The hospital, as an open system, affects and is affected by the surrounding environment; it is incumbent on staff to monitor and continuously track the variables contained in order to extrapolate the future and adapt as much as possible in order to provide health services to the community. Hospital organizations are open to the community with all its personnel, equipment and different resources. It takes input from, and provides outputs to, the environment.

The project has the context of a complex economic, environmental, political, technological, legal, and social world. The IMC hospital has different levels of environmental changes. In addition, it has different levels of challenge. There are many environmental variables that will increase opportunities for the hospital while others will exert threats, or both.

Figure. Layers of the business environment