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Driving Health IT Implementation Success: Insights from The Christ Hospital SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Driving Health IT Implementation Success: Insights from The Christ Hospital


The application of information technology to healthcare promises significant benefits, particularly with regard to innovations in improving both clinical and administrative processes. However, to date, few studies have been devoted to understanding the process of implementing a hospital's clinical and business systems and the drivers of success. In this article, we describe a major HIT implementation undertaken by The Christ Hospital (TCH). Specifically, we report on TCH's efforts to separate from a well-established, multi-facility healthcare delivery network and move toward providing world-class patient care on its own. Here, we examine how different stakeholder perspectives, rather than causing conflict, were capitalized on via a collaboration-intensive process. These stakeholders included administrators, physicians, nurses, and other hospital staff, as well as external vendors and TCH's consulting partner. This project is unique due to the speed and spirit of collaboration with which it was accomplished. Our findings have a number of generalizable lessons for practice and implications for research.

Authors :: R. Todd Blake, Anne P. Massey, Hillol Bala, Jeff Cummings

Topics :: Technology & Operations

Tags :: Corporate governance, IT, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Driving Health IT Implementation Success: Insights from The Christ Hospital" written by R. Todd Blake, Anne P. Massey, Hillol Bala, Jeff Cummings includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Tch's Christ facing as an external strategic factors. Some of the topics covered in Driving Health IT Implementation Success: Insights from The Christ Hospital case study are - Strategic Management Strategies, Corporate governance, IT and Technology & Operations.


Some of the macro environment factors that can be used to understand the Driving Health IT Implementation Success: Insights from The Christ Hospital casestudy better are - – talent flight as more people leaving formal jobs, banking and financial system is disrupted by Bitcoin and other crypto currencies, wage bills are increasing, increasing commodity prices, cloud computing is disrupting traditional business models, increasing inequality as vast percentage of new income is going to the top 1%, supply chains are disrupted by pandemic , technology disruption, customer relationship management is fast transforming because of increasing concerns over data privacy, etc



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Introduction to SWOT Analysis of Driving Health IT Implementation Success: Insights from The Christ Hospital


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Driving Health IT Implementation Success: Insights from The Christ Hospital case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Tch's Christ, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Tch's Christ 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 Driving Health IT Implementation Success: Insights from The Christ Hospital can be done for the following purposes –
1. Strategic planning using facts provided in Driving Health IT Implementation Success: Insights from The Christ Hospital case study
2. Improving business portfolio management of Tch's Christ
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 Tch's Christ




Strengths Driving Health IT Implementation Success: Insights from The Christ Hospital | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Tch's Christ in Driving Health IT Implementation Success: Insights from The Christ Hospital Harvard Business Review case study are -

Low bargaining power of suppliers

– Suppliers of Tch's Christ in the sector have low bargaining power. Driving Health IT Implementation Success: Insights from The Christ Hospital has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Tch's Christ to manage not only supply disruptions but also source products at highly competitive prices.

High brand equity

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

Analytics focus

– Tch's Christ 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 R. Todd Blake, Anne P. Massey, Hillol Bala, Jeff Cummings 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.

Sustainable margins compare to other players in Technology & Operations industry

– Driving Health IT Implementation Success: Insights from The Christ Hospital firm has clearly differentiated products in the market place. This has enabled Tch's Christ to fetch slight price premium compare to the competitors in the Technology & Operations industry. The sustainable margins have also helped Tch's Christ to invest into research and development (R&D) and innovation.

Digital Transformation in Technology & Operations segment

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

Operational resilience

– The operational resilience strategy in the Driving Health IT Implementation Success: Insights from The Christ Hospital 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

– Tch's Christ is one of the most innovative firm in sector. Manager in Driving Health IT Implementation Success: Insights from The Christ Hospital 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

– Tch's Christ 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 Tch's Christ in – penetrating new markets, reaching out to new customers, and providing different value propositions to different customers in the international markets.

Training and development

– Tch's Christ has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Driving Health IT Implementation Success: Insights from The Christ Hospital 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.

Successful track record of launching new products

– Tch's Christ has launched numerous new products in last few years, keeping in mind evolving customer preferences and competitive pressures. Tch's Christ 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 Tch's Christ in the segment is based on four key concepts – personalization, simplification of complex needs, prompt response, and continuous engagement.

Learning organization

- Tch's Christ 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 Tch's Christ is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Driving Health IT Implementation Success: Insights from The Christ Hospital Harvard Business Review case study emphasize – knowledge, initiative, and innovation.






Weaknesses Driving Health IT Implementation Success: Insights from The Christ Hospital | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Driving Health IT Implementation Success: Insights from The Christ Hospital are -

Slow to strategic competitive environment developments

– As Driving Health IT Implementation Success: Insights from The Christ Hospital HBR case study mentions - Tch's Christ 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.

Need for greater diversity

– Tch's Christ 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.

Low market penetration in new markets

– Outside its home market of Tch's Christ, firm in the HBR case study Driving Health IT Implementation Success: Insights from The Christ Hospital needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

High cash cycle compare to competitors

Tch's Christ 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.

High operating costs

– Compare to the competitors, firm in the HBR case study Driving Health IT Implementation Success: Insights from The Christ Hospital 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 Tch's Christ 's lucrative customers.

Capital Spending Reduction

– Even during the low interest decade, Tch's Christ 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.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Tch's Christ is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Driving Health IT Implementation Success: Insights from The Christ Hospital can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Slow decision making process

– As mentioned earlier in the report, Tch's Christ 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. Tch's Christ 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 Driving Health IT Implementation Success: Insights from The Christ Hospital 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 Tch's Christ has relatively successful track record of launching new products.

No frontier risks strategy

– After analyzing the HBR case study Driving Health IT Implementation Success: Insights from The Christ Hospital, it seems that company is thinking about the frontier risks that can impact Technology & Operations 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.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Driving Health IT Implementation Success: Insights from The Christ Hospital, it seems that the employees of Tch's Christ 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.




Opportunities Driving Health IT Implementation Success: Insights from The Christ Hospital | 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 Driving Health IT Implementation Success: Insights from The Christ Hospital 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 Tch's Christ in the consumer business. Now Tch's Christ can target international markets with far fewer capital restrictions requirements than the existing system.

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. Tch's Christ 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. Tch's Christ 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.

Better consumer reach

– The expansion of the 5G network will help Tch's Christ to increase its market reach. Tch's Christ 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.

Redefining models of collaboration and team work

– As explained in the weaknesses section, Tch's Christ is facing challenges because of the dominance of functional experts in the organization. Driving Health IT Implementation Success: Insights from The Christ Hospital 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.

Low interest rates

– Even though inflation is raising its head in most developed economies, Tch's Christ 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.

Remote work and new talent hiring opportunities

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

Developing new processes and practices

– Tch's Christ 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.

Lowering marketing communication costs

– 5G expansion will open new opportunities for Tch's Christ 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.

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. Tch's Christ can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Increase in government spending

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

Using analytics as competitive advantage

– Tch's Christ 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 Driving Health IT Implementation Success: Insights from The Christ Hospital - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Tch's Christ to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Reforming the budgeting process

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

Creating value in data economy

– The success of analytics program of Tch's Christ has opened avenues for new revenue streams for the organization in the industry. This can help Tch's Christ to build a more holistic ecosystem as suggested in the Driving Health IT Implementation Success: Insights from The Christ Hospital case study. Tch's Christ can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.




Threats Driving Health IT Implementation Success: Insights from The Christ Hospital External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Driving Health IT Implementation Success: Insights from The Christ Hospital are -

Technology disruption because of hacks, piracy etc

– The colonial pipeline illustrated, how vulnerable modern organization are to international hackers, miscreants, and disruptors. The cyber security interruption, data leaks, etc can seriously jeopardize the future growth of the organization.

Regulatory challenges

– Tch's Christ 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.

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.

Stagnating economy with rate increase

– Tch's Christ 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.

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 Tch's Christ business can come under increasing regulations regarding data privacy, data security, etc.

Technology acceleration in Forth Industrial Revolution

– Tch's Christ has witnessed rapid integration of technology during Covid-19 in the Technology & Operations industry. As one of the leading players in the industry, Tch's Christ 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.

Increasing wage structure of Tch's Christ

– 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 Tch's Christ.

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. Tch's Christ can utilize it by borrowing at lower rates and invest it into research and development, capital expenditure to fortify its core competitive advantage.

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 Tch's Christ in the Technology & Operations sector and impact the bottomline of the organization.

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 Tch's Christ.

Consumer confidence and its impact on Tch's Christ 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.

Shortening product life cycle

– it is one of the major threat that Tch's Christ is facing in Technology & Operations sector. It can lead to higher research and development costs, higher marketing expenses, lower customer loyalty, etc.

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. Tch's Christ 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.




Weighted SWOT Analysis of Driving Health IT Implementation Success: Insights from The Christ Hospital 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 Driving Health IT Implementation Success: Insights from The Christ Hospital 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 Driving Health IT Implementation Success: Insights from The Christ Hospital 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 Driving Health IT Implementation Success: Insights from The Christ Hospital 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 Driving Health IT Implementation Success: Insights from The Christ Hospital 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 Tch's Christ needs to make to build a sustainable competitive advantage.



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