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Electronic Medical Records System Implementation at Stanford Hospital and Clinics SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Electronic Medical Records System Implementation at Stanford Hospital and Clinics


In 2005, Stanford Hospital and Clinics (SHC) was internationally recognized as a leading medical institution in terms of its clinical capabilities and specialty expertise. However, the organization was lagging many of its competitors in terms of its operations and information technology (IT). While other major health care providers of a similar caliber had begun to transition to integrated electronic medical records (EMR) systems, SHC was using a patchwork of disjointed and outdated software programs to manage inpatient and outpatient care, as well as its back office functions. Dr. Kevin Tabb, who was the chief quality and medical information officer at the time, along with other executives within the organization, recognized the importance of adopting an EMR system. Yet the implementation of such a system would require a sizable investment over multiple years and would necessitate a major organizational disruption. In parallel with building a business case to justify the cost of the new system (see OIT-101A), Tabb and his colleagues had to think carefully about the implementation strategy that would lead to the successful adoption of the EMR system. This case explains EMR systems, describes SHC's vendor selection process, introduces Epic System Corporation's EMR offering, and explores the key issues that SHC considered in developing its implementation strategy, including the appropriate rollout approach and timing, how to manage system configuration and customization, and how to most effectively staff the project.

Authors :: Haim Mendelson, Stefanos Zenios, Lyn Denend

Topics :: Technology & Operations

Tags :: IT, Operations management, Strategic planning, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Electronic Medical Records System Implementation at Stanford Hospital and Clinics" written by Haim Mendelson, Stefanos Zenios, Lyn Denend includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Emr Shc facing as an external strategic factors. Some of the topics covered in Electronic Medical Records System Implementation at Stanford Hospital and Clinics case study are - Strategic Management Strategies, IT, Operations management, Strategic planning and Technology & Operations.


Some of the macro environment factors that can be used to understand the Electronic Medical Records System Implementation at Stanford Hospital and Clinics casestudy better are - – challanges to central banks by blockchain based private currencies, competitive advantages are harder to sustain because of technology dispersion, increasing transportation and logistics costs, cloud computing is disrupting traditional business models, digital marketing is dominated by two big players Facebook and Google, banking and financial system is disrupted by Bitcoin and other crypto currencies, increasing energy prices, there is backlash against globalization, increasing government debt because of Covid-19 spendings, etc



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Introduction to SWOT Analysis of Electronic Medical Records System Implementation at Stanford Hospital and Clinics


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Electronic Medical Records System Implementation at Stanford Hospital and Clinics case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Emr Shc, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Emr Shc 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 Electronic Medical Records System Implementation at Stanford Hospital and Clinics can be done for the following purposes –
1. Strategic planning using facts provided in Electronic Medical Records System Implementation at Stanford Hospital and Clinics case study
2. Improving business portfolio management of Emr Shc
3. Assessing feasibility of the new initiative in Technology & Operations field.
4. Making a Technology & Operations topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Emr Shc




Strengths Electronic Medical Records System Implementation at Stanford Hospital and Clinics | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Emr Shc in Electronic Medical Records System Implementation at Stanford Hospital and Clinics Harvard Business Review case study are -

Successful track record of launching new products

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

Superior customer experience

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

Effective Research and Development (R&D)

– Emr Shc has innovation driven culture where significant part of the revenues are spent on the research and development activities. This has resulted in, as mentioned in case study Electronic Medical Records System Implementation at Stanford Hospital and Clinics - staying ahead in the industry in terms of – new product launches, superior customer experience, highly competitive pricing strategies, and great returns to the shareholders.

Analytics focus

– Emr Shc 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 Haim Mendelson, Stefanos Zenios, Lyn Denend 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 Emr Shc 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.

Low bargaining power of suppliers

– Suppliers of Emr Shc in the sector have low bargaining power. Electronic Medical Records System Implementation at Stanford Hospital and Clinics has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Emr Shc to manage not only supply disruptions but also source products at highly competitive prices.

Diverse revenue streams

– Emr Shc is present in almost all the verticals within the industry. This has provided firm in Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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.

High brand equity

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

Strong track record of project management

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

Innovation driven organization

– Emr Shc is one of the most innovative firm in sector. Manager in Electronic Medical Records System Implementation at Stanford Hospital and Clinics Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Ability to lead change in Technology & Operations field

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

Training and development

– Emr Shc has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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.






Weaknesses Electronic Medical Records System Implementation at Stanford Hospital and Clinics | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Electronic Medical Records System Implementation at Stanford Hospital and Clinics are -

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Electronic Medical Records System Implementation at Stanford Hospital and Clinics, is just above the industry average. Emr Shc 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.

Capital Spending Reduction

– Even during the low interest decade, Emr Shc 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.

Lack of clear differentiation of Emr Shc products

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

High dependence on star products

– The top 2 products and services of the firm as mentioned in the Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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 Emr Shc has relatively successful track record of launching new products.

Slow to strategic competitive environment developments

– As Electronic Medical Records System Implementation at Stanford Hospital and Clinics HBR case study mentions - Emr Shc takes time to assess the upcoming competitions. This has led to missing out on atleast 2-3 big opportunities in the industry in last five years.

Slow decision making process

– As mentioned earlier in the report, Emr Shc 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. Emr Shc 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.

Interest costs

– Compare to the competition, Emr Shc 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 bargaining power of channel partners

– Because of the regulatory requirements, Haim Mendelson, Stefanos Zenios, Lyn Denend suggests that, Emr Shc 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.

High operating costs

– Compare to the competitors, firm in the HBR case study Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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 Emr Shc 's lucrative customers.

Skills based hiring

– The stress on hiring functional specialists at Emr Shc 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 Emr Shc, firm in the HBR case study Electronic Medical Records System Implementation at Stanford Hospital and Clinics needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.




Opportunities Electronic Medical Records System Implementation at Stanford Hospital and Clinics | 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 Electronic Medical Records System Implementation at Stanford Hospital and Clinics are -

Changes in consumer behavior post Covid-19

– Consumer behavior has changed in the Technology & Operations industry because of Covid-19 restrictions. Some of this behavior will stay once things get back to normal. Emr Shc 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. Emr Shc 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.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Emr Shc 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, Electronic Medical Records System Implementation at Stanford Hospital and Clinics, 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, Emr Shc can use these opportunities to build new business models that can help the communities that Emr Shc operates in. Secondly it can use opportunities from government spending in Technology & Operations sector.

Learning at scale

– Online learning technologies has now opened space for Emr Shc 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.

Better consumer reach

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

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 Emr Shc 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.

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. Emr Shc can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Building a culture of innovation

– managers at Emr Shc 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 Technology & Operations segment.

Buying journey improvements

– Emr Shc can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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.

Lowering marketing communication costs

– 5G expansion will open new opportunities for Emr Shc in the field of marketing communication. It will bring down the cost of doing business, provide technology platform to build new products in the Technology & Operations segment, and it will provide faster access to the consumers.

Creating value in data economy

– The success of analytics program of Emr Shc has opened avenues for new revenue streams for the organization in the industry. This can help Emr Shc to build a more holistic ecosystem as suggested in the Electronic Medical Records System Implementation at Stanford Hospital and Clinics case study. Emr Shc can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.

Developing new processes and practices

– Emr Shc can develop new processes and procedures in Technology & Operations 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.

Finding new ways to collaborate

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




Threats Electronic Medical Records System Implementation at Stanford Hospital and Clinics External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Electronic Medical Records System Implementation at Stanford Hospital and Clinics are -

Regulatory challenges

– Emr Shc 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 Technology & Operations industry regulations.

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, Emr Shc 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 Electronic Medical Records System Implementation at Stanford Hospital and Clinics .

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 Emr Shc in the Technology & Operations sector and impact the bottomline of the organization.

Environmental challenges

– Emr Shc 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. Emr Shc can take advantage of this fund but it will also bring new competitors in the Technology & Operations industry.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Electronic Medical Records System Implementation at Stanford Hospital and Clinics, Emr Shc may face longer learning curve for training and development of existing employees. This can open space for more nimble competitors in the field of Technology & Operations .

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 Emr Shc.

Backlash against dominant players

– US Congress and other legislative arms of the government are getting tough on big business especially technology companies. The digital arm of Emr Shc business can come under increasing regulations regarding data privacy, data security, etc.

Stagnating economy with rate increase

– Emr Shc 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.

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Emr Shc in the Technology & Operations industry. The Technology & Operations 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 Emr Shc 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.

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.

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. Emr Shc 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.

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. Emr Shc needs to understand the core reasons impacting the Technology & Operations industry. This will help it in building a better workplace.




Weighted SWOT Analysis of Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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 Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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 Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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 Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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 Electronic Medical Records System Implementation at Stanford Hospital and Clinics 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 Emr Shc needs to make to build a sustainable competitive advantage.



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