What gets in the way of your people doing a good job?

People can always do a good job in a variety of environments. However, the greater the bureacracy, the greater the difficulty in proceeding quickly on an initiative.  As a state government agency, we have to navigate legal, contractual, financial, and project oversight hurdles to move an enterprise initiative foward.  In an extreme case, the coordinate takes 12 months from the time we are allocated funds to the point where we can actually sign a contract and initiate a project.  This environment causes us to seek alternative ways to move efforts quickly. One of those alternatives is the use of existing contract vehicles to avoid a long procurement cycle

Inefficient resource allocation and time misallocation (often a result of changing priorities or unclear goals).

The most underrated aspect of our daily lives, irrespective of the job that involves computers, is the ability to get to the stuff you want quickly. We spend so much time looking for information in IT systems, emails, chat histories, OneDrive/Dropbox/Box, etc., that it is a shame that no one is focusing on helping us get the information we need quickly. 

A lack of clear understanding regarding ownership and accountability.

I'd go with constantly changing priorities. In the healthcare space this is very common. I have found for detail oriented developers it is sometimes a challenge to be in the healthcare space where projects and priorities tend to be in a grey area of sorts. It's also meant I've had to be adaptive in my strategies depending on person (more structure / less structure).