Abstract: Objective The aim of this study was to develop a theory-based framework to enhance and accelerate development, selection, and implementation of solutions mitigating the climate impact of healthcare organizations. Materials and Methods Existing frameworks were combined to develop the Green-MIssion (Medical Informatics Solutions) framework. It was further developed and refined by mapping solutions from project plans and reviewing it with an expert panel. Results The framework classifies solutions into three categories: (1) monitor and measure environmental impact of a healthcare setting; (2) help create and increase awareness among employees and patients; and (3) interventions to reduce environmental impacts. Discussion and Conclusion The framework combines concepts from healthcare information technology and environmental sciences and can be used to structure green medical informatics solutions for different healthcare settings. Furthermore, research should evaluate its application for measuring and assessing the impact of green medical informatics solutions on environmental sustainability and climate resilience.
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