Clinics' experiences of inter-visit care centered on four major themes: 1) inadequacy of tools, 2) sequelae of poor interoperability, 3) reactive instead of proactive workflows, and 4) need for increased staff. All clinics devoted high levels of staffing resources to inter-visit care, and additional staff consistently demonstrated partial but appreciated improvements in task management. However, these solutions depended on manual chart review, were not scalable to increases in task volume, and often required higher-credentialed team members to remain involved in menial tasks.