Assume that you are the administrator of a fictitious organization of your choice.  The organization can be any type of health care organization such as a hospital, nursing home, rehabilitation center, clinic, etc. As the administrator, you are faced with the challenges of declining reimbursements from insurance providers and increasing demands for patient services due to dramatic changes in the external environment. Such changes include those imposed by the Patient Protection and Affordable Care Act.

Your first step in evaluating the position of your organization will be conducting an environmental analysis. The purpose of this is to determine your organization's ability to continue to provide quality care and remain financially solvent in the face of these challenges.

Write a six to eight (6-8) page paper in which you:

1. Determine two (2) specific forces in the external environment that will have the most impact on your organization. Provide a rationale for your decision.
2. Determine two (2) specific internal factors that the organization's leaders need to consider in preparing for the future of health care and the future of the organization. Provide a rationale for your decision.
3. Discuss the impact of both the identified internal and external forces on the organization's ability to develop a competitive strategy.
4. Recommend one (1) strategy that involves the organization's managers in implementing and maintaining the momentum of the strategic plan.
5. Use at least three (3) quality academic resources in this assignment. 

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format.
• Include a cover page containing the title of the assignment. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Differentiate between strategic management, strategic thinking, strategic planning, and managing strategic momentum.
• Analyze the significance of the external environment's impact on health care organizations.
• Examine the purpose and importance of service area competitor analysis.
• Examine the role of internal environmental analysis in identifying the basis for sustained competitive advantage.
• Use technology and information resources to research issues in the strategic management of health care organizations.
• Write clearly and concisely about strategic management of health care organizations using proper writing mechanics