The Covid-19 pandemic is testing the resilience of health care systems around the world, including Dr Moewardi Hospital Surakarta. The ability to respond and determine strategies quickly and accurately is the key so that we can get through this crisis well. This study aims to analyze internal and external environmental factors, formulate and analyze priority strategies in improving the quality of services at RSUD Dr. Moewardi Surakarta during the covid-19 pandemic. This research design uses quantitative descriptive with ex post facto design. Sources of data come from primary data and secondary data both internal and external. The number of samples in this study were 12 respondents based on inclusion and exclusion criteria originating from internal and external. Data analysis using SWOT and AHP methods. The results of the study obtained a score of SO strategy with a value of 4.245, CR Criteria for Internal and External Factors ≤ 0.1, its mean a strategy that utilizes internal strengths (strengths) and takes advantage of external opportunities (Opportunity). It is recommended for hospitals in the service of COVID-19 patients to provide facilities and infrastructure as well as human resources both in terms of quality and quantit