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Political forces that can have an influence on the development of this clinic could be how much the states budget allocated to healthcare and how that money is distributed amongst the state. It can also determine what positions can be funded, what equipment will be purchased, what programs should be adopted, and which current programs should be dropped. Social forces that can influence the development of this clinic include traditions, values, and social trends of its community and patients. Its location could also have an influence because if it is in a poor location where the population is small, services may not be in high demand. It is very important that the stakeholders assess the changing values, attitudes, and demographic characteristic to continue providing optimal care. Depending on the nature of the local economy, wage rates, disposable income, unemployment and transportation can all have an economic influence on the development of a clinic.

The mission statement should be to continuously improve the quality of health services provided to the communities they serve by creating an environment that promotes physician participation, recognizes the value and contributions of the employees, and strives to meet the unique healthcare needs of our local communities. The goal should be to provide excellent physical, emotional and spiritual care for each patient and their families, build a work environment where each person is valued, respected and has an opportunity for personal and professional growth, strengthen relationships with universities, colleges, other hospitals, agencies and the community.

There are several issues that would be valuable to consider in identifying candidate measurement areas and developing performance measures for the hospital outpatient setting, including:
The type of care and services delivered in the hospital

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