Assume that you are the administrator of No Place like Home Nursing and Rehab Center ( fictitious ). 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 No Place like Home Nursing and Rehab Center will be conducting an environmental analysis. The purpose of this is to determine 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:
Determine two (2) specific forces in the external environment that will have the most impact No Place like Home Nursing and Rehab Center. Provide a rationale for your decision.

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.

Discuss the impact of both the identified internal and external forces on the No Place like Home Nursing and Rehab Center ability to develop a competitive strategy.

Recommend one (1) strategy that involves the No Place like Home Nursing and Rehab Center managers in implementing and maintaining the momentum of the strategic plan.

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