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Patient Flow at Brigham and Women's Hospital (B) SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Patient Flow at Brigham and Women's Hospital (B)


The B Case is an email from the ED Director. He clarifies where the process deviations occurred.

Authors :: Anita Tucker, Jillian A. Berry

Topics :: Technology & Operations

Tags :: Change management, Organizational structure, Productivity, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Patient Flow at Brigham and Women's Hospital (B)" written by Anita Tucker, Jillian A. Berry includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Clarifies Deviations facing as an external strategic factors. Some of the topics covered in Patient Flow at Brigham and Women's Hospital (B) case study are - Strategic Management Strategies, Change management, Organizational structure, Productivity and Technology & Operations.


Some of the macro environment factors that can be used to understand the Patient Flow at Brigham and Women's Hospital (B) casestudy better are - – increasing household debt because of falling income levels, talent flight as more people leaving formal jobs, digital marketing is dominated by two big players Facebook and Google, challanges to central banks by blockchain based private currencies, increasing transportation and logistics costs, central banks are concerned over increasing inflation, there is increasing trade war between United States & China, customer relationship management is fast transforming because of increasing concerns over data privacy, increasing inequality as vast percentage of new income is going to the top 1%, etc



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Introduction to SWOT Analysis of Patient Flow at Brigham and Women's Hospital (B)


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




Strengths Patient Flow at Brigham and Women's Hospital (B) | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Clarifies Deviations in Patient Flow at Brigham and Women's Hospital (B) Harvard Business Review case study are -

Successful track record of launching new products

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

Low bargaining power of suppliers

– Suppliers of Clarifies Deviations in the sector have low bargaining power. Patient Flow at Brigham and Women's Hospital (B) has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Clarifies Deviations to manage not only supply disruptions but also source products at highly competitive prices.

Digital Transformation in Technology & Operations segment

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

– The high switching costs that Clarifies Deviations 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.

Strong track record of project management

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

Learning organization

- Clarifies Deviations 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 Clarifies Deviations is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Patient Flow at Brigham and Women's Hospital (B) Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Ability to recruit top talent

– Clarifies Deviations is one of the leading recruiters in the industry. Managers in the Patient Flow at Brigham and Women's Hospital (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.

Ability to lead change in Technology & Operations field

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

Cross disciplinary teams

– Horizontal connected teams at the Clarifies Deviations 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.

Innovation driven organization

– Clarifies Deviations is one of the most innovative firm in sector. Manager in Patient Flow at Brigham and Women's Hospital (B) Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

High brand equity

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

Diverse revenue streams

– Clarifies Deviations is present in almost all the verticals within the industry. This has provided firm in Patient Flow at Brigham and Women's Hospital (B) 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.






Weaknesses Patient Flow at Brigham and Women's Hospital (B) | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Patient Flow at Brigham and Women's Hospital (B) are -

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 Clarifies Deviations supply chain. Even after few cautionary changes mentioned in the HBR case study - Patient Flow at Brigham and Women's Hospital (B), it is still heavily dependent upon the existing supply chain. The existing supply chain though brings in cost efficiencies but it has left Clarifies Deviations vulnerable to further global disruptions in South East Asia.

Increasing silos among functional specialists

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

Need for greater diversity

– Clarifies Deviations 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.

Slow decision making process

– As mentioned earlier in the report, Clarifies Deviations 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. Clarifies Deviations 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 bargaining power of channel partners

– Because of the regulatory requirements, Anita Tucker, Jillian A. Berry suggests that, Clarifies Deviations 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.

Interest costs

– Compare to the competition, Clarifies Deviations 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.

Workers concerns about automation

– As automation is fast increasing in the segment, Clarifies Deviations 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.

Lack of clear differentiation of Clarifies Deviations products

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

Capital Spending Reduction

– Even during the low interest decade, Clarifies Deviations 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 strategic competitive environment developments

– As Patient Flow at Brigham and Women's Hospital (B) HBR case study mentions - Clarifies Deviations 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.

Ability to respond to the competition

– As the decision making is very deliberative, highlighted in the case study Patient Flow at Brigham and Women's Hospital (B), in the dynamic environment Clarifies Deviations has struggled to respond to the nimble upstart competition. Clarifies Deviations has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.




Opportunities Patient Flow at Brigham and Women's Hospital (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 Patient Flow at Brigham and Women's Hospital (B) are -

Redefining models of collaboration and team work

– As explained in the weaknesses section, Clarifies Deviations is facing challenges because of the dominance of functional experts in the organization. Patient Flow at Brigham and Women's Hospital (B) 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.

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. Clarifies Deviations can tie-up with other value chain partners to explore new opportunities regarding meeting customer demands and building a rewarding and engaging relationship.

Increase in government spending

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

Building a culture of innovation

– managers at Clarifies Deviations 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.

Low interest rates

– Even though inflation is raising its head in most developed economies, Clarifies Deviations 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.

Better consumer reach

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

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

Reforming the budgeting process

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

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Clarifies Deviations 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, Patient Flow at Brigham and Women's Hospital (B), to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Remote work and new talent hiring opportunities

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

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. Clarifies Deviations 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. Clarifies Deviations 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

– Clarifies Deviations 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 Patient Flow at Brigham and Women's Hospital (B) - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Clarifies Deviations to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.




Threats Patient Flow at Brigham and Women's Hospital (B) External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Patient Flow at Brigham and Women's Hospital (B) are -

High dependence on third party suppliers

– Clarifies Deviations 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.

Trade war between China and United States

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

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.

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 Clarifies Deviations in the Technology & Operations sector and impact the bottomline of the organization.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Patient Flow at Brigham and Women's Hospital (B), Clarifies Deviations 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 .

Technology acceleration in Forth Industrial Revolution

– Clarifies Deviations has witnessed rapid integration of technology during Covid-19 in the Technology & Operations industry. As one of the leading players in the industry, Clarifies Deviations 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.

Barriers of entry lowering

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

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 Clarifies Deviations business can come under increasing regulations regarding data privacy, data security, etc.

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 Clarifies Deviations.

Stagnating economy with rate increase

– Clarifies Deviations 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.

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. Clarifies Deviations can utilize it by borrowing at lower rates and invest it into research and development, capital expenditure to fortify its core competitive advantage.

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

Regulatory challenges

– Clarifies Deviations 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.




Weighted SWOT Analysis of Patient Flow at Brigham and Women's Hospital (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 Patient Flow at Brigham and Women's Hospital (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 Patient Flow at Brigham and Women's Hospital (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 Patient Flow at Brigham and Women's Hospital (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 Patient Flow at Brigham and Women's Hospital (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 Clarifies Deviations needs to make to build a sustainable competitive advantage.



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