At NextGen Healthcare, our mission is to help practices like yours achieve better healthcare outcomes for all. Sounds great—but what will make these lofty words a meaningful reality? As a health IT professional and physician, this question matters a great deal to me. What conditions are necessary for my colleagues and me to become effective partners with the medical practices we serve in ameliorating the pain points of a troubled healthcare system? A recent study suggests that the answer comes down to two key factors. Change isn’t easy or always welcome. The first necessary ingredient is a motivating force. Medical practice administrators, physicians, and staff need good reasons to accept and implement changes. Motivation in healthcare comes from one of two sources—the drive to improve patient well-being and quality of life or the desire for financial survival and growth. Right now, economic forces such as cost pressure and consolidation, are pounding at the doorway of independent medical practice.