She has been developing her skills in qualitative methods for more than 20 years, and has spent more than a decade studying primary care practices, with a focus on clinician-patient communication, practice change and improvement and health information technology use. She has been a Principal Investigator on several federal and foundation funded grants, leading mixed methods teams to understand and tackle the complicated problems related to implementing and disseminating new innovations and important quality improvements in primary care practice. Her work has focused on comparing the effectiveness of approaches for improving preventive services, health behavior and behavioral and mental health care in the primary care setting.