Table 1.

Potential challenges of digital clinic implementation and possible solutions

Challenges of implementing digital clinics	Example solutions
Stakeholder buy-in and support	Input from key stakeholders (i.e., patients, clinicians, clinic managers) from app design to clinical implementation
Clinical workflow	Redesigned clinics, Digital Navigator support, designing apps that integrate within existing provider workflow
Provider time and training	Digital Navigator support, provider training initiatives, and online resources (including sharing data regarding the effectiveness and acceptability of digital mental health care)
Digital data policy	Clear clinical policies, attention to safety planning, and following best practices for app use
Patient digital literacy and access to devices	Lifeline Program for low-income consumers, Digital Opportunities for Outcomes in Recovery Services (DOORS), Digital Navigator support, VA’s Digital Divide Consult, and Internet-Connected iPad Loaner Program
Selection of apps	Mobile Health and Index Navigation Database (MIND), Digital Navigator support, collection of free, evidence-based VA apps