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Massachusetts General Hospital: CABG Surgery (B) SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Massachusetts General Hospital: CABG Surgery (B)


Once the CABG care path is implemented and other care paths begun, hospital staff and administration examine the resulting data. Further methods of improving care and reducing cost are presented for analysis.

Authors :: Steven C. Wheelwright, Mikelle F. Eastley

Topics :: Technology & Operations

Tags :: Developing employees, Employee retention, Health, Supply chain, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Massachusetts General Hospital: CABG Surgery (B)" written by Steven C. Wheelwright, Mikelle F. Eastley includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Cabg Care facing as an external strategic factors. Some of the topics covered in Massachusetts General Hospital: CABG Surgery (B) case study are - Strategic Management Strategies, Developing employees, Employee retention, Health, Supply chain and Technology & Operations.


Some of the macro environment factors that can be used to understand the Massachusetts General Hospital: CABG Surgery (B) casestudy better are - – banking and financial system is disrupted by Bitcoin and other crypto currencies, there is increasing trade war between United States & China, challanges to central banks by blockchain based private currencies, talent flight as more people leaving formal jobs, competitive advantages are harder to sustain because of technology dispersion, increasing government debt because of Covid-19 spendings, cloud computing is disrupting traditional business models, supply chains are disrupted by pandemic , increasing transportation and logistics costs, etc



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Introduction to SWOT Analysis of Massachusetts General Hospital: CABG Surgery (B)


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




Strengths Massachusetts General Hospital: CABG Surgery (B) | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Cabg Care in Massachusetts General Hospital: CABG Surgery (B) Harvard Business Review case study are -

Cross disciplinary teams

– Horizontal connected teams at the Cabg Care 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.

High brand equity

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

Sustainable margins compare to other players in Technology & Operations industry

– Massachusetts General Hospital: CABG Surgery (B) firm has clearly differentiated products in the market place. This has enabled Cabg Care to fetch slight price premium compare to the competitors in the Technology & Operations industry. The sustainable margins have also helped Cabg Care to invest into research and development (R&D) and innovation.

Superior customer experience

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

Strong track record of project management

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

Ability to recruit top talent

– Cabg Care is one of the leading recruiters in the industry. Managers in the Massachusetts General Hospital: CABG Surgery (B) are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Training and development

– Cabg Care has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Massachusetts General Hospital: CABG Surgery (B) 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.

Low bargaining power of suppliers

– Suppliers of Cabg Care in the sector have low bargaining power. Massachusetts General Hospital: CABG Surgery (B) has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Cabg Care to manage not only supply disruptions but also source products at highly competitive prices.

High switching costs

– The high switching costs that Cabg Care 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.

Digital Transformation in Technology & Operations segment

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

Learning organization

- Cabg Care 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 Cabg Care is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Massachusetts General Hospital: CABG Surgery (B) Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Ability to lead change in Technology & Operations field

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






Weaknesses Massachusetts General Hospital: CABG Surgery (B) | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Massachusetts General Hospital: CABG Surgery (B) are -

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Massachusetts General Hospital: CABG Surgery (B), is just above the industry average. Cabg Care needs to redesign the compensation structure and incentives to increase the revenue per employees. Some of the steps that it can take are – hiring more specialists on project basis, etc.

High operating costs

– Compare to the competitors, firm in the HBR case study Massachusetts General Hospital: CABG Surgery (B) 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 Cabg Care 's lucrative customers.

Workers concerns about automation

– As automation is fast increasing in the segment, Cabg Care 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.

Capital Spending Reduction

– Even during the low interest decade, Cabg Care 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.

Low market penetration in new markets

– Outside its home market of Cabg Care, firm in the HBR case study Massachusetts General Hospital: CABG Surgery (B) needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Lack of clear differentiation of Cabg Care products

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

Slow decision making process

– As mentioned earlier in the report, Cabg Care 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. Cabg Care 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.

High dependence on star products

– The top 2 products and services of the firm as mentioned in the Massachusetts General Hospital: CABG Surgery (B) 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 Cabg Care has relatively successful track record of launching new products.

High cash cycle compare to competitors

Cabg Care 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, Cabg Care is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Massachusetts General Hospital: CABG Surgery (B) can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Aligning sales with marketing

– It come across in the case study Massachusetts General Hospital: CABG Surgery (B) 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 Massachusetts General Hospital: CABG Surgery (B) can leverage the sales team experience to cultivate customer relationships as Cabg Care is planning to shift buying processes online.




Opportunities Massachusetts General Hospital: CABG Surgery (B) | 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 Massachusetts General Hospital: CABG Surgery (B) are -

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

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 Cabg Care 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.

Remote work and new talent hiring opportunities

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

Creating value in data economy

– The success of analytics program of Cabg Care has opened avenues for new revenue streams for the organization in the industry. This can help Cabg Care to build a more holistic ecosystem as suggested in the Massachusetts General Hospital: CABG Surgery (B) case study. Cabg Care can build new products and services such as - data insight services, data privacy related products, data based consulting services, 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, Cabg Care can use these opportunities to build new business models that can help the communities that Cabg Care operates in. Secondly it can use opportunities from government spending in Technology & Operations sector.

Low interest rates

– Even though inflation is raising its head in most developed economies, Cabg Care 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.

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. Cabg Care can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Buying journey improvements

– Cabg Care can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Massachusetts General Hospital: CABG Surgery (B) 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.

Learning at scale

– Online learning technologies has now opened space for Cabg Care 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.

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. Cabg Care 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. Cabg Care 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.

Using analytics as competitive advantage

– Cabg Care 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 Massachusetts General Hospital: CABG Surgery (B) - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Cabg Care to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Building a culture of innovation

– managers at Cabg Care 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.

Loyalty marketing

– Cabg Care 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.




Threats Massachusetts General Hospital: CABG Surgery (B) External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Massachusetts General Hospital: CABG Surgery (B) are -

Regulatory challenges

– Cabg Care 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.

Stagnating economy with rate increase

– Cabg Care 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.

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, Cabg Care 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 Massachusetts General Hospital: CABG Surgery (B) .

Trade war between China and United States

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

Increasing wage structure of Cabg Care

– 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 Cabg Care.

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 Cabg Care in the Technology & Operations sector and impact the bottomline of the organization.

Consumer confidence and its impact on Cabg Care 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.

Technology acceleration in Forth Industrial Revolution

– Cabg Care has witnessed rapid integration of technology during Covid-19 in the Technology & Operations industry. As one of the leading players in the industry, Cabg Care needs to keep up with the evolution of technology in the Technology & Operations 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.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Massachusetts General Hospital: CABG Surgery (B), Cabg Care 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 .

High dependence on third party suppliers

– Cabg Care 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.

Easy access to finance

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

Environmental challenges

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

Barriers of entry lowering

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




Weighted SWOT Analysis of Massachusetts General Hospital: CABG Surgery (B) 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 Massachusetts General Hospital: CABG Surgery (B) 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 Massachusetts General Hospital: CABG Surgery (B) 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 Massachusetts General Hospital: CABG Surgery (B) 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 Massachusetts General Hospital: CABG Surgery (B) 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 Cabg Care needs to make to build a sustainable competitive advantage.



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