These could be political involving local, regional or even state politicians or bureaucracies. If certificate of need law still exists in your state, then the ability to enter a market without opposition is extremely important. Opposition can be expensive and time consuming and, in some cases, completely destroy the intent of the effort. The organization's past reputation and affiliations are of significance when seeking community support for a new service line or physical presence in a new market. Often considerable groundwork must be done to prepare the community for acceptance of your vision.
Capital can be a third major barrier to success.
Realistic expectations of capital requirements are very important. Many other barriers may occur depending upon the specific situation and ones antennas must be up to recognize them and realistically assess their magnitude as a part of the overall planning process. At times, physicians and the medical community may be a barrier to your endeavor. HealthCare Concepts uses unique approaches to assessing or evaluating physician support based on data available in many states' general public records. In our world of managed care and contracts for the provision of health services, it is difficult to maintain an assessment of physician practice patterns and loyalties.