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Transforming Care at UnityPoint Health - Fort Dodge SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Transforming Care at UnityPoint Health - Fort Dodge


This case details the transformation of a health care delivery system, UnityPoint Health - Fort Dodge, into a Pioneer Accountable Care Organization (ACO) after the passage of health reform in the United States. The case explores in detail how the hospital CEO and staff designed and implemented new models of care delivery and built relationships across health care delivery settings in an effort to better coordinate patient care and lower health care costs. Using patient stories, care delivery prior to the formation of the ACO is compared to care delivery after the formation of the ACO. Three novel programs that were cornerstones to transformation efforts are highlighted: 1) reducing readmissions; 2) creating advanced medical teams; and 3) creating a palliative care program.

Authors :: Amy C. Edmondson, Ashley-Kay Fryer, Morten T. Hansen

Topics :: Organizational Development

Tags :: Health, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Transforming Care at UnityPoint Health - Fort Dodge" written by Amy C. Edmondson, Ashley-Kay Fryer, Morten T. Hansen includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Care Aco facing as an external strategic factors. Some of the topics covered in Transforming Care at UnityPoint Health - Fort Dodge case study are - Strategic Management Strategies, Health and Organizational Development.


Some of the macro environment factors that can be used to understand the Transforming Care at UnityPoint Health - Fort Dodge casestudy better are - – customer relationship management is fast transforming because of increasing concerns over data privacy, increasing transportation and logistics costs, increasing household debt because of falling income levels, competitive advantages are harder to sustain because of technology dispersion, increasing government debt because of Covid-19 spendings, cloud computing is disrupting traditional business models, geopolitical disruptions, supply chains are disrupted by pandemic , increasing commodity prices, etc



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Introduction to SWOT Analysis of Transforming Care at UnityPoint Health - Fort Dodge


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Transforming Care at UnityPoint Health - Fort Dodge case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Care Aco, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Care Aco operates in.

According to Harvard Business Review, 75% of the managers use SWOT analysis for various purposes such as – evaluating current scenario, strategic planning, new venture feasibility, personal growth goals, new market entry, Go To market strategies, portfolio management and strategic trade-off assessment, organizational restructuring, etc.




SWOT Objectives / Importance of SWOT Analysis and SWOT Matrix


SWOT analysis of Transforming Care at UnityPoint Health - Fort Dodge can be done for the following purposes –
1. Strategic planning using facts provided in Transforming Care at UnityPoint Health - Fort Dodge case study
2. Improving business portfolio management of Care Aco
3. Assessing feasibility of the new initiative in Organizational Development field.
4. Making a Organizational Development topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Care Aco




Strengths Transforming Care at UnityPoint Health - Fort Dodge | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Care Aco in Transforming Care at UnityPoint Health - Fort Dodge Harvard Business Review case study are -

Operational resilience

– The operational resilience strategy in the Transforming Care at UnityPoint Health - Fort Dodge Harvard Business Review case study comprises – understanding the underlying the factors in the industry, building diversified operations across different geographies so that disruption in one part of the world doesn’t impact the overall performance of the firm, and integrating the various business operations and processes through its digital transformation drive.

Learning organization

- Care Aco is a learning organization. It has inculcated three key characters of learning organization in its processes and operations – exploration, creativity, and expansiveness. The work place at Care Aco is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Transforming Care at UnityPoint Health - Fort Dodge Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Successful track record of launching new products

– Care Aco has launched numerous new products in last few years, keeping in mind evolving customer preferences and competitive pressures. Care Aco has effective processes in place that helps in exploring new product needs, doing quick pilot testing, and then launching the products quickly using its extensive distribution network.

Diverse revenue streams

– Care Aco is present in almost all the verticals within the industry. This has provided firm in Transforming Care at UnityPoint Health - Fort Dodge case study a diverse revenue stream that has helped it to survive disruptions such as global pandemic in Covid-19, financial disruption of 2008, and supply chain disruption of 2021.

Ability to lead change in Organizational Development field

– Care Aco is one of the leading players in its industry. Over the years it has not only transformed the business landscape in its segment but also across the whole industry. The ability to lead change has enabled Care Aco in – penetrating new markets, reaching out to new customers, and providing different value propositions to different customers in the international markets.

Analytics focus

– Care Aco is putting a lot of focus on utilizing the power of analytics in business decision making. This has put it among the leading players in the industry. The technology infrastructure suggested by Amy C. Edmondson, Ashley-Kay Fryer, Morten T. Hansen can also help it to harness the power of analytics for – marketing optimization, demand forecasting, customer relationship management, inventory management, information sharing across the value chain etc.

Cross disciplinary teams

– Horizontal connected teams at the Care Aco are driving operational speed, building greater agility, and keeping the organization nimble to compete with new competitors. It helps are organization to ideate new ideas, and execute them swiftly in the marketplace.

Innovation driven organization

– Care Aco is one of the most innovative firm in sector. Manager in Transforming Care at UnityPoint Health - Fort Dodge Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Highly skilled collaborators

– Care Aco has highly efficient outsourcing and offshoring strategy. It has resulted in greater operational flexibility and bringing down the costs in highly price sensitive segment. Secondly the value chain collaborators of the firm in Transforming Care at UnityPoint Health - Fort Dodge HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Sustainable margins compare to other players in Organizational Development industry

– Transforming Care at UnityPoint Health - Fort Dodge firm has clearly differentiated products in the market place. This has enabled Care Aco to fetch slight price premium compare to the competitors in the Organizational Development industry. The sustainable margins have also helped Care Aco to invest into research and development (R&D) and innovation.

Training and development

– Care Aco has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Transforming Care at UnityPoint Health - Fort Dodge Harvard Business Review case study by analyzing – employees retention, in-house promotion, loyalty, new venture initiation, lack of conflict, and high level of both employees and customer engagement.

High switching costs

– The high switching costs that Care Aco has built up over years in its products and services combo offer has resulted in high retention of customers, lower marketing costs, and greater ability of the firm to focus on its customers.






Weaknesses Transforming Care at UnityPoint Health - Fort Dodge | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Transforming Care at UnityPoint Health - Fort Dodge are -

Skills based hiring

– The stress on hiring functional specialists at Care Aco has created an environment where the organization is dominated by functional specialists rather than management generalist. This has resulted into product oriented approach rather than marketing oriented approach or consumers oriented approach.

Lack of clear differentiation of Care Aco products

– To increase the profitability and margins on the products, Care Aco needs to provide more differentiated products than what it is currently offering in the marketplace.

High cash cycle compare to competitors

Care Aco has a high cash cycle compare to other players in the industry. It needs to shorten the cash cycle by 12% to be more competitive in the marketplace, reduce inventory costs, and be more profitable.

High dependence on star products

– The top 2 products and services of the firm as mentioned in the Transforming Care at UnityPoint Health - Fort Dodge HBR case study still accounts for major business revenue. This dependence on star products in has resulted into insufficient focus on developing new products, even though Care Aco has relatively successful track record of launching new products.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Transforming Care at UnityPoint Health - Fort Dodge, is just above the industry average. Care Aco needs to redesign the compensation structure and incentives to increase the revenue per employees. Some of the steps that it can take are – hiring more specialists on project basis, etc.

High bargaining power of channel partners

– Because of the regulatory requirements, Amy C. Edmondson, Ashley-Kay Fryer, Morten T. Hansen suggests that, Care Aco is facing high bargaining power of the channel partners. So far it has not able to streamline the operations to reduce the bargaining power of the value chain partners in the industry.

Products dominated business model

– Even though Care Aco has some of the most successful products in the industry, this business model has made each new product launch extremely critical for continuous financial growth of the organization. firm in the HBR case study - Transforming Care at UnityPoint Health - Fort Dodge should strive to include more intangible value offerings along with its core products and services.

No frontier risks strategy

– After analyzing the HBR case study Transforming Care at UnityPoint Health - Fort Dodge, it seems that company is thinking about the frontier risks that can impact Organizational Development strategy. But it has very little resources allocation to manage the risks emerging from events such as natural disasters, climate change, melting of permafrost, tacking the rise of artificial intelligence, opportunities and threats emerging from commercialization of space etc.

Interest costs

– Compare to the competition, Care Aco has borrowed money from the capital market at higher rates. It needs to restructure the interest payment and costs so that it can compete better and improve profitability.

Aligning sales with marketing

– It come across in the case study Transforming Care at UnityPoint Health - Fort Dodge that the firm needs to have more collaboration between its sales team and marketing team. Sales professionals in the industry have deep experience in developing customer relationships. Marketing department in the case Transforming Care at UnityPoint Health - Fort Dodge can leverage the sales team experience to cultivate customer relationships as Care Aco is planning to shift buying processes online.

Workers concerns about automation

– As automation is fast increasing in the segment, Care Aco needs to come up with a strategy to reduce the workers concern regarding automation. Without a clear strategy, it could lead to disruption and uncertainty within the organization.




Opportunities Transforming Care at UnityPoint Health - Fort Dodge | External Strategic Factors
What are Opportunities in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The opportunities highlighted in the Harvard Business Review case study Transforming Care at UnityPoint Health - Fort Dodge are -

Remote work and new talent hiring opportunities

– The widespread usage of remote working technologies during Covid-19 has opened opportunities for Care Aco to expand its talent hiring zone. According to McKinsey Global Institute, 20% of the high end workforce in fields such as finance, information technology, can continously work from remote local post Covid-19. This presents a really great opportunity for Care Aco to hire the very best people irrespective of their geographical location.

Using analytics as competitive advantage

– Care Aco has spent a significant amount of money and effort to integrate analytics and machine learning into its operations in the sector. This continuous investment in analytics has enabled, as illustrated in the Harvard case study Transforming Care at UnityPoint Health - Fort Dodge - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Care Aco to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Building a culture of innovation

– managers at Care Aco can make experimentation a productive activity and build a culture of innovation using approaches such as – mining transaction data, A/B testing of websites and selling platforms, engaging potential customers over various needs, and building on small ideas in the Organizational Development segment.

Redefining models of collaboration and team work

– As explained in the weaknesses section, Care Aco is facing challenges because of the dominance of functional experts in the organization. Transforming Care at UnityPoint Health - Fort Dodge case study suggests that firm can utilize new technology to build more coordinated teams and streamline operations and communications using tools such as CAD, Zoom, etc.

Creating value in data economy

– The success of analytics program of Care Aco has opened avenues for new revenue streams for the organization in the industry. This can help Care Aco to build a more holistic ecosystem as suggested in the Transforming Care at UnityPoint Health - Fort Dodge case study. Care Aco can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.

Finding new ways to collaborate

– Covid-19 has not only transformed business models of companies in Organizational Development industry, but it has also influenced the consumer preferences. Care Aco can tie-up with other value chain partners to explore new opportunities regarding meeting customer demands and building a rewarding and engaging relationship.

Reforming the budgeting process

- By establishing new metrics that will be used to evaluate both existing and potential projects Care Aco can not only reduce the costs of the project but also help it in integrating the projects with other processes within the organization.

Increase in government spending

– As the United States and other governments are increasing social spending and infrastructure spending to build economies post Covid-19, Care Aco can use these opportunities to build new business models that can help the communities that Care Aco operates in. Secondly it can use opportunities from government spending in Organizational Development sector.

Low interest rates

– Even though inflation is raising its head in most developed economies, Care Aco can still utilize the low interest rates to borrow money for capital investment. Secondly it can also use the increase of government spending in infrastructure projects to get new business.

Changes in consumer behavior post Covid-19

– Consumer behavior has changed in the Organizational Development industry because of Covid-19 restrictions. Some of this behavior will stay once things get back to normal. Care Aco can take advantage of these changes in consumer behavior to build a far more efficient business model. For example consumer regular ordering of products can reduce both last mile delivery costs and market penetration costs. Care Aco can further use this consumer data to build better customer loyalty, provide better products and service collection, and improve the value proposition in inflationary times.

Better consumer reach

– The expansion of the 5G network will help Care Aco to increase its market reach. Care Aco will be able to reach out to new customers. Secondly 5G will also provide technology framework to build new tools and products that can help more immersive consumer experience and faster consumer journey.

Loyalty marketing

– Care Aco has focused on building a highly responsive customer relationship management platform. This platform is built on in-house data and driven by analytics and artificial intelligence. The customer analytics can help the organization to fine tune its loyalty marketing efforts, increase the wallet share of the organization, reduce wastage on mainstream advertising spending, build better pricing strategies using personalization, etc.

Reconfiguring business model

– The expansion of digital payment system, the bringing down of international transactions costs using Bitcoin and other blockchain based currencies, etc can help Care Aco to reconfigure its entire business model. For example it can used blockchain based technologies to reduce piracy of its products in the big markets such as China. Secondly it can use the popularity of e-commerce in various developing markets to build a Direct to Customer business model rather than the current Channel Heavy distribution network.




Threats Transforming Care at UnityPoint Health - Fort Dodge External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Transforming Care at UnityPoint Health - Fort Dodge are -

Environmental challenges

– Care Aco needs to have a robust strategy against the disruptions arising from climate change and energy requirements. EU has identified it as key priority area and spending 30% of its 880 billion Euros European post Covid-19 recovery funds on green technology. Care Aco can take advantage of this fund but it will also bring new competitors in the Organizational Development industry.

Easy access to finance

– Easy access to finance in Organizational Development field will also reduce the barriers to entry in the industry, thus putting downward pressure on the prices because of increasing competition. Care Aco can utilize it by borrowing at lower rates and invest it into research and development, capital expenditure to fortify its core competitive advantage.

Aging population

– As the populations of most advanced economies are aging, it will lead to high social security costs, higher savings among population, and lower demand for goods and services in the economy. The household savings in US, France, UK, Germany, and Japan are growing faster than predicted because of uncertainty caused by pandemic.

Stagnating economy with rate increase

– Care Aco can face lack of demand in the market place because of Fed actions to reduce inflation. This can lead to sluggish growth in the economy, lower demands, lower investments, higher borrowing costs, and consolidation in the field.

New competition

– After the dotcom bust of 2001, financial crisis of 2008-09, the business formation in US economy had declined. But in 2020 alone, there are more than 1.5 million new business applications in United States. This can lead to greater competition for Care Aco in the Organizational Development sector and impact the bottomline of the organization.

Shortening product life cycle

– it is one of the major threat that Care Aco is facing in Organizational Development sector. It can lead to higher research and development costs, higher marketing expenses, lower customer loyalty, etc.

Technology disruption because of hacks, piracy etc

– The colonial pipeline illustrated, how vulnerable modern organization are to international hackers, miscreants, and disruptors. The cyber security interruption, data leaks, etc can seriously jeopardize the future growth of the organization.

Barriers of entry lowering

– As technology is more democratized, the barriers to entry in the industry are lowering. It can presents Care Aco with greater competitive threats in the near to medium future. Secondly it will also put downward pressure on pricing throughout the sector.

Regulatory challenges

– Care Aco needs to prepare for regulatory challenges as consumer protection groups and other pressure groups are vigorously advocating for more regulations on big business - to reduce inequality, to create a level playing field, to product data privacy and consumer privacy, to reduce the influence of big money on democratic institutions, etc. This can lead to significant changes in the Organizational Development industry regulations.

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, Care Aco can face downward pressure on margins from increasing competition from international players. The international players have stable revenue in their home market and can use those resources to penetrate prominent markets illustrated in HBR case study Transforming Care at UnityPoint Health - Fort Dodge .

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Care Aco in the Organizational Development industry. The Organizational Development industry is already at various protected from local competition in China, with the rise of trade war the protection levels may go up. This presents a clear threat of current business model in Chinese market.

Capital market disruption

– During the Covid-19, Dow Jones has touched record high. The valuations of a number of companies are way beyond their existing business model potential. This can lead to capital market correction which can put a number of suppliers, collaborators, value chain partners in great financial difficulty. It will directly impact the business of Care Aco.

High dependence on third party suppliers

– Care Aco high dependence on third party suppliers can disrupt its processes and delivery mechanism. For example -the current troubles of car makers because of chip shortage is because the chip companies started producing chips for electronic companies rather than car manufacturers.




Weighted SWOT Analysis of Transforming Care at UnityPoint Health - Fort Dodge Template, Example


Not all factors mentioned under the Strengths, Weakness, Opportunities, and Threats quadrants in the SWOT Analysis are equal. Managers in the HBR case study Transforming Care at UnityPoint Health - Fort Dodge needs to zero down on the relative importance of each factor mentioned in the Strengths, Weakness, Opportunities, and Threats quadrants. We can provide the relative importance to each factor by assigning relative weights. Weighted SWOT analysis process is a three stage process –

First stage for doing weighted SWOT analysis of the case study Transforming Care at UnityPoint Health - Fort Dodge is to rank the strengths and weaknesses of the organization. This will help you to assess the most important strengths and weaknesses of the firm and which one of the strengths and weaknesses mentioned in the initial lists are marginal and can be left out.

Second stage for conducting weighted SWOT analysis of the Harvard case study Transforming Care at UnityPoint Health - Fort Dodge is to give probabilities to the external strategic factors thus better understanding the opportunities and threats arising out of macro environment changes and developments.

Third stage of constructing weighted SWOT analysis of Transforming Care at UnityPoint Health - Fort Dodge is to provide strategic recommendations includes – joining likelihood of external strategic factors such as opportunities and threats to the internal strategic factors – strengths and weaknesses. You should start with external factors as they will provide the direction of the overall industry. Secondly by joining probabilities with internal strategic factors can help the company not only strategic fit but also the most probably strategic trade-off that Care Aco needs to make to build a sustainable competitive advantage.



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