An analysis of current practices and the operating environment should accompany the strategic plan. Many organizations use a standard SWOT (Strengths, Weaknesses, Opportunities and Threats) analysis, or an organization’s leaders may choose to use an assessment tool specifically designed for healthcare reform transformation efforts. Several strategic assessment tools are available to organizations. Some are free, while others are available for a fee. Be a conscientious consumer when selecting the tool that best meets the needs of your organization. Free tools may come with hidden costs. For example, tools found on the Internet may appear to be free, but in.