Using professional, personal, or academic experience, describe the operations management (OM) framework or environment

Using professional, personal, or academic experience, describe the operations management (OM) framework or environment in which you work (HEALTHCARE FILED) or are most familiar with. Briefly discuss those key factors that drove change in the OM environment in which you work (HEALTHCARE FIELD). Note the general nature of these factors, such as technology, economic, political, or other.