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Implementing a Patient-Centered Medical Home on Mount Desert Island SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Implementing a Patient-Centered Medical Home on Mount Desert Island


This case presents organizational challenges facing a physician champion of the Patient-Centered Medical Home (PCMH). Dr. Julian Kuffler, working with his employer, the Mount Desert Island Hospital System (MDI), hoped to persuade the primary care physicians in the system to embrace the PCMH care model. Physician resistance was strongly opposed to some of the key principles of PCMH, such as managing the health of a defined population, standardizing chronic care management protocols, delegating patient care tasks to non-physician members of a care team, and to having strong physician leadership at the system level. At the same time, MDI was a small rural "critical access hospital" with declining admissions, predominantly outpatient-based revenues, and deteriorating finances. MDI leadership viewed high quality primary care to be essential for MDI to be able to attract the best health system partner with which it could affiliate to become part of a larger, more financially viable organization. MDI leadership also hoped to find a partner that could also support its participation in new population health arrangements such as accountable care organizations.

Authors :: Nancy M. Kane, Susan Madden

Topics :: Strategy & Execution

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

Swot Analysis of "Implementing a Patient-Centered Medical Home on Mount Desert Island" written by Nancy M. Kane, Susan Madden includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Mdi Pcmh facing as an external strategic factors. Some of the topics covered in Implementing a Patient-Centered Medical Home on Mount Desert Island case study are - Strategic Management Strategies, and Strategy & Execution.


Some of the macro environment factors that can be used to understand the Implementing a Patient-Centered Medical Home on Mount Desert Island casestudy better are - – talent flight as more people leaving formal jobs, increasing inequality as vast percentage of new income is going to the top 1%, challanges to central banks by blockchain based private currencies, technology disruption, there is increasing trade war between United States & China, increasing commodity prices, cloud computing is disrupting traditional business models, digital marketing is dominated by two big players Facebook and Google, supply chains are disrupted by pandemic , etc



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Introduction to SWOT Analysis of Implementing a Patient-Centered Medical Home on Mount Desert Island


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Implementing a Patient-Centered Medical Home on Mount Desert Island case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Mdi Pcmh, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Mdi Pcmh 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 Implementing a Patient-Centered Medical Home on Mount Desert Island can be done for the following purposes –
1. Strategic planning using facts provided in Implementing a Patient-Centered Medical Home on Mount Desert Island case study
2. Improving business portfolio management of Mdi Pcmh
3. Assessing feasibility of the new initiative in Strategy & Execution field.
4. Making a Strategy & Execution topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Mdi Pcmh




Strengths Implementing a Patient-Centered Medical Home on Mount Desert Island | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Mdi Pcmh in Implementing a Patient-Centered Medical Home on Mount Desert Island Harvard Business Review case study are -

Learning organization

- Mdi Pcmh 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 Mdi Pcmh is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Implementing a Patient-Centered Medical Home on Mount Desert Island Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Cross disciplinary teams

– Horizontal connected teams at the Mdi Pcmh 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.

Analytics focus

– Mdi Pcmh 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 Nancy M. Kane, Susan Madden 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.

Strong track record of project management

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

Highly skilled collaborators

– Mdi Pcmh 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 Implementing a Patient-Centered Medical Home on Mount Desert Island HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Superior customer experience

– The customer experience strategy of Mdi Pcmh in the segment is based on four key concepts – personalization, simplification of complex needs, prompt response, and continuous engagement.

Operational resilience

– The operational resilience strategy in the Implementing a Patient-Centered Medical Home on Mount Desert Island 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.

High brand equity

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

Ability to recruit top talent

– Mdi Pcmh is one of the leading recruiters in the industry. Managers in the Implementing a Patient-Centered Medical Home on Mount Desert Island are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Diverse revenue streams

– Mdi Pcmh is present in almost all the verticals within the industry. This has provided firm in Implementing a Patient-Centered Medical Home on Mount Desert Island 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.

Organizational Resilience of Mdi Pcmh

– The covid-19 pandemic has put organizational resilience at the centre of everthing that Mdi Pcmh does. Organizational resilience comprises - Financial Resilience, Operational Resilience, Technological Resilience, Organizational Resilience, Business Model Resilience, and Reputation Resilience.

Successful track record of launching new products

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






Weaknesses Implementing a Patient-Centered Medical Home on Mount Desert Island | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Implementing a Patient-Centered Medical Home on Mount Desert Island are -

Need for greater diversity

– Mdi Pcmh 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 Implementing a Patient-Centered Medical Home on Mount Desert Island, in the dynamic environment Mdi Pcmh has struggled to respond to the nimble upstart competition. Mdi Pcmh has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Implementing a Patient-Centered Medical Home on Mount Desert Island, it seems that the employees of Mdi Pcmh don’t have comprehensive understanding of the firm’s strategy. This is reflected in number of promotional campaigns over the last few years that had mixed messaging and competing priorities. Some of the strategic activities and services promoted in the promotional campaigns were not consistent with the organization’s strategy.

High bargaining power of channel partners

– Because of the regulatory requirements, Nancy M. Kane, Susan Madden suggests that, Mdi Pcmh 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.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Mdi Pcmh is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Implementing a Patient-Centered Medical Home on Mount Desert Island can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

High operating costs

– Compare to the competitors, firm in the HBR case study Implementing a Patient-Centered Medical Home on Mount Desert Island has high operating costs in the. This can be harder to sustain given the new emerging competition from nimble players who are using technology to attract Mdi Pcmh 's lucrative customers.

Slow decision making process

– As mentioned earlier in the report, Mdi Pcmh 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. Mdi Pcmh 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.

No frontier risks strategy

– After analyzing the HBR case study Implementing a Patient-Centered Medical Home on Mount Desert Island, it seems that company is thinking about the frontier risks that can impact Strategy & Execution 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.

Skills based hiring

– The stress on hiring functional specialists at Mdi Pcmh 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.

Low market penetration in new markets

– Outside its home market of Mdi Pcmh, firm in the HBR case study Implementing a Patient-Centered Medical Home on Mount Desert Island needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Implementing a Patient-Centered Medical Home on Mount Desert Island, is just above the industry average. Mdi Pcmh 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.




Opportunities Implementing a Patient-Centered Medical Home on Mount Desert Island | 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 Implementing a Patient-Centered Medical Home on Mount Desert Island are -

Leveraging digital technologies

– Mdi Pcmh can leverage digital technologies such as artificial intelligence and machine learning to automate the production process, customer analytics to get better insights into consumer behavior, realtime digital dashboards to get better sales tracking, logistics and transportation, product tracking, etc.

Developing new processes and practices

– Mdi Pcmh can develop new processes and procedures in Strategy & Execution industry using technology such as automation using artificial intelligence, real time transportation and products tracking, 3D modeling for concept development and new products pilot testing etc.

Buying journey improvements

– Mdi Pcmh can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Implementing a Patient-Centered Medical Home on Mount Desert Island suggest that firm can provide automated chats to help consumers solve their own problems, provide online suggestions to get maximum out of the products and services, and help consumers to build a community where they can interact with each other to develop new features and uses.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Mdi Pcmh 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, Implementing a Patient-Centered Medical Home on Mount Desert Island, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

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 Mdi Pcmh 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.

Better consumer reach

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

Identify volunteer opportunities

– Covid-19 has impacted working population in two ways – it has led to people soul searching about their professional choices, resulting in mass resignation. Secondly it has encouraged people to do things that they are passionate about. This has opened opportunities for businesses to build volunteer oriented socially driven projects. Mdi Pcmh can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Creating value in data economy

– The success of analytics program of Mdi Pcmh has opened avenues for new revenue streams for the organization in the industry. This can help Mdi Pcmh to build a more holistic ecosystem as suggested in the Implementing a Patient-Centered Medical Home on Mount Desert Island case study. Mdi Pcmh can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.

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 Mdi Pcmh in the consumer business. Now Mdi Pcmh can target international markets with far fewer capital restrictions requirements than the existing system.

Remote work and new talent hiring opportunities

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

Manufacturing automation

– Mdi Pcmh can use the latest technology developments to improve its manufacturing and designing process in Strategy & Execution segment. It can use CAD and 3D printing to build a quick prototype and pilot testing products. It can leverage automation using machine learning and artificial intelligence to do faster production at lowers costs, and it can leverage the growth in satellite and tracking technologies to improve inventory management, transportation, and shipping.

Loyalty marketing

– Mdi Pcmh 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.

Learning at scale

– Online learning technologies has now opened space for Mdi Pcmh 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.




Threats Implementing a Patient-Centered Medical Home on Mount Desert Island External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Implementing a Patient-Centered Medical Home on Mount Desert Island are -

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 Mdi Pcmh.

Stagnating economy with rate increase

– Mdi Pcmh 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.

Regulatory challenges

– Mdi Pcmh 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 Strategy & Execution industry regulations.

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, Mdi Pcmh 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 Implementing a Patient-Centered Medical Home on Mount Desert Island .

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Implementing a Patient-Centered Medical Home on Mount Desert Island, Mdi Pcmh may face longer learning curve for training and development of existing employees. This can open space for more nimble competitors in the field of Strategy & Execution .

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. Mdi Pcmh needs to understand the core reasons impacting the Strategy & Execution industry. This will help it in building a better workplace.

Easy access to finance

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

Instability in the European markets

– European Union markets are facing three big challenges post Covid – expanded balance sheets, Brexit related business disruption, and aggressive Russia looking to distract the existing security mechanism. Mdi Pcmh will face different problems in different parts of Europe. For example it will face inflationary pressures in UK, France, and Germany, balance sheet expansion and demand challenges in Southern European countries, and geopolitical instability in the Eastern Europe.

Increasing wage structure of Mdi Pcmh

– Post Covid-19 there is a sharp increase in the wages especially in the jobs that require interaction with people. The increasing wages can put downward pressure on the margins of Mdi Pcmh.

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.

Technology acceleration in Forth Industrial Revolution

– Mdi Pcmh has witnessed rapid integration of technology during Covid-19 in the Strategy & Execution industry. As one of the leading players in the industry, Mdi Pcmh needs to keep up with the evolution of technology in the Strategy & Execution 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.

High dependence on third party suppliers

– Mdi Pcmh 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 Implementing a Patient-Centered Medical Home on Mount Desert Island 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 Implementing a Patient-Centered Medical Home on Mount Desert Island 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 Implementing a Patient-Centered Medical Home on Mount Desert Island 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 Implementing a Patient-Centered Medical Home on Mount Desert Island 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 Implementing a Patient-Centered Medical Home on Mount Desert Island 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 Mdi Pcmh needs to make to build a sustainable competitive advantage.



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