Ambulatory providers have experienced significant change over the past decade as advances in health information technology (HIT) have sought to transform the way care is provided. The COVID-19 pandemic has further influenced this transformation with the rapid adoption of new tools, and increased patient expectations about how technology should improve the access, availability and continuity of care received from their provider. To fully understand the challenges and best practices for HIT adoption in ambulatory care settings, NextGen Healthcare commissioned Xtelligent Healthcare Media to conduct a survey of leaders at these healthcare organizations. The survey is one of a quarterly series to monitor HIT adoption and key trends in ambulatory facilities. This quarter's report emphasized patient engagement solutions to understand the technology's relationship with overall HIT strategies. Results highlight four key trends: 1. HIT solutions need to be integrated with existing technology systems to be optimized 2. Provider burden is eased with the right HIT solution 3. Patient engagement HIT solutions enable financial success and patient access 4. Successful patient engagement solutions also ease provider burden Challenges to patient engagement technology adoption parallel that of general HIT adoption. Regardless of the specific technology, successful rollout and optimization in an ambulatory care setting depend on integrating existing systems to ease provider burden, enable financial success, and improve patient access.