Training needsChange managementAn organization generally has two ways to raise the level of individual performance: by increasing motivation, the desire of each person to do their job well , and increasing individual capabilities, and this is where training comes in. Training is undoubtedly the most important aspect of a successful implementation. Training provides employees with the information and practices they will need to perform their duties effectively, accurately and professionally. This guide is essential to providing employees with the correct information and confidence to participate fully. As part of the development plan for training employees on telehealth implementation, Capstone Health Consultants recommends that one of Utopia Medical Center's initial steps is to conduct an assessment of how the change is being managed with its organization and branch clinics. Change, by definition, means replacing the past with the future, hopefully with some benefit in mind. Unfortunately, not everyone sees or understands the benefits of the changes or improvements an organization may want to make. Sometimes, in any context there is a certain inertia, built in resistance to the forces that oppose any significant change or disturbance of the status quo. (Andrews 2010) The ability to predict what the barriers to change are in a specific situation is a necessary part of planned change. By taking special steps to resolve, eliminate, or weaken these barriers, organizations can make things happen more quickly, smoothly, and with less trauma for their employees. (Andrews 2010) Leaders should expect some resistance to management-induced changes. Albrecht describes “beaten up” syndrome as a syndrome characterized by performance on more than one measure. No ability was associated with depression treatment performance or overuse. Limitation: The structural capacities of primary care practices were assessed using a physician survey. Conclusion: Among investigated structural capabilities of primary care practices, electronic health records were associated with higher performance on multiple HEDIS measures. Overall, the modest magnitude and limited number of associations between structural capabilities and clinical performance suggest the importance of continuing to measure the processes and outcomes of patient care. Primary funding source: The Commonwealth Fund. Lipscomb, JPY, K Robin PhD; Brown, Martin L. Ph.D.; Lawrence, William MD, MS; Barnett, Paul G. PhD (2009). “Health Care Costs: Data, Methods, Current Applications.” Medical Care 47(7): S1-S6.