TACC’s research agenda will focus on generating actionable evidence to strengthen telehealth access, quality, and equity across Hawai‘i, with particular attention to rural and neighbor-island communities. Core lines of inquiry include: 

1. Telehealth access and utilization patterns by geography and population (e.g., modality mix, timeliness, completion, and follow-up)

2. Telehealth quality and outcomes, including continuity of care, clinical appropriateness, and patient-reported experience

3. Equity and disparity analyses to identify where telehealth is reducing versus reproducing gaps (e.g., broadband/device constraints, language access, disability access, and digital literacy)

4. Implementation and workflow effectiveness across telehealth centers (staffing models, referral pathways, scheduling, and care coordination)

5. The impact of targeted improvement strategies identified through Rapid Cycle Assessments, including training and technical assistance, on measurable performance indicators over time

6. Geospatial (GIS) analyses that quantify how place shapes access and outcomes—such as travel time or distance to in-person healthcare resources, proximity to telehealth-enabled sites and hubs, broadband coverage and digital access constraints, and “service deserts” where telehealth may offer the highest marginal benefit. 

TACC will prioritize mixed-methods studies that pair dashboard analytics with focused qualitative inquiry, produce quarterly briefs and annual syntheses, and translate findings into practical measurement guidance and policy-ready recommendations for state and community partners.