Behavior is also maintained within an organization when influenced by natural (or intrinsic)
contingencies. Thus, when a particular behavior’s natural consequences are rewarding, external
contingencies (e.g., feedback from another source) are not necessary for motivation. This occurs,
notably, when physicians learn how to use CPOE and eventually find it more efficient and
reliable than ordering prescriptions by hand. However, it often takes time to experience the
intrinsic qualities that reinforce a behavior. People need to engage in a behavior fluently to
experience its inherent, beneficial consequences. This means that external contingencies are
often necessary to motivate the initiation of a target behavior.