In the introduction section, we briefly touched upon the internal and external forces acting on the organization. The nature of these forces may be different across industries and may change time-to-time even for the same organization.

Let us list out the typical internal and external forces that are acting on a 100 bed hospital. The internal forces that are acting on an organization refers to the forces that emanate from people, process and systems inside the organization such as

• The quality policy of the hospital set by the top management
• The working conditions expected by the employees of the hospital
• The revenue expectations from the investors etc.

On the other hand, the external forces are,

• The directions issued by the regulatory bodies at the union, state and local governments
• The diagnosis, treatment and customer service expectations of the customers
• The issues raised by social activists
• The bio-medical waste related directions from government and protest by the locality
• The advancement in treatment and technology trends in the healthcare industry
• The marketing and promotions by competitor etc.

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