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Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster


The transfer of perinatal services at St. Joseph's Health Care Centre (SJHC) to the Women's and Children's Services at London Health Sciences Centre (LHSC), included the relocation of clinical programs, 500 staff and about 40 physicians. SJHC's perinatal program had been among the hospital's premier programs and was recognized as a world-class tertiary perinatal program for more than 30 years. The hospital's comprehensive care for newborns included providing care for very sick infants and extremely premature babies. The move to LHSC was a source of much concern to key stakeholders, leading scientists and specialists with much negative impact on recruitment, retention and staff morale. The vice-president, acute and ambulatory care at SJHC and the vice-president, women and children's clinical business unit at LHSC were appointed to help prepare leaders throughout all stages of the restructuring. On their agenda were the following issues: culture, safety procedures, team conflict, excessive turnover, structure, leadership orientation, among others. Where should they start; and how could they get physicians, patient care leaders and staff to think past six months, given that there are numerous issues that keep them busy on a daily, weekly and monthly basis?

Authors :: Gerard Seijts, Ken Mark

Topics :: Leadership & Managing People

Tags :: Financial markets, Leadership, Mergers & acquisitions, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster" written by Gerard Seijts, Ken Mark includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Lhsc Sjhc facing as an external strategic factors. Some of the topics covered in Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster case study are - Strategic Management Strategies, Financial markets, Leadership, Mergers & acquisitions and Leadership & Managing People.


Some of the macro environment factors that can be used to understand the Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster casestudy better are - – increasing energy prices, digital marketing is dominated by two big players Facebook and Google, increasing household debt because of falling income levels, cloud computing is disrupting traditional business models, geopolitical disruptions, competitive advantages are harder to sustain because of technology dispersion, there is increasing trade war between United States & China, increasing transportation and logistics costs, increasing inequality as vast percentage of new income is going to the top 1%, etc



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Introduction to SWOT Analysis of Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Lhsc Sjhc, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Lhsc Sjhc 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster can be done for the following purposes –
1. Strategic planning using facts provided in Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster case study
2. Improving business portfolio management of Lhsc Sjhc
3. Assessing feasibility of the new initiative in Leadership & Managing People field.
4. Making a Leadership & Managing People topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Lhsc Sjhc




Strengths Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Lhsc Sjhc in Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster Harvard Business Review case study are -

Ability to lead change in Leadership & Managing People field

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

Ability to recruit top talent

– Lhsc Sjhc is one of the leading recruiters in the industry. Managers in the Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Highly skilled collaborators

– Lhsc Sjhc 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Training and development

– Lhsc Sjhc has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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.

Strong track record of project management

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

High brand equity

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

Effective Research and Development (R&D)

– Lhsc Sjhc 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster - staying ahead in the industry in terms of – new product launches, superior customer experience, highly competitive pricing strategies, and great returns to the shareholders.

Low bargaining power of suppliers

– Suppliers of Lhsc Sjhc in the sector have low bargaining power. Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Lhsc Sjhc to manage not only supply disruptions but also source products at highly competitive prices.

Digital Transformation in Leadership & Managing People segment

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

Organizational Resilience of Lhsc Sjhc

– The covid-19 pandemic has put organizational resilience at the centre of everthing that Lhsc Sjhc does. Organizational resilience comprises - Financial Resilience, Operational Resilience, Technological Resilience, Organizational Resilience, Business Model Resilience, and Reputation Resilience.

Diverse revenue streams

– Lhsc Sjhc is present in almost all the verticals within the industry. This has provided firm in Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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.

Cross disciplinary teams

– Horizontal connected teams at the Lhsc Sjhc 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.






Weaknesses Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster are -

Aligning sales with marketing

– It come across in the case study Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster can leverage the sales team experience to cultivate customer relationships as Lhsc Sjhc is planning to shift buying processes online.

High dependence on star products

– The top 2 products and services of the firm as mentioned in the Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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 Lhsc Sjhc has relatively successful track record of launching new products.

Low market penetration in new markets

– Outside its home market of Lhsc Sjhc, firm in the HBR case study Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Lhsc Sjhc is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Workers concerns about automation

– As automation is fast increasing in the segment, Lhsc Sjhc 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.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster, it seems that the employees of Lhsc Sjhc 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, Lhsc Sjhc 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. Lhsc Sjhc even though has strong showing on digital transformation primary two stages, it has struggled to capitalize the power of digital transformation in marketing efforts and new venture efforts.

Interest costs

– Compare to the competition, Lhsc Sjhc has borrowed money from the capital market at higher rates. It needs to restructure the interest payment and costs so that it can compete better and improve profitability.

High operating costs

– Compare to the competitors, firm in the HBR case study Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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 Lhsc Sjhc 's lucrative customers.

High bargaining power of channel partners

– Because of the regulatory requirements, Gerard Seijts, Ken Mark suggests that, Lhsc Sjhc is facing high bargaining power of the channel partners. So far it has not able to streamline the operations to reduce the bargaining power of the value chain partners in the industry.

High cash cycle compare to competitors

Lhsc Sjhc 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.




Opportunities Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster | 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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. Lhsc Sjhc 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, Lhsc Sjhc can use these opportunities to build new business models that can help the communities that Lhsc Sjhc operates in. Secondly it can use opportunities from government spending in Leadership & Managing People sector.

Developing new processes and practices

– Lhsc Sjhc can develop new processes and procedures in Leadership & Managing People 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.

Leveraging digital technologies

– Lhsc Sjhc 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.

Building a culture of innovation

– managers at Lhsc Sjhc 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 Leadership & Managing People segment.

Better consumer reach

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

Reforming the budgeting process

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

Lowering marketing communication costs

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

Redefining models of collaboration and team work

– As explained in the weaknesses section, Lhsc Sjhc is facing challenges because of the dominance of functional experts in the organization. Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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.

Buying journey improvements

– Lhsc Sjhc can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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.

Finding new ways to collaborate

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

Creating value in data economy

– The success of analytics program of Lhsc Sjhc has opened avenues for new revenue streams for the organization in the industry. This can help Lhsc Sjhc to build a more holistic ecosystem as suggested in the Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster case study. Lhsc Sjhc can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.




Threats Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster are -

Regulatory challenges

– Lhsc Sjhc 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 Leadership & Managing People industry regulations.

High dependence on third party suppliers

– Lhsc Sjhc 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 Leadership & Managing People field will also reduce the barriers to entry in the industry, thus putting downward pressure on the prices because of increasing competition. Lhsc Sjhc 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

– Lhsc Sjhc 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. Lhsc Sjhc can take advantage of this fund but it will also bring new competitors in the Leadership & Managing People industry.

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. Lhsc Sjhc needs to understand the core reasons impacting the Leadership & Managing People industry. This will help it in building a better workplace.

Barriers of entry lowering

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

Shortening product life cycle

– it is one of the major threat that Lhsc Sjhc is facing in Leadership & Managing People sector. It can lead to higher research and development costs, higher marketing expenses, lower customer loyalty, 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 Lhsc Sjhc.

Technology acceleration in Forth Industrial Revolution

– Lhsc Sjhc has witnessed rapid integration of technology during Covid-19 in the Leadership & Managing People industry. As one of the leading players in the industry, Lhsc Sjhc needs to keep up with the evolution of technology in the Leadership & Managing People 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.

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. Lhsc Sjhc 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.

Increasing wage structure of Lhsc Sjhc

– 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 Lhsc Sjhc.

Consumer confidence and its impact on Lhsc Sjhc 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.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster, Lhsc Sjhc may face longer learning curve for training and development of existing employees. This can open space for more nimble competitors in the field of Leadership & Managing People .




Weighted SWOT Analysis of Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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 Leading Change at SJHC and LHSC: Burr Under the Saddle or a Grain of Sand in the Oyster 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 Lhsc Sjhc needs to make to build a sustainable competitive advantage.



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