“…A recent comprehensive review classified barriers to ROM implementation in three categories: related to the patient/clinician (eg, concerns about confidentiality, beliefs that measures are no better than clinical judgement), organization (eg, a lack of training resources), and system (eg, norms around ROM, competing demands) 40 . More specifically, studies have identified barriers, including a lack of information technology, 41‐43 time burden, 42,44‐46 perceived lack of measure validity/relevance, 34,42,44,45,47,48 lack of leadership commitment, 42‐44,49 lack of training, 41,43,45,47,50 and fear of how outcomes might be used 42,44 …”