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Lean Process Improvements at Cleveland Clinic SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Lean Process Improvements at Cleveland Clinic


This case study teaches students about lean process improvement projects at the Cleveland Clinic, one of the world's leading hospital systems. The majority of the case focuses on one lean improvement project and leads the student step-by-step through the Kaizen events, and the tools, approaches and outcomes of the project. The case study ends with two short mini-cases on additional process improvement projects at the Cleveland Clinic. The detailed and concise case is ideal for a discussion about lean process improvement in the services industry.

Authors :: Izak Duenyas

Topics :: Technology & Operations

Tags :: , SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Lean Process Improvements at Cleveland Clinic" written by Izak Duenyas includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Lean Cleveland facing as an external strategic factors. Some of the topics covered in Lean Process Improvements at Cleveland Clinic case study are - Strategic Management Strategies, and Technology & Operations.


Some of the macro environment factors that can be used to understand the Lean Process Improvements at Cleveland Clinic casestudy better are - – customer relationship management is fast transforming because of increasing concerns over data privacy, wage bills are increasing, challanges to central banks by blockchain based private currencies, banking and financial system is disrupted by Bitcoin and other crypto currencies, there is increasing trade war between United States & China, competitive advantages are harder to sustain because of technology dispersion, increasing commodity prices, geopolitical disruptions, increasing inequality as vast percentage of new income is going to the top 1%, etc



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Introduction to SWOT Analysis of Lean Process Improvements at Cleveland Clinic


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




Strengths Lean Process Improvements at Cleveland Clinic | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Lean Cleveland in Lean Process Improvements at Cleveland Clinic Harvard Business Review case study are -

Effective Research and Development (R&D)

– Lean Cleveland 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 Lean Process Improvements at Cleveland Clinic - staying ahead in the industry in terms of – new product launches, superior customer experience, highly competitive pricing strategies, and great returns to the shareholders.

Ability to lead change in Technology & Operations field

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

Highly skilled collaborators

– Lean Cleveland has highly efficient outsourcing and offshoring strategy. It has resulted in greater operational flexibility and bringing down the costs in highly price sensitive segment. Secondly the value chain collaborators of the firm in Lean Process Improvements at Cleveland Clinic HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Diverse revenue streams

– Lean Cleveland is present in almost all the verticals within the industry. This has provided firm in Lean Process Improvements at Cleveland Clinic 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.

Innovation driven organization

– Lean Cleveland is one of the most innovative firm in sector. Manager in Lean Process Improvements at Cleveland Clinic Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Cross disciplinary teams

– Horizontal connected teams at the Lean Cleveland 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.

Ability to recruit top talent

– Lean Cleveland is one of the leading recruiters in the industry. Managers in the Lean Process Improvements at Cleveland Clinic are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Low bargaining power of suppliers

– Suppliers of Lean Cleveland in the sector have low bargaining power. Lean Process Improvements at Cleveland Clinic has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Lean Cleveland to manage not only supply disruptions but also source products at highly competitive prices.

High switching costs

– The high switching costs that Lean Cleveland 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.

Sustainable margins compare to other players in Technology & Operations industry

– Lean Process Improvements at Cleveland Clinic firm has clearly differentiated products in the market place. This has enabled Lean Cleveland to fetch slight price premium compare to the competitors in the Technology & Operations industry. The sustainable margins have also helped Lean Cleveland to invest into research and development (R&D) and innovation.

Successful track record of launching new products

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

High brand equity

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






Weaknesses Lean Process Improvements at Cleveland Clinic | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Lean Process Improvements at Cleveland Clinic are -

Skills based hiring

– The stress on hiring functional specialists at Lean Cleveland 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.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Lean Process Improvements at Cleveland Clinic, is just above the industry average. Lean Cleveland 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 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 Lean Cleveland supply chain. Even after few cautionary changes mentioned in the HBR case study - Lean Process Improvements at Cleveland Clinic, it is still heavily dependent upon the existing supply chain. The existing supply chain though brings in cost efficiencies but it has left Lean Cleveland vulnerable to further global disruptions in South East Asia.

High bargaining power of channel partners

– Because of the regulatory requirements, Izak Duenyas suggests that, Lean Cleveland 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.

Increasing silos among functional specialists

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

Products dominated business model

– Even though Lean Cleveland has some of the most successful products in the industry, this business model has made each new product launch extremely critical for continuous financial growth of the organization. firm in the HBR case study - Lean Process Improvements at Cleveland Clinic should strive to include more intangible value offerings along with its core products and services.

Low market penetration in new markets

– Outside its home market of Lean Cleveland, firm in the HBR case study Lean Process Improvements at Cleveland Clinic needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Lean Process Improvements at Cleveland Clinic, it seems that the employees of Lean Cleveland 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.

Slow decision making process

– As mentioned earlier in the report, Lean Cleveland 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. Lean Cleveland 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.

Workers concerns about automation

– As automation is fast increasing in the segment, Lean Cleveland 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.

No frontier risks strategy

– After analyzing the HBR case study Lean Process Improvements at Cleveland Clinic, 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.




Opportunities Lean Process Improvements at Cleveland Clinic | 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 Lean Process Improvements at Cleveland Clinic are -

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. Lean Cleveland can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Developing new processes and practices

– Lean Cleveland 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.

Increase in government spending

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

Remote work and new talent hiring opportunities

– The widespread usage of remote working technologies during Covid-19 has opened opportunities for Lean Cleveland 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 Lean Cleveland 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. Lean Cleveland 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. Lean Cleveland 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.

Lowering marketing communication costs

– 5G expansion will open new opportunities for Lean Cleveland 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.

Leveraging digital technologies

– Lean Cleveland can leverage digital technologies such as artificial intelligence and machine learning to automate the production process, customer analytics to get better insights into consumer behavior, realtime digital dashboards to get better sales tracking, logistics and transportation, product tracking, etc.

Using analytics as competitive advantage

– Lean Cleveland 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 Lean Process Improvements at Cleveland Clinic - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Lean Cleveland to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Loyalty marketing

– Lean Cleveland 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.

Building a culture of innovation

– managers at Lean Cleveland 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.

Better consumer reach

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

Reforming the budgeting process

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

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




Threats Lean Process Improvements at Cleveland Clinic External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Lean Process Improvements at Cleveland Clinic are -

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. Lean Cleveland 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.

Barriers of entry lowering

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

Capital market disruption

– During the Covid-19, Dow Jones has touched record high. The valuations of a number of companies are way beyond their existing business model potential. This can lead to capital market correction which can put a number of suppliers, collaborators, value chain partners in great financial difficulty. It will directly impact the business of Lean Cleveland.

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 Lean Cleveland in the Technology & Operations sector and impact the bottomline of the organization.

Environmental challenges

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

Consumer confidence and its impact on Lean Cleveland 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.

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

Stagnating economy with rate increase

– Lean Cleveland can face lack of demand in the market place because of Fed actions to reduce inflation. This can lead to sluggish growth in the economy, lower demands, lower investments, higher borrowing costs, and consolidation in the field.

High level of anxiety and lack of motivation

– the Great Resignation in United States is the sign of broader dissatisfaction among the workforce in United States. Lean Cleveland needs to understand the core reasons impacting the Technology & Operations industry. This will help it in building a better workplace.

Regulatory challenges

– Lean Cleveland 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.

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 Lean Cleveland business can come under increasing regulations regarding data privacy, data security, etc.

High dependence on third party suppliers

– Lean Cleveland 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.

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, Lean Cleveland 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 Lean Process Improvements at Cleveland Clinic .




Weighted SWOT Analysis of Lean Process Improvements at Cleveland Clinic 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 Lean Process Improvements at Cleveland Clinic 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 Lean Process Improvements at Cleveland Clinic 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 Lean Process Improvements at Cleveland Clinic 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 Lean Process Improvements at Cleveland Clinic 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 Lean Cleveland needs to make to build a sustainable competitive advantage.



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