The current state of the U.S. health care system is complex and limit access to care to many consumers, thus compromising their health outcomes. The problems of limited access and questionable quality can be addressed by focusing on enhancing the primary health care field. Improvements in both the access and performance of primary health care agencies, derive in better health outcomes and cost savings to the system in the long-term. Disruptive innovations, that make products and services simpler and more affordable, are adopted in agencies and potentially improve access and performance measures. However, the adoption of disruptive innovations in local health care agencies delivering primary care has not been explored yet. This qualitative study with a Grounded Theory design, aimed at inductively developing a process model about the adoption of disruptive innovations in local health care agencies delivering primary care. The process model was generated by interviewing 30 participants, which are the representatives of potentially disruptive health care agencies in El Paso, Texas. The semi-structured interview guide was created according to an integrated framework for the study of change and innovations in agencies. The findings of this study are of the interest of several stakeholders and have a direct application for generating efficiencies in the local health care market
