HMIS implementation often carries with it great expectations. It is not unusual, for instance, to find that many endusers who have little or no direct involvement with system development become disappointed with the final results of HMIS implementation because the:

C$.$ health maintenance organizations $($HMOs$)$ are participating.

D$.$ demand on print materials is high.

A$.$ end product does not match their expectations.

B$.$ return on investment $($ROI$)$ is higher than expected.