< + > How Modern Systems Power Financial Stewardship in Rural Healthcare

The financial realities in rural healthcare in particular are quite challenging.  That’s why I was really excited by the opportunity to talk with Bryant Blay, CFO at Montgomery County Memorial Hospital + Clinics (MCMH) in southwest Iowa, about some of the financial realities they face.  A big part of their efforts to manage these financial challenges included leveraging the Multiview ERP to give them more visibility into their financial systems and reframe the culture of the organization. Joining the conversation was Mike Johnson, President and CEO of Multiview ERP, who shared his perspective on why many rural healthcare organizations struggle to access the financial clarity they need and what’s changing.

As we dove into the discussion, Johnson shared some of the reasons why he thinks rural healthcare organizations are often underserved by traditional financial systems. He noted that there’s a growing expectation for vendors to play a more active role in ensuring their software products deliver value in real-world settings.

More broadly, Johnson pointed to a shift in how healthcare organizations are starting to evaluate AI and other modern systems, not just in terms of the capabilities offered, but by the business needs met by the software. With advancements in AI, software is easier to produce than ever before, so there’s more of it out there. However, the challenge is for clients to remain “outcomes-focused.”

That focus on outcomes is especially important for organizations like MCMH. As Blay explained, rural providers can’t rely on external support to solve financial challenges. MCMH staff need to use their own data on revenue and financial health to guide decisions. They also need to maintain strong ties to partners and vendors, in order to get advice when needed.

That responsibility is even more significant given MCMH’s role in the community. While a rural hospital, MCMH is the largest employer in its county, and therefore has an additional commitment to stay solvent in order to protect its staff’s jobs and care for the community.

In the past five years, MCMH went from having different EHRs in each department to unifying around one EHR and modernizing their financial system with Multiview’s ERP solution that was integrated with the EHR. Many previously paper-based processes, especially in the back office, are now digitized.  Increased visibility into the financial side led to a culture change at the organization with great outcomes.

By integrating the data across systems, clinical staff now have better visibility into how their work connects to the organization’s financial performance. This transparency helps teams make more informed decisions and align care delivery with operational sustainability —without taking focus away from patient care. That’s a meaningful outcome for any CFO.

At MCMH, that shift is already playing out in practice. As Blay explained, having real-time visibility allows staff to respond more quickly to budget changes and plan more effectively. It also makes it easier to evaluate new partnerships, since the hospital has a clearer understanding of the volume and financial requirements needed to support them.

Building on this, Johnson noted that many healthcare organizations understandably prioritize clinical investments, sometimes leaving back-office systems under-resourced. He added that modern financial and revenue solutions can help bridge that gap, supporting strong clinical care and more sustainable financial performance long term.

Check out our interview with Montgomery County Memorial Hospital + Clinics and Multiview ERP to learn more about how a modern, EHR connected ERP can impact patient care and financial success in rural health.

Learn more about Multiview ERP: https://multiviewcorp.com/

Learn more about Montgomery County Memorial Hospital + Clinics: https://www.mcmh.org/

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Multiview ERP is a proud sponsor of Healthcare Scene.

< + > Is AI Orchestration the End of Healthcare’s “Click Fatigue”? Ramsoft says yes.

AI was supposed to save radiology, but for many, it’s just added more noise to an already crowded screen. The reality? We don’t need more tools; we need someone to conduct the orchestra.

Healthcare IT Today sat down with Vijay Ramanathan, CEO and Founder of RamSoft, to get the inside scoop on how they are moving past the hype to deliver “negative clicks” in medical imaging.

What This Conversation Revealed

• Standalone AI Creates More Work. AI in radiology is stalling because the tools do not work together. Forcing staff to switch between different applications distracts them from actual patient care.
• Orchestration Eliminates Manual Entry. AI needs to live inside your existing systems. When it runs in the background of your RIS/PACS, tedious administrative tasks disappear and appointments just show up on the calendar.

The “Negative Click” Philosophy

The most fascinating part of this chat with Vijay was his concept of negative clicks. In a world where we’re still dealing with the paradox of state-of-the-art AI coexisting with faxes and DVDs, RamSoft is doubling down on end-to-end automation. They aren’t just trying to make AI “useful”; they are trying to make it invisible.

By automating the entire referral-to-booking chain, they are removing the manual bottlenecks that plague radiology appointment setting. By making AI a “boring” yet essential part of imaging workflow orchestration, the company is making life easier for radiology practices and departments.

According to Ramanathan, if we want to solve the burnout crisis in radiology, we have to stop giving clinicians more to do and start taking the “busy work” off their plates for good.

To learn more about RamSoft, visit www.ramsoft.com

Listen and subscribe to the Healthcare IT Today Interviews Podcast to hear all the latest insights from experts in healthcare IT.

And for an exclusive look at our top stories, subscribe to our newsletter and YouTube.

Tell us what you think. Contact us here or on Twitter at @hcitoday. And if you’re interested in advertising with us, check out our various advertising packages and request our Media Kit.

< + > Luminai Raises $38 Million Series B | Remission Medical Closes Series A Led by Blue Heron Capital

Check out today’s featured companies who have recently raised a round of funding, and be sure to check out the full list of past healthcare IT fundings.

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Luminai Raises $38 Million Series B to Scale Intelligence Across Health System Operations

Luminai, an AI-native enterprise automation platform purpose-built for healthcare operations, today announced the close of a $38 million Series B funding round, bringing total capital raised to $60 million. The round was led by Peak XV Partners (formerly Sequoia India & Southeast Asia), with participation from new investor Define Ventures and continued backing from existing investors, including General Catalyst and Y Combinator.

The financing will accelerate Luminai’s growth as large provider organizations look for scalable ways to modernize administrative work amid mounting cost pressure, staffing constraints, and increasing operational complexity.

“What stands out about Luminai is their platform approach to a historically fragmented problem. While most vendors optimize individual tasks and point solutions, Luminai is building the intelligent orchestration layer that will define how healthcare operations function in the future,” said Shailendra Singh, Managing Partner at Peak XV Partners. “Their engineering rigor and customer-embedded execution model position them to become foundational infrastructure as health systems fundamentally rethink how operational work gets done.”

Across the industry, provider organizations are contending with fragmented information flows, aging technology stacks, and labor-intensive processes that introduce cost, delay, and risk. Administrative activity is estimated to account for up to 25% of total healthcare spending. Much of that burden is driven by work that spans disconnected systems and depends on manual interpretation of unstructured information. In response, many organizations are moving beyond narrow point solutions toward adaptable platforms that can support a range of high-impact use cases over time.

“Healthcare’s administrative functions operate as a massive, manual coordination layer. Encoding that work into software has historically been difficult because workflows span systems and point solutions, depend on unstructured inputs, and require embedded business and clinical context at every step,” said Kesava Kirupa Dinakaran, Founder and CEO at Luminai…

Full release here, originally announced April 9th, 2026.

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Remission Medical Closes Series A Led by Blue Heron Capital to Expand Virtual Rheumatology Partnerships Across U.S. Health Systems

Investment Accelerates the Company’s Proven Model of Embedding Specialty Care Directly Inside Health System Operations, Now Active Across Major Health System Partners and Backed by an AI-Native Workforce Platform Built to Scale

Remission Medical, Inc., a virtual rheumatology company that contracts directly with health systems to deliver embedded specialty care, today announced the close of a Series A funding round led by Blue Heron Capital, an early-stage growth equity firm. The investment will fuel expansion of the company’s partner network, grow its clinical workforce, and accelerate the scaling infrastructure that allows Remission Medical to rapidly deploy rheumatology access across more systems, more markets, and ultimately more specialties.

Rheumatic diseases, including rheumatoid arthritis, lupus, and psoriatic arthritis, affect more than 54 million Americans. Yet the United States faces a severe and worsening shortage of rheumatologists, leaving patients waiting an average of more than two months for a first specialist appointment. For health systems, this gap translates directly into lost referrals, declining quality scores, and patients who go undiagnosed or undertreated for conditions that are highly manageable when caught early.

Remission Medical solves this through a turnkey partnership model. The company embeds highly credentialed Advanced Practice Providers (APPs) directly inside health system infrastructure, operating under existing EMR workflows, payer contracts, and clinical protocols, so health systems can stand up a functioning rheumatology service line in weeks rather than years. Critically, what enables Remission Medical to deploy this model at scale across a growing national network is RemissionOS (ROS), the company’s proprietary AI-native workforce platform.

ROS is purpose-built to manage the complexity of running a distributed clinical workforce across multiple health system environments simultaneously. The platform supports how Remission Medical manages provider capacity, performance, and partner workflows at scale by automating referral intake, clinical scheduling, documentation support, revenue cycle operations, and performance reporting, all calibrated to each partner’s existing EMR and operational protocols. This AI-native operational backbone allows Remission Medical to onboard new health system partners efficiently, maintain quality and consistency across a geographically dispersed provider network, and generate the outcomes data that health systems need to sustain and expand their rheumatology programs internally.

The company currently operates across major health system partners nationwide, including Sentara, OrthoVirginia, WellSpan, Ochsner, Campbell Clinic, Gundersen, MultiCare, and St. Francis, spanning…

Full release here, originally announced April 9th, 2026.

< + > Fragmented Vendors. Info-Blocking Risks. How Harmony Healthcare IT is Fixing Data Migrations.

Data migrations are hard. Legacy systems are tough to move away from. Project timelines always seem to slip. The old way of using multiple vendors to manage your data is broken. It’s time for a new, more holistic approach.

I sat down with James (Jim) Hammer, Chief Operating Officer at Harmony Healthcare IT. We discussed the messy reality of data migration. The challenge is extracting historical data efficiently without stalling current operations. Hammer shared what is actually working in the field today.

What This Conversation Revealed

• Consolidation eliminates the handoff. Juggling separate vendors for extraction and archiving creates friction and misaligned timelines. Shifting to a single partner for the entire data lifecycle streamlines the process and results in a faster, cheaper project completion.
• Forgetting your legacy system stalls your rollout. Pouring all your energy into the new platform while ignoring the old system’s plumbing creates massive data extraction bottlenecks. Bringing archiving partners to the table during the earliest planning stages aligns schedules and keeps the overall implementation running downhill.
• Basic storage fails information blocking rules. Tucking legacy records into a digital vault leaves HIM teams drowning in manual requests and risks compliance violations. Deploying advanced keyword search and dedicated release of information toolsets keeps data fluid and ensures historical records are instantly accessible.

Consolidation is the new standard

According to Hammer, the days of juggling multiple vendors for data management are over. Providers are actively looking for efficiencies to reduce IT overhead. Handoffs between an extraction vendor and an archiving vendor often lead to data mapping errors and delays.

Organizations are now shifting to a single partner to handle the entire lifecycle. “Over the last 24 to 36 months, we’ve seen consolidation for data migration,” explained Hammer. “Organizations are going to one vendor, like ourselves, to do everything.” When you have one team handling the data from legacy extraction straight through to the final archive, the entire project moves faster.

The biggest migration mistake is forgetting about the past

You cannot just flip a switch when moving off a legacy system in healthcare. Organizations put tremendous energy into selecting their new primary platform, but they should save some of that energy for the migration from their existing system. That migration can be quite complex and time-consuming if not properly planned for. If you want your implementation to succeed, bring your extraction and archiving partners to the table immediately.

“First thing on my list would be to plan early,” noted Hammer. “The planning for the ecosystem of partners and vendors that you need to deal with can’t be done early enough”.

Archived Data is Fuel for AI

Healthcare organizations are finally treating their legacy data like gold. They are no longer just storing old files in a digital basement to satisfy a compliance checklist. That data holds the answers to population health trends and care gaps.

“Our customers are looking at data as an asset. Some legacy systems hold anywhere from one to 20 years of data, that’s a lot,” stated Hammer. “Customers are beginning to ask us to help with de-identification for future uses like research, AI, and ML”. Providers are actively preparing this historical data to train the next generation of clinical tools.

Information Blocking Tools are Non-Negotiable

With regulatory pressure mounting, just storing data is no longer sufficient. It must be accessible too. Health Information Management (HIM) teams are drowning in requests and need to retrieve historical records quickly or risk being out of compliance.

Hammer pointed out that providers are demanding advanced keyword search across unstructured documentation. He highlighted that the market is asking for tools to make this easier. Harmony Healthcare IT is working to bring a solution that helps to manage these types of information sharing requests to market.

The Reality

Data migration is not just an IT checklist item anymore. It is the foundation of future clinical intelligence. If you wait too long to plan or fragment your vendors, you will fail. The organizations winning right now are consolidating their approach and actively preparing their historical records for research and artificial intelligence.

What Healthcare IT Leaders Are Asking

Why should health systems consolidate data migration and archiving vendors?
Using a single vendor for both migration and archiving eliminates handoff delays and reduces overall project friction. When one team understands the data extraction process, they can build the archive much faster. This consolidated approach saves money and reduces the burden on internal IT staff.

When is the right time to engage a third-party data migration partner?
You should bring in your migration partner as early in the planning phase as possible. Waiting until the new electronic health record contract is signed will guarantee project delays. Early engagement ensures that data extraction from complex legacy systems aligns with your production schedule.

How does legacy data archiving support modern artificial intelligence initiatives?
Historical patient data is highly valuable for training machine learning models and conducting clinical research. By using de-identification tools during the archiving process, organizations can safely unlock decades of records. This transforms an expensive static storage system into an active asset for future healthcare advancements.

Learn more about Harmony Healthcare IT at https://www.harmonyhit.com/

Listen and subscribe to the Healthcare IT Today Interviews Podcast to hear all the latest insights from experts in healthcare IT.

And for an exclusive look at our top stories, subscribe to our newsletter and YouTube.

Tell us what you think. Contact us here or on Twitter at @hcitoday. And if you’re interested in advertising with us, check out our various advertising packages and request our Media Kit.

Harmony Healthcare IT is a sponsor of Healthcare Scene

< + > The Documentation Burden No One Talks About: Why Behavioral Health Clinicians Spend More Time on Notes than Any Other Specialty

The following is a guest article by Robert Botto, Founder of WellNotes AI

Every clinician complains about documentation. But behavioral health professionals face a version of this problem that the rest of healthcare rarely sees.

A therapist conducting a 50-minute session may spend 20 to 30 minutes afterward writing a clinical note. A BCBA observing a two-hour behavior session often needs another hour to document skill acquisition data, behavior reduction targets, and caregiver training summaries. Social workers managing caseloads of 30 or more clients find themselves writing late into the evening just to stay compliant.

The numbers bear this out. The American Psychological Association has reported that administrative tasks, documentation chief among them, consume nearly half of a clinician’s working hours. For context, primary care physicians — who are themselves struggling with documentation overload — spend roughly 16 minutes per encounter on EHR-related tasks, according to Annals of Internal Medicine research. Behavioral health clinicians often double that.

Why is Behavioral Health Documentation Different?

Three factors make this specialty uniquely burdened.

First, the note formats are different. While most of medicine has converged on SOAP notes, behavioral health uses a range of specialized formats: DAP notes for therapy sessions, BIRP notes for counseling, behavioral data sheets for ABA therapy, and treatment plan updates tied to specific therapeutic modalities like CBT, DBT, or EMDR. A single clinician may need to switch between three or four note types in a day, depending on the client population.

Second, the content is qualitative, not quantitative. A primary care visit can be partially documented through structured data — vitals, lab results, and medication lists. A therapy session is a conversation. The clinician must translate a nuanced verbal exchange into clinical language that captures the client’s affect, therapeutic interventions used, client responses, and progress toward treatment goals. There is no shortcut for this kind of synthesis. And unlike a 15-minute primary care visit, therapy sessions typically run 45 to 60 minutes, producing far more clinical material that needs to be distilled into a cohesive note.

Third, the privacy stakes are higher. Behavioral health records carry additional confidentiality protections under 42 CFR Part 2 and state-level mental health privacy laws. Clinicians are trained to be extremely careful about what goes into the record, which slows the writing process further. Many are understandably cautious about any tool that might compromise client trust.

The Real Cost of this Burden

The consequences extend beyond inconvenience. When documentation takes this long, clinicians face a difficult choice: stay late to finish notes, or see fewer clients during the day. Neither option is sustainable.

Practices that rely on behavioral health clinicians report that documentation-related burnout is one of the top reasons clinicians reduce their caseloads or leave the field entirely. In a workforce already facing significant shortages — the Health Resources and Services Administration has projected a deficit of over 10,000 mental health professionals by 2030 — losing clinicians to paperwork is a problem the industry cannot afford.

There is also a quality dimension. Notes written hours after a session, or the next morning, are less accurate than notes written while the clinical details are still fresh. Delayed documentation increases the risk of errors, omissions, and compliance gaps — particularly in fields like ABA therapy where precise data recording drives treatment decisions.

What Practical Workflow Changes are Helping

Health IT leaders evaluating solutions for behavioral health documentation should understand that this is not just an EHR optimization problem. The issue is the gap between what happens in a clinical encounter and what needs to appear in the note.

Several workflow approaches are making a measurable difference:

Template libraries designed for behavioral health. Generic EHR templates were built for medical encounters. Practices that adopt note templates specifically designed for therapy, ABA, and social work — with built-in prompts for session type, interventions, and modality-specific language — report faster documentation with fewer compliance gaps.

Post-session note generation from session summaries. Rather than recording sessions (which most therapy clients and clinicians reject), some newer tools allow clinicians to input key session details — presenting concerns, interventions, client response, plan — and generate a properly formatted clinical note in seconds. This preserves the clinician’s clinical judgment while eliminating the mechanical writing burden.

Structured workflows that separate clinical thinking from documentation. The most effective approaches give clinicians a framework to capture their clinical observations immediately after a session (when memory is fresh) and then handle the formatting, compliance language, and note structure automatically. This is the difference between spending 25 minutes writing and spending 5 minutes reviewing.

The Opportunity for Health IT

Behavioral health is one of the fastest-growing segments of healthcare, driven by rising demand and expanded payer coverage. Yet the technology infrastructure supporting these clinicians has lagged behind other specialties for years.

For health IT decision-makers, this represents both a challenge and an opportunity. The documentation burden is a leading contributor to clinician burnout in behavioral health, and burnout drives turnover. Solving this problem is not just a workflow efficiency play — it is a retention strategy.

The tools that succeed in this space will be the ones that respect the unique nature of behavioral health documentation: the qualitative complexity, the privacy requirements, and the trust relationship between clinician and client that must never be compromised.

The conversation around clinical documentation is finally shifting from “how do we capture more data” to “how do we give clinicians their time back.” For behavioral health, that shift cannot come soon enough.

About Robert Botto

Robert Botto is the founder of WellNotes AI, a clinical documentation platform built specifically for therapists, BCBAs, and social workers. Before WellNotes, Robert spent years working at the intersection of healthcare technology and clinical workflows. He is based in the U.S. and writes about the unique documentation challenges facing behavioral health professionals.

< + > This Week’s Health IT Jobs – April 22, 2026

It can be very overwhelming scrolling through job board after job board in search of a position that fits your wants and needs. Let us take that stress away by finding a mix of great health IT jobs for you! We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week.

Here’s a quick look at some of the health IT jobs we found:

• ROI Medical Records Specialist – MRO
• Data Specialist I – Nursing Administration – CHRISTUS Health
• Clinical Workflow Specialist – Renown Health
• Director, IT Governance & Cybersecurity – KalVista Pharmaceuticals, Inc.
• Access Specialist I – MedStar Health
• Healthcare Data Entry Coordinator – Alcanza Clinical Research
• Chief Technology Officer (Founding CTO) – Uptake AI
• EHR Support Analyst – HCA Healthcare
• Cybersecurity Lead – Medical Devices – Analog Devices
• VP & Chief Technology Officer – Cook Children’s Health Care System
• Associate Director of Health Care – NYC Health + Hospitals
• Health Information Management Specialist – Breg
• Community Health Worker – Sentara Health
• Patient Services Coordinator III- Internal Medicine – Novant Health
• Quality Data Specialist – Luminis Health
• Clinical Informatics Coordinator – UPMC
• Integration Analyst – Epic, HL7 (Healthcare Interoperability) – Predactica
• VP, Integrations – CorroHealth
• HIV Program Specialist 1 – CAN Community Health
• Subject Matter Expert (SME) – Biomedical Technician/Equipment Support Specialist – Information Systems (Medical Device Cybersecurity Expertise) – Enabled Advisors, LLC (SDVOSB)

If none of these jobs fit your needs, be sure to check out our previous health IT job listings.

Do you have an open health IT position that you are looking to fill? Contact us here with a link to the open position and we’ll be happy to feature it in next week’s article at no charge!

*Note: These jobs are listed by Healthcare IT Today as a free service to the community. Healthcare IT Today does not endorse or vouch for the company or the job posting. We encourage anyone applying to these jobs to do their own due diligence.

< + > The AI Call Center Surprise at the 2026 eClinicalWorks Enterprise Summit

Just came back from the 2026 eClinicalWorks Enterprise Summit. While the overall event and the company announcements were as solid as expected, one particular technology absolutely blew me away and delivered on a promise I had been skeptical about – their Healow Genie AI solution for call centers.

eClinicalWorks Enterprise Summit Highlights

• eClinicalWorks announced “Smart University,” an online hub where users can learn more about their solutions. The platform uses AI to match training courses to specific user roles and experience, and it also parses out only the most relevant sections of massive release notes.
• The company is increasing their support for value-based care. The platform has baked-in tools for patient population monitoring, tracking performance metrics, and Advanced Primary Care Program for APCM.
• Despite the general anxiety around AI, customers emphasized that implementing it has not led to job losses. Instead, it has allowed practices to increase efficiency, and handle growth without needing to add new headcount.
• Lots of product support and enhancement discussions
• Executives made themselves readily available

The AI Contact Center That Actually Listens

During his opening keynote, CEO Jesh Navani played an anonymized recording of a real patient interacting with healow Genie, the company’s AI-powered contact center solution. Initially, I thought this was just going to be another basic AI triage agent built to route calls to the appropriate human agent. The call made it clear the company wants to do much more than that.

An elderly patient called in to renew a prescription, but mid-conversation, she suddenly remembered she needed to book an appointment with a specialist. Rather than forcing her back into a rigid menu or telling her to wait, the AI seamlessly pivoted, booked the appointment, and then gently looped back to finish the prescription refill. It even politely informed her that the script had already been renewed.

This ability to handle non-linear conversations is what impressed me.

I caught up with Gary Moorefield from MyCare Medical Group, a customer who was on the brink of buying a different telephony AI solution until he saw Genie at a prior conference. For his team, the magic wasn’t just the conversational flow; it was the fact that Genie sits right inside eClinicalWorks EHR, bypassing the massive integration headaches typical of third-party platforms.

The Bottom Line

By the final day, it was obvious that the marketing and events team pulled off an incredibly smooth conference. The customers I saw looked like they got exactly what they came for. But more importantly, eClinicalWorks clearly wanted to show that they are living up to the promises they made in prior years. They continue to focus on AI and deliver it in ways that are meaningful to their customers.

Featured on the Video (in order of appearance)

• Robert DeLuca (MedFlorida Medical Centers)
• Kate Steele (Axia Women’s Health)
• Gary Moorefield (MyCare Medical Group)
• Jeff Morrison (TPMG)
• Cory Petross (Santovia)
• Angie Doherty, (Smart Meter)
• Will Hucke (VaxCare)
• Emily Runco (TriZetto Provider Solutions(
• Andres Campo (Aledade)
• Mary Prendergast (IC System)
• Miles Morrison (Waystar)

Learn more about eClinicalWorks at https://www.eclinicalworks.com/