Which of the following is considered an internal trigger?

Internal triggers are factors that arise from within an organization and can influence its performance or operations. In this particular question, performance rate changes are an internal trigger because they directly reflect the organization’s own operational metrics and can indicate areas that require attention or improvement. These changes can highlight internal efficiency, quality of care, and workforce productivity, thereby prompting the organization to take specific actions or modifications.

Understanding performance rate changes as an internal trigger emphasizes that the organization has direct control over these metrics and can implement strategies accordingly. In contrast, customer feedback, strategic planning initiatives, and community health assessments are more external factors or processes that do not originate from the operational metrics of the organization itself. They provide valuable insights but are influenced by external interactions or conditions.