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Cleveland Clinic Heart Center: A Legacy of Excellence SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Cleveland Clinic Heart Center: A Legacy of Excellence


This case is about the history, achievements, and problems of a uniquely run medical institution. It has become an award-winning, world-class institution through emphasis on and nurturing of talented, hard-working, and salaried doctors; a culture of excellence and innovation; and teamwork. In recent years, as competition for patients grew, funding and reimbursement diminished, and patients demanded better service, the center has had to find ways to provide better patient service in order to maintain its competitive edge.

Authors :: Alexander Horniman, Kent Locklear

Topics :: Organizational Development

Tags :: Customer service, Product development, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Cleveland Clinic Heart Center: A Legacy of Excellence" written by Alexander Horniman, Kent Locklear includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Excellence Institution facing as an external strategic factors. Some of the topics covered in Cleveland Clinic Heart Center: A Legacy of Excellence case study are - Strategic Management Strategies, Customer service, Product development and Organizational Development.


Some of the macro environment factors that can be used to understand the Cleveland Clinic Heart Center: A Legacy of Excellence casestudy better are - – digital marketing is dominated by two big players Facebook and Google, challanges to central banks by blockchain based private currencies, cloud computing is disrupting traditional business models, supply chains are disrupted by pandemic , competitive advantages are harder to sustain because of technology dispersion, wage bills are increasing, there is backlash against globalization, increasing government debt because of Covid-19 spendings, increasing household debt because of falling income levels, etc



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Introduction to SWOT Analysis of Cleveland Clinic Heart Center: A Legacy of Excellence


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Cleveland Clinic Heart Center: A Legacy of Excellence case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Excellence Institution, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Excellence Institution 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 Cleveland Clinic Heart Center: A Legacy of Excellence can be done for the following purposes –
1. Strategic planning using facts provided in Cleveland Clinic Heart Center: A Legacy of Excellence case study
2. Improving business portfolio management of Excellence Institution
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 Excellence Institution




Strengths Cleveland Clinic Heart Center: A Legacy of Excellence | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Excellence Institution in Cleveland Clinic Heart Center: A Legacy of Excellence Harvard Business Review case study are -

Operational resilience

– The operational resilience strategy in the Cleveland Clinic Heart Center: A Legacy of Excellence 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.

Sustainable margins compare to other players in Organizational Development industry

– Cleveland Clinic Heart Center: A Legacy of Excellence firm has clearly differentiated products in the market place. This has enabled Excellence Institution to fetch slight price premium compare to the competitors in the Organizational Development industry. The sustainable margins have also helped Excellence Institution to invest into research and development (R&D) and innovation.

Successful track record of launching new products

– Excellence Institution has launched numerous new products in last few years, keeping in mind evolving customer preferences and competitive pressures. Excellence Institution 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.

Innovation driven organization

– Excellence Institution is one of the most innovative firm in sector. Manager in Cleveland Clinic Heart Center: A Legacy of Excellence Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Digital Transformation in Organizational Development segment

- digital transformation varies from industry to industry. For Excellence Institution digital transformation journey comprises differing goals based on market maturity, customer technology acceptance, and organizational culture. Excellence Institution has successfully integrated the four key components of digital transformation – digital integration in processes, digital integration in marketing and customer relationship management, digital integration into the value chain, and using technology to explore new products and market opportunities.

High brand equity

– Excellence Institution has strong brand awareness and brand recognition among both - the exiting customers and potential new customers. Strong brand equity has enabled Excellence Institution to keep acquiring new customers and building profitable relationship with both the new and loyal customers.

Analytics focus

– Excellence Institution 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 Alexander Horniman, Kent Locklear 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.

Ability to recruit top talent

– Excellence Institution is one of the leading recruiters in the industry. Managers in the Cleveland Clinic Heart Center: A Legacy of Excellence are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Ability to lead change in Organizational Development field

– Excellence Institution 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 Excellence Institution in – penetrating new markets, reaching out to new customers, and providing different value propositions to different customers in the international markets.

High switching costs

– The high switching costs that Excellence Institution 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.

Learning organization

- Excellence Institution 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 Excellence Institution is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Cleveland Clinic Heart Center: A Legacy of Excellence Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Strong track record of project management

– Excellence Institution is known for sticking to its project targets. This enables the firm to manage – time, project costs, and have sustainable margins on the projects.






Weaknesses Cleveland Clinic Heart Center: A Legacy of Excellence | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Cleveland Clinic Heart Center: A Legacy of Excellence are -

High dependence on star products

– The top 2 products and services of the firm as mentioned in the Cleveland Clinic Heart Center: A Legacy of Excellence 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 Excellence Institution has relatively successful track record of launching new products.

No frontier risks strategy

– After analyzing the HBR case study Cleveland Clinic Heart Center: A Legacy of Excellence, 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.

Slow decision making process

– As mentioned earlier in the report, Excellence Institution has a very deliberative decision making approach. This approach has resulted in prudent decisions, but it has also resulted in missing opportunities in the industry over the last five years. Excellence Institution even though has strong showing on digital transformation primary two stages, it has struggled to capitalize the power of digital transformation in marketing efforts and new venture efforts.

Products dominated business model

– Even though Excellence Institution 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 - Cleveland Clinic Heart Center: A Legacy of Excellence should strive to include more intangible value offerings along with its core products and services.

Need for greater diversity

– Excellence Institution has taken concrete steps on diversity, equity, and inclusion. But the efforts so far has resulted in limited success. It needs to expand the recruitment and selection process to hire more people from the minorities and underprivileged background.

Ability to respond to the competition

– As the decision making is very deliberative, highlighted in the case study Cleveland Clinic Heart Center: A Legacy of Excellence, in the dynamic environment Excellence Institution has struggled to respond to the nimble upstart competition. Excellence Institution has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.

Skills based hiring

– The stress on hiring functional specialists at Excellence Institution 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.

Interest costs

– Compare to the competition, Excellence Institution 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.

Increasing silos among functional specialists

– The organizational structure of Excellence Institution is dominated by functional specialists. It is not different from other players in the Organizational Development segment. Excellence Institution needs to de-silo the office environment to harness the true potential of its workforce. Secondly the de-silo will also help Excellence Institution to focus more on services rather than just following the product oriented approach.

Workers concerns about automation

– As automation is fast increasing in the segment, Excellence Institution 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.

High bargaining power of channel partners

– Because of the regulatory requirements, Alexander Horniman, Kent Locklear suggests that, Excellence Institution 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.




Opportunities Cleveland Clinic Heart Center: A Legacy of Excellence | 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 Cleveland Clinic Heart Center: A Legacy of Excellence are -

Low interest rates

– Even though inflation is raising its head in most developed economies, Excellence Institution 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.

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. Excellence Institution can tie-up with other value chain partners to explore new opportunities regarding meeting customer demands and building a rewarding and engaging relationship.

Loyalty marketing

– Excellence Institution 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.

Increase in government spending

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

Use of Bitcoin and other crypto currencies for transactions

– The popularity of Bitcoin and other crypto currencies as asset class and medium of transaction has opened new opportunities for Excellence Institution in the consumer business. Now Excellence Institution can target international markets with far fewer capital restrictions requirements than the existing system.

Better consumer reach

– The expansion of the 5G network will help Excellence Institution to increase its market reach. Excellence Institution 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.

Lowering marketing communication costs

– 5G expansion will open new opportunities for Excellence Institution in the field of marketing communication. It will bring down the cost of doing business, provide technology platform to build new products in the Organizational Development segment, and it will provide faster access to the consumers.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Excellence Institution can build a diversified supply chain model across various countries in - South East Asia, India, and other parts of the world. This reconfiguration of global supply chain can help, as suggested in case study, Cleveland Clinic Heart Center: A Legacy of Excellence, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Remote work and new talent hiring opportunities

– The widespread usage of remote working technologies during Covid-19 has opened opportunities for Excellence Institution 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 Excellence Institution to hire the very best people irrespective of their geographical location.

Learning at scale

– Online learning technologies has now opened space for Excellence Institution to conduct training and development for its employees across the world. This will result in not only reducing the cost of training but also help employees in different part of the world to integrate with the headquarter work culture, ethos, and standards.

Building a culture of innovation

– managers at Excellence Institution 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.

Reforming the budgeting process

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

Redefining models of collaboration and team work

– As explained in the weaknesses section, Excellence Institution is facing challenges because of the dominance of functional experts in the organization. Cleveland Clinic Heart Center: A Legacy of Excellence 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.




Threats Cleveland Clinic Heart Center: A Legacy of Excellence External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Cleveland Clinic Heart Center: A Legacy of Excellence are -

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 Excellence Institution in the Organizational Development sector and impact the bottomline of the organization.

Technology acceleration in Forth Industrial Revolution

– Excellence Institution has witnessed rapid integration of technology during Covid-19 in the Organizational Development industry. As one of the leading players in the industry, Excellence Institution needs to keep up with the evolution of technology in the Organizational Development sector. According to Mckinsey study top managers believe that the adoption of technology in operations, communications is 20-25 times faster than what they planned in the beginning of 2019.

Barriers of entry lowering

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

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.

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 Excellence Institution.

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.

Regulatory challenges

– Excellence Institution 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.

High level of anxiety and lack of motivation

– the Great Resignation in United States is the sign of broader dissatisfaction among the workforce in United States. Excellence Institution needs to understand the core reasons impacting the Organizational Development industry. This will help it in building a better workplace.

High dependence on third party suppliers

– Excellence Institution 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.

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Excellence Institution 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.

Consumer confidence and its impact on Excellence Institution demand

– There is a high probability of declining consumer confidence, given – high inflammation rate, rise of gig economy, lower job stability, increasing cost of living, higher interest rates, and aging demography. All the factors contribute to people saving higher rate of their income, resulting in lower consumer demand in the industry and other sectors.

Stagnating economy with rate increase

– Excellence Institution 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.

Shortening product life cycle

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




Weighted SWOT Analysis of Cleveland Clinic Heart Center: A Legacy of Excellence 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 Cleveland Clinic Heart Center: A Legacy of Excellence 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 Cleveland Clinic Heart Center: A Legacy of Excellence 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 Cleveland Clinic Heart Center: A Legacy of Excellence 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 Cleveland Clinic Heart Center: A Legacy of Excellence 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 Excellence Institution needs to make to build a sustainable competitive advantage.



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