Table 5

Five most frequently mentioned barriers and facilitators for implementing chronic care management processes (opinions of a total of 41 chief executive officers, chief medical officers, and chief information officers from nine physician organisations)

No of mentions*
Lack of financial and staff resources15
Lack of an adequate clinical information system14
Doctors are too busy9
Providers are not paid more for providing high quality care7
Doctors resist change7
Organisational culture supports quality improvement16
Existing electronic medical record or information system16
Supportive managerial and medical leadership16
Support from external organisations such as health plans9
Organisation's strategic plan9
  • * No of respondents who mentioned a particular factor as a barrier or facilitator for implementing care management processes.