Primary care is a practice of adapting to unpredictability, and the clinical staff has been entrusted to process rising volumes of patients. Clinical and non-clinical staff attempt to alleviate cumbersome information transfer and documentation processes that are complicated by the introduction of digital information systems. To assess how practice staff understand connectedness and communication in workflow streamlining, transcripts of interviews with 39 members of five small and medium-sized rural primary practices who were engaged in workflow assessment were interpreted for thematic content.