Table 4.

Results of the SWOT analysis, CHCD

Strengths	Weakness
Has abundant prior experience with CQI; Has a strong support of the clinic leadership and Nursing Practice Corporation board of directors; Has high-speed internet connectivity as part of the university network; The College of Nursing provides reliable IT support.	Outdated computer hardware needs to be completely replaced before implementation; A majority of current staff have limited computer literacy; Initial funds were provided by a federal grant; future financial support is uncertain and not guaranteed.

Opportunities	Threats
Improves CQI practice and tracking of clinic utilization; Increases competiveness in securing extramural grants; Improves health promotion, preventive care, and population health management; Improves revenue cycle; Supports the creation of a patient portal for a computer-savvy student population.	Long-term maintenance costs can be difficult to afford if the clinic is unable to establish a stable funding stream; Individual clinicians have difficulty with adapting to new technologies and new workflow requirements.

CHCD, Campus Health Center, Detroit; CQI, continuous quality improvement; SWOT, strengths, weaknesses, opportunities and threats.