Barriers to Implementation of CQMS Identified in Existing Literature
| Barrier Type | Typical Issues |
|---|---|
| Situational | Time needed to implement, records conversion, adverse effect on workflow or efficiency, organizational structure, organizational culture, incentives |
| Cognitive/psychological | Lack of belief in value, need for control, anxiety over change, anxiety over technology |
| Liability | Privacy, security management, data integrity |
| Knowledge | Ability to evaluate and select systems, training |
| Financial | Start-up costs, training costs, uncertain or misaligned return on investment |
| Technology | Technical support, complexity, inflexibility of systems, customization limitations, reliability problems, data exchange problems |
| Workforce | Skillsets of physicians, staff skills, managerial/organizational support, leadership |