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Controls in the NICU SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Controls in the NICU


This case examines medication administration processes and technologies on a neonatal intensive care unit (NICU). Taking the point of view of a hospital's VP of Administration, the case also gives students an opportunity to consider the perspectives of the CIO and Medical Director. It describes tragedies in which infants died after being inadvertently overdosed with blood thinners (poor information quality and poor process quality were implicated in these tragedies), and briefly introduces students to several U.S. national initiatives that aim to improve clinical processes and outcomes.

Authors :: Janis L. Gogan, Scott R Boss, Balaji Sankaranaryanan, James L Linderman

Topics :: Leadership & Managing People

Tags :: Product development, Supply chain, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Controls in the NICU" written by Janis L. Gogan, Scott R Boss, Balaji Sankaranaryanan, James L Linderman includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Nicu Tragedies facing as an external strategic factors. Some of the topics covered in Controls in the NICU case study are - Strategic Management Strategies, Product development, Supply chain and Leadership & Managing People.


Some of the macro environment factors that can be used to understand the Controls in the NICU casestudy better are - – banking and financial system is disrupted by Bitcoin and other crypto currencies, supply chains are disrupted by pandemic , cloud computing is disrupting traditional business models, competitive advantages are harder to sustain because of technology dispersion, wage bills are increasing, customer relationship management is fast transforming because of increasing concerns over data privacy, increasing household debt because of falling income levels, increasing commodity prices, increasing government debt because of Covid-19 spendings, etc



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Introduction to SWOT Analysis of Controls in the NICU


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




Strengths Controls in the NICU | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Nicu Tragedies in Controls in the NICU Harvard Business Review case study are -

Cross disciplinary teams

– Horizontal connected teams at the Nicu Tragedies 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.

Superior customer experience

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

Organizational Resilience of Nicu Tragedies

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

Analytics focus

– Nicu Tragedies 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 Janis L. Gogan, Scott R Boss, Balaji Sankaranaryanan, James L Linderman 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.

Strong track record of project management

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

Highly skilled collaborators

– Nicu Tragedies 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 Controls in the NICU HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Ability to lead change in Leadership & Managing People field

– Nicu Tragedies 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 Nicu Tragedies 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

– Nicu Tragedies is one of the leading recruiters in the industry. Managers in the Controls in the NICU are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Innovation driven organization

– Nicu Tragedies is one of the most innovative firm in sector. Manager in Controls in the NICU Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Learning organization

- Nicu Tragedies 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 Nicu Tragedies is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Controls in the NICU Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Training and development

– Nicu Tragedies has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Controls in the NICU Harvard Business Review case study by analyzing – employees retention, in-house promotion, loyalty, new venture initiation, lack of conflict, and high level of both employees and customer engagement.

Low bargaining power of suppliers

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






Weaknesses Controls in the NICU | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Controls in the NICU are -

Lack of clear differentiation of Nicu Tragedies products

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

Ability to respond to the competition

– As the decision making is very deliberative, highlighted in the case study Controls in the NICU, in the dynamic environment Nicu Tragedies has struggled to respond to the nimble upstart competition. Nicu Tragedies has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.

Capital Spending Reduction

– Even during the low interest decade, Nicu Tragedies 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.

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 Nicu Tragedies supply chain. Even after few cautionary changes mentioned in the HBR case study - Controls in the NICU, it is still heavily dependent upon the existing supply chain. The existing supply chain though brings in cost efficiencies but it has left Nicu Tragedies vulnerable to further global disruptions in South East Asia.

Low market penetration in new markets

– Outside its home market of Nicu Tragedies, firm in the HBR case study Controls in the NICU needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Skills based hiring

– The stress on hiring functional specialists at Nicu Tragedies 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.

No frontier risks strategy

– After analyzing the HBR case study Controls in the NICU, it seems that company is thinking about the frontier risks that can impact Leadership & Managing People 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.

Aligning sales with marketing

– It come across in the case study Controls in the NICU 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 Controls in the NICU can leverage the sales team experience to cultivate customer relationships as Nicu Tragedies is planning to shift buying processes online.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Controls in the NICU, is just above the industry average. Nicu Tragedies 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.

Increasing silos among functional specialists

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

Interest costs

– Compare to the competition, Nicu Tragedies 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.




Opportunities Controls in the NICU | 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 Controls in the NICU 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 Nicu Tragedies in the consumer business. Now Nicu Tragedies can target international markets with far fewer capital restrictions requirements than the existing system.

Building a culture of innovation

– managers at Nicu Tragedies 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.

Learning at scale

– Online learning technologies has now opened space for Nicu Tragedies to conduct training and development for its employees across the world. This will result in not only reducing the cost of training but also help employees in different part of the world to integrate with the headquarter work culture, ethos, and standards.

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 Nicu Tragedies 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.

Buying journey improvements

– Nicu Tragedies can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Controls in the NICU 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.

Redefining models of collaboration and team work

– As explained in the weaknesses section, Nicu Tragedies is facing challenges because of the dominance of functional experts in the organization. Controls in the NICU 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.

Better consumer reach

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

Creating value in data economy

– The success of analytics program of Nicu Tragedies has opened avenues for new revenue streams for the organization in the industry. This can help Nicu Tragedies to build a more holistic ecosystem as suggested in the Controls in the NICU case study. Nicu Tragedies can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.

Reforming the budgeting process

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

Loyalty marketing

– Nicu Tragedies 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.

Using analytics as competitive advantage

– Nicu Tragedies 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 Controls in the NICU - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Nicu Tragedies to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Leveraging digital technologies

– Nicu Tragedies 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.

Low interest rates

– Even though inflation is raising its head in most developed economies, Nicu Tragedies 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.




Threats Controls in the NICU External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Controls in the NICU are -

Shortening product life cycle

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

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.

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Nicu Tragedies in the Leadership & Managing People industry. The Leadership & Managing People 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.

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 Nicu Tragedies business can come under increasing regulations regarding data privacy, data security, etc.

Barriers of entry lowering

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

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. Nicu Tragedies 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.

Environmental challenges

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

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.

Regulatory challenges

– Nicu Tragedies 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.

Consumer confidence and its impact on Nicu Tragedies 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.

High dependence on third party suppliers

– Nicu Tragedies 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.

Stagnating economy with rate increase

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




Weighted SWOT Analysis of Controls in the NICU 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 Controls in the NICU 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 Controls in the NICU 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 Controls in the NICU 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 Controls in the NICU 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 Nicu Tragedies needs to make to build a sustainable competitive advantage.



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