The document discusses making the move to an enterprise clinical trial management system (CTMS) for organizations of any size. It outlines key indicators that a CTMS is needed, such as rapid growth, increased trial complexity, and a desire for real-time data integration. An internal analysis of current processes and identification of stakeholders and requirements is recommended. Selection considerations include system performance, customization options, and integration capabilities. The conclusion emphasizes analyzing needs, obtaining funding approval, and choosing a system and implementation partner carefully.