Disruptive Innovation: Implementation of Electronic Consultations in a Veterans Affairs Health Care System

Gouri Gupte   ^{1 *} , PhD,MHA ;   Varsha Vimalananda   ^{2, 3 *} , MD ;   Steven R Simon   ^{4, 5, 6, 7 *} , MD,MPH ;   Katerina DeVito   ^{8 *} , MSc ;   Justice Clark   ⁵ , BS ;   Jay D Orlander   ^{5, 9 *} , MD,MPH

¹ School of Public Health, Department of Health Policy and Management, Boston University, Boston, MA, United States

² Center for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers Memorial Veterans Affairs Medical Center, Bedford, MA, United States

³ Section of Endocrinology, Diabetes and Metabolism, School of Medicine, Boston University, Boston, MA, United States

⁴ VA Boston Healthcare System, Center for Healthcare Organization and Implementation Research (CHOIR), Boston, MA, United States

⁵ VA Boston Healthcare System, Section of General Internal Medicine, Boston, MA, United States

⁶ Brigham and Women’s Hospital, Division of General Internal Medicine and Primary Care, Boston, MA, United States

⁷ Brigham & Women's Hospital, Boston, MA, United States

⁸ Harvard School of Public Health, Department of Nutrition, Boston, MA, United States

⁹ School of Medicine, Section of General Internal Medicine, Boston University, Boston, MA, United States

*these authors contributed equally