Within the last 10 years, the health care industry has seen big changes, not only in philosophy, but also with the implementation of the Affordable Care Act. There have been changes in political, economic, social, technological, legal, and environmental factors that influence strategic planning. Americans desire increased quality patient care, wellness, and prevention programs. Health care organizations are seeing changes in volume and demographics related to their patients, along with labor and technologies related to the health care organization.

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