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Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care


This case examines methods to incorporate the best evidence into clinical practice. More particularly, it considers the issue of knowledge translation from the perspective of implementing an evidence-based hip and knee care pathway in Alberta, Canada. A secondary problem would be bringing together multiple stakeholders with different incentives to implement a large-scale health care change.

Authors :: Michael Rouse, Aish Sundaram

Topics :: Strategy & Execution

Tags :: Operations management, Organizational culture, Strategy, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care" written by Michael Rouse, Aish Sundaram includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Knee Hip facing as an external strategic factors. Some of the topics covered in Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care case study are - Strategic Management Strategies, Operations management, Organizational culture, Strategy and Strategy & Execution.


Some of the macro environment factors that can be used to understand the Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care casestudy better are - – customer relationship management is fast transforming because of increasing concerns over data privacy, increasing government debt because of Covid-19 spendings, increasing transportation and logistics costs, there is increasing trade war between United States & China, central banks are concerned over increasing inflation, increasing inequality as vast percentage of new income is going to the top 1%, there is backlash against globalization, increasing household debt because of falling income levels, technology disruption, etc



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Introduction to SWOT Analysis of Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Knee Hip, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Knee Hip 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care can be done for the following purposes –
1. Strategic planning using facts provided in Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care case study
2. Improving business portfolio management of Knee Hip
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 Knee Hip




Strengths Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Knee Hip in Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care Harvard Business Review case study are -

Digital Transformation in Strategy & Execution segment

- digital transformation varies from industry to industry. For Knee Hip digital transformation journey comprises differing goals based on market maturity, customer technology acceptance, and organizational culture. Knee Hip 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

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

Highly skilled collaborators

– Knee Hip 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Ability to recruit top talent

– Knee Hip is one of the leading recruiters in the industry. Managers in the Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

High switching costs

– The high switching costs that Knee Hip 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.

Ability to lead change in Strategy & Execution field

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

Operational resilience

– The operational resilience strategy in the Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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.

Innovation driven organization

– Knee Hip is one of the most innovative firm in sector. Manager in Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Organizational Resilience of Knee Hip

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

Sustainable margins compare to other players in Strategy & Execution industry

– Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care firm has clearly differentiated products in the market place. This has enabled Knee Hip to fetch slight price premium compare to the competitors in the Strategy & Execution industry. The sustainable margins have also helped Knee Hip to invest into research and development (R&D) and innovation.

Training and development

– Knee Hip has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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.

Superior customer experience

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






Weaknesses Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care are -

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care, it seems that the employees of Knee Hip 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 dependence on existing supply chain

– The disruption in the global supply chains because of the Covid-19 pandemic and blockage of the Suez Canal illustrated the fragile nature of Knee Hip supply chain. Even after few cautionary changes mentioned in the HBR case study - Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care, it is still heavily dependent upon the existing supply chain. The existing supply chain though brings in cost efficiencies but it has left Knee Hip vulnerable to further global disruptions in South East Asia.

Aligning sales with marketing

– It come across in the case study Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care can leverage the sales team experience to cultivate customer relationships as Knee Hip is planning to shift buying processes online.

Capital Spending Reduction

– Even during the low interest decade, Knee Hip has not been able to do capital spending to the tune of the competition. This has resulted into fewer innovations and company facing stiff competition from both existing competitors and new entrants who are disrupting the industry using digital technology.

Interest costs

– Compare to the competition, Knee Hip 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.

High cash cycle compare to competitors

Knee Hip 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.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Knee Hip is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Products dominated business model

– Even though Knee Hip 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 - Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care should strive to include more intangible value offerings along with its core products and services.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care, is just above the industry average. Knee Hip 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.

Need for greater diversity

– Knee Hip 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.

Increasing silos among functional specialists

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




Opportunities Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care | 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care are -

Low interest rates

– Even though inflation is raising its head in most developed economies, Knee Hip 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.

Building a culture of innovation

– managers at Knee Hip 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 Strategy & Execution segment.

Reforming the budgeting process

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

Learning at scale

– Online learning technologies has now opened space for Knee Hip 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.

Loyalty marketing

– Knee Hip 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.

Redefining models of collaboration and team work

– As explained in the weaknesses section, Knee Hip is facing challenges because of the dominance of functional experts in the organization. Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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.

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

Developing new processes and practices

– Knee Hip 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.

Better consumer reach

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

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Knee Hip 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, Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Increase in government spending

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

Using analytics as competitive advantage

– Knee Hip 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Knee Hip to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

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 Knee Hip 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care are -

Increasing wage structure of Knee Hip

– 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 Knee Hip.

Stagnating economy with rate increase

– Knee Hip 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.

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

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, Knee Hip 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care .

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. Knee Hip 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.

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. Knee Hip 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.

Barriers of entry lowering

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

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 Knee Hip.

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Knee Hip in the Strategy & Execution industry. The Strategy & Execution 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.

Environmental challenges

– Knee Hip 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. Knee Hip can take advantage of this fund but it will also bring new competitors in the Strategy & Execution industry.

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 Knee Hip in the Strategy & Execution sector and impact the bottomline of the organization.

High dependence on third party suppliers

– Knee Hip 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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 Alberta Hip and Knee Replacement Pilot Project: Changing the Provincial Model of Hip and Knee Care 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 Knee Hip needs to make to build a sustainable competitive advantage.



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