Does your technology serve your diverse patient community? 5 things your technology partner should help you do
Community health centers (CHCs) have a mission to uplift their communities by delivering accessible, high-quality care to people from every walk of life, regardless of ability to pay. Your mission reaches 52 million Americans: 1 in 7 people nationwide, and 1 in 3 in rural areas.1
But advancing that mission is getting more complex.
You're already doing the work to reduce barriers to care — offering sliding scale fees to ensure affordability, expanding access in care deserts, and leveraging technology to meet patients where they are. But the current environment is creating new barriers and new complexity for the patients who rely on CHCs.
Your patients navigate transportation obstacles, manage complex chronic conditions, face financial constraints, and often must navigate the healthcare system in a second language. And patient expectations are evolving too. Seventy percent of consumers who switch healthcare providers cite access as the key reason, and today's patients define access through digital tools, seamless communication, and flexible care options.2
Digital expectations are rising while new barriers emerge.
Health equity — ensuring every patient can achieve their best health by removing the specific barriers they face — requires more than good intentions. It requires technology infrastructure that operationalizes equity across every patient interaction, scaling your mission from aspiration to everyday practice.
5 ways your EHR should support health equity in community health centers
The right technology partner supports your ongoing work to advance health equity as part of a comprehensive approach to quality care.
Many CHCs use IHI's Quintuple Aim as a framework for this work — improving patient experience, improving population health, reducing costs, improving the work life of healthcare providers, and advancing health equity. That fifth aim, health equity, reflects a commitment to ensuring every patient has a fair opportunity to achieve their best health by removing the specific barriers they face.
In a shifting policy landscape, CHCs continue to lead the fight for health equity. Your technology infrastructure should support that commitment — not just enable equity but help you actively advance it across every patient interaction.
athenaOne® for Community Health Centers is purpose-built with CHC workflows, patient populations, and regulatory requirements in mind.
Here are five ways your EHR can support this critical work:
1. Support whole-person care that addresses patients' complete health needs
CHC patients face complex, interconnected health needs. Research shows that more than 50% of Americans 65 or older have two or more chronic conditions, with rates climbing to 80% among those 85 and older.3
These patients aren't managing diabetes or hypertension in isolation. They're often navigating depression alongside chronic disease, financial insecurity that delays care, and social drivers — including food insecurity, inadequate housing, transportation barriers, and more — that compound health challenges. When care systems treat each issue separately, patients fall through the cracks.
Equitable care can help close these gaps by treating the whole person, not fragmented symptoms. This means integrating behavioral health and dental services into primary care workflows, connecting social needs screening to community resources, and coordinating across specialties and systems. Each is crucial to coordinating access to specialty care outside the CHC.
When a primary care provider treating diabetes can see their patient is also managing depression and has an upcoming dental procedure, they can make better care decisions. CHCs have been delivering this holistic, integrated care under one roof for decades, long before EHRs existed.
The real challenge is maintaining that seamless coordination when patients receive care outside your walls: at the emergency department, with specialists, at hospitals, or through community partners. When critical information lives in disconnected external systems, your holistic view fragments — unless your technology can bridge that gap.
athenaOne enables whole-person care through shared care plans across medical, behavioral health, and dental specialties, integrated social needs documentation, and coordinated workflows that keep every provider informed.
Health equity is operationalized through deliberate technology choices that remove real barriers to care.
2. Expand access through integrated telehealth
For many CHC patients, getting to an appointment means navigating transportation barriers, arranging childcare, or taking time off work — obstacles that are more pronounced in rural communities, where the closest doctor's office can be many miles away. When these barriers become overwhelming, patients risk missing care entirely.
Telehealth can expand access. But, too often, it creates new barriers for the patients CHCs serve. Patients without smartphones, those with limited digital literacy, or those who need interpretation services can be left behind by telehealth platforms designed for more affluent populations.
Equitable telehealth is integrated into care delivery, not bolted on as a separate platform. Patients can access care from home while providers maintain full continuity. Whether the visit happens in person or virtually, the same system documents it, ensuring providers always see the complete patient history.
When telehealth is accessible, it can help overcome distance barriers for rural health centers and provide flexibility for urban patients managing work and family obligations. But broadband access and technology availability remain significant barriers for many rural and underserved populations. This is why equitable telehealth must offer multiple access options, not just assume all patients have smartphones and high-speed internet.
With athenaTelehealth™, athenaOne's integrated telehealth solution, patients book virtual or in-person appointments through the same scheduling system, and providers document all care in one unified record. This means patients can see their provider virtually for routine follow-ups and come in-person only when clinically necessary, reducing travel without sacrificing care quality.
Virtual visits expand geographic access. Next, let's explore how flexible engagement channels meet diverse patient needs.
3. Meet diverse needs with flexible patient engagement options
Not all patients engage the same way. A tech-savvy Gen Z patient might book appointments via mobile app at midnight, while an older patient without reliable internet needs phone support during business hours. When systems force everyone down the same path, some patients inevitably fall through the cracks.
True equity requires multiple pathways for scheduling, communication, bill payment, and information access — and systems that honor patient preferences automatically. When patients can engage on their terms, they're more likely to schedule appointments, attend visits, and stay connected to their care team.
athenaOne offers multiple engagement pathways in one unified system: self-scheduling, mobile app access, patient portal, and phone support. Patients can book appointments online or call the front desk, based on their preferences. Digital check-in options help reduce wait times for those who want them, while staff support remains available for those who need it. Automated reminders reach patients via text, email, or voice based on their stated preferences.
Beyond communication preferences, equitable access addresses the full spectrum of patient health needs.
4. Enable CHCs to deliver affordable care to all with transparent, flexible payment options
The cost of living is rising, and patients across the country are making impossible choices: pay for a doctor's appointment or put food on the table. Cover a prescription or cover rent. When cost is a barrier to care, patients — regardless of income level — delay or skip necessary care, leading to worse health outcomes and higher costs down the line.
This challenge is particularly acute for CHC patients. Nearly 90% have incomes at or below 200% of the federal poverty level, meaning these impossible choices are a daily reality.4 Confusing bills and rigid payment options compound the problem, deterring patients from scheduling appointments, filling prescriptions, or returning for follow-up care. When patients can't understand what they owe or how to pay, they delay care until conditions worsen and costs escalate.
Affordability is essential to health equity. This means clear cost estimates before appointments, transparent billing statements, and flexible payment options that meet patients where they are financially. Efficient sliding fee scale eligibility determination and flexible payment plans reduce the immediate burden without adding shame or complexity.
athenaOne can support appropriate sliding fee scales with built-in eligibility tracking and automated workflows. Patient-friendly billing provides clear statements and flexible payment plans that can reduce collections burden while maintaining access. These financial workflows can reduce staff administrative strain while helping remove cost as an invisible barrier to care.
5. Remove language barriers with multilingual patient engagement tools
CHCs often serve patients speaking multiple languages. If your EHR and patient engagement tools don't support multilingual communication, patients risk missed appointments, medication errors, and confusion about bills or follow-up instructions.
Multilingual patient engagement tools solve this by capturing language preferences once and automatically applying them across every touchpoint. athenaOne stores these preferences in the patient record and delivers content in the patient's preferred language across scheduling, billing, clinical communications, and patient education without staff intervention.
Language accessibility is foundational, but it's just one barrier. Access also means meeting patients where they are, physically and digitally.
Your mission deserves the right technology partner
CHCs have always been at the forefront of serving diverse, underserved populations. But in today's evolving healthcare landscape, advancing that mission requires technology partners that don't just acknowledge health equity but actively enable it. The right EHR can help reduce obstacles across language access, patient engagement, care coordination, and financial navigation, empowering your team to deliver exceptional care to your patients.
athenaOne for Community Health Centers is purpose-built to support your equity-driven mission with tools designed for the populations you serve. From multilingual patient engagement to more efficient care coordination and financial assistance workflows, athenaOne helps you streamline your work, instead of creating new barriers to advancing equity.
Ready to see how athenaOne supports health equity in action? Request a demo or learn more about athenaOne for Community Health Centers.
More rural/underserved care resources
Continue exploring
- https://www.nachc.org/resource/americas-health-centers-by-the-numbers/
- https://www.accenture.com/content/dam/accenture/final/accenture-com/document-2/Health-Provider-Loyalty-Accenture.pdf
- https://www.cdc.gov/pcd/issues/2024/24_0060.htm
- https://www.kff.org/medicaid/community-health-center-patients-financing-and-services/?entry=health-center-patients-patient-demographics










