This document discusses setup and maintenance factors of adaptive case management (ACM) systems. It begins with an introduction to ACM concepts and how they differ from traditional business process management (BPM) approaches. The document then outlines several key factors for setting up and maintaining an ACM system, including preliminary setup activities, allowing users to modify tasks and add new ones at runtime, and enabling performers to create new process templates from their work. It also provides an example case study of using ACM for contract negotiations.