An investigation of the information technology needs associated with delivering chronic disease care to large clinical populations.

•The growing number of individuals with complex medical and social needs has motivated the adoption of care management (CM) – programs wherein multidisciplinary teams coordinate to address the needs of high-need, high-risk patients through proactive care.•Despite claims that health information technology (IT) is essential to CM, there has been limited research focused on the IT needs of clinicians providing care management to large groups of patients with chronic disease.•Clinicians delivering care management to chronic disease patients are not adequately supported by electronic health records and patient registries.•IT systems that facilitate communication between providers and provide decision support resources that help address psychosocial barriers to treatment could enable more effective care.