this is an example of a subject in a paper I am doing. Where do I start?

this is an example of a subject in a paper I am doing. Where do I start?Your management staff needs a better understanding of factors that would inhibit implementation of a Quality Assurance program at their hospital. Identify and describe at least 10 factors that could inhibit implementation of a quality assurance (QA) program at the hospital. Identify the characteristics, defense mechanisms, and behaviors that the hospital may observe when implementing a new QA process. Provide at least three suggestions of how the hospital can minimize the resistance to change in their organization.