these challenges, Amanda and her team remained dedicated to leveraging data for meaningful healthcare transformation.

The team works closely with OCHIN analysts to optimize best practices and tailor Epic’s EHR functionality to meet NHC’s program needs. Amanda and her Epic Team collaborate with the Quality and Performance Improvement & Data Departments to jointly enhance operational efficiency and patient care outcomes. The team engages in inter-organizational workgroups to share knowledge and develop data-driven solutions. The team’s EHR Epic Builder Program integrates medical, pharmacy, and dental clinical providers into the Epic team, as collaborative problem-solving model.

Amanda Miller and the Epic Team have developed lasting, data-driven systems that continue to benefit NHC long after implementation:

• Provider & Staff Well-Being – Epic onboarding and training streamline workflows, reducing cognitive load and administrative burden.
• Improved Patient Care – Real-time dashboards track patient metrics, ensuring continuous care improvement. For example, the number of NHC’s Annual Wellness Visits increase 206% from 2022 to 2024. Additionally, the quality of NHC’s Annual Wellness visits improved 900% from 2022 (with hit or miss compliance) to 2024 (to full compliance).
• Sustainability & Scalability – Their data-informed strategies improve long-term efficiency across NHC’s operations. In 2024, optimized workflows improved NHC’s Medicare Wellness Visit billing success rate from < 10% of all claims submitted to approximately 80% of all claims submitted, allowing NHC to reinvest in patient care initiatives.

Through innovation, collaboration, and data integration, Amanda and her Epic Team ensure NHC’s continued success in delivering high-quality, equitable healthcare.

Submission written by Victoria Michael, Communications Manager, Neighborhood Health Center