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Management Control Challenges at Hadassah University Hospital-Mt. Scopus SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Management Control Challenges at Hadassah University Hospital-Mt. Scopus


Dr. Osnat Levtzion-Korach was the newly appointed Director of the Hadassah University Hospital-Mt. Scopus, a 350-bed academic community hospital located in the crowded, ethnically mixed neighborhood of northeastern Jerusalem. Mt. Scopus was one of two hospitals in the Hadassah Medical Organization; the larger 850-bed hospital, Ein Kerem, was located about 30 minutes away across Jerusalem. In the past, the two Hadassah hospitals had been centrally managed with the two on-site directors acting primarily as COOs. A new Director General of the system now wanted to de-centralize responsibilities, and Osnat, the first female head of a Hadassah hospital, had been promised much greater control over the finances and management of the hospital than her predecessor had enjoyed. The staff at Mt. Scopus pinned a great deal of hope on their new director to bring resources and a renewed sense of vision to the hospital, but Osnat knew her ability to do this depended in large part on her ability to manage costs as well as change a culture that had always prided itself on providing the best care but had not been held accountable for monitoring expenses or budgets.

Authors :: Susan Madden, Richard B. Siegrist

Topics :: Leadership & Managing People

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

Swot Analysis of "Management Control Challenges at Hadassah University Hospital-Mt. Scopus" written by Susan Madden, Richard B. Siegrist includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Hadassah Scopus facing as an external strategic factors. Some of the topics covered in Management Control Challenges at Hadassah University Hospital-Mt. Scopus case study are - Strategic Management Strategies, Organizational structure and Leadership & Managing People.


Some of the macro environment factors that can be used to understand the Management Control Challenges at Hadassah University Hospital-Mt. Scopus casestudy better are - – supply chains are disrupted by pandemic , technology disruption, increasing transportation and logistics costs, banking and financial system is disrupted by Bitcoin and other crypto currencies, geopolitical disruptions, central banks are concerned over increasing inflation, there is backlash against globalization, increasing energy prices, competitive advantages are harder to sustain because of technology dispersion, etc



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Introduction to SWOT Analysis of Management Control Challenges at Hadassah University Hospital-Mt. Scopus


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




Strengths Management Control Challenges at Hadassah University Hospital-Mt. Scopus | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Hadassah Scopus in Management Control Challenges at Hadassah University Hospital-Mt. Scopus Harvard Business Review case study are -

High brand equity

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

Analytics focus

– Hadassah Scopus 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 Susan Madden, Richard B. Siegrist 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.

Effective Research and Development (R&D)

– Hadassah Scopus 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 Management Control Challenges at Hadassah University Hospital-Mt. Scopus - staying ahead in the industry in terms of – new product launches, superior customer experience, highly competitive pricing strategies, and great returns to the shareholders.

Innovation driven organization

– Hadassah Scopus is one of the most innovative firm in sector. Manager in Management Control Challenges at Hadassah University Hospital-Mt. Scopus Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Strong track record of project management

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

Ability to lead change in Leadership & Managing People field

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

Successful track record of launching new products

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

Digital Transformation in Leadership & Managing People segment

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

Low bargaining power of suppliers

– Suppliers of Hadassah Scopus in the sector have low bargaining power. Management Control Challenges at Hadassah University Hospital-Mt. Scopus has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Hadassah Scopus to manage not only supply disruptions but also source products at highly competitive prices.

Superior customer experience

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

High switching costs

– The high switching costs that Hadassah Scopus 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.

Training and development

– Hadassah Scopus has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Management Control Challenges at Hadassah University Hospital-Mt. Scopus 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.






Weaknesses Management Control Challenges at Hadassah University Hospital-Mt. Scopus | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Management Control Challenges at Hadassah University Hospital-Mt. Scopus are -

High operating costs

– Compare to the competitors, firm in the HBR case study Management Control Challenges at Hadassah University Hospital-Mt. Scopus 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 Hadassah Scopus 's lucrative customers.

No frontier risks strategy

– After analyzing the HBR case study Management Control Challenges at Hadassah University Hospital-Mt. Scopus, 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.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Management Control Challenges at Hadassah University Hospital-Mt. Scopus, it seems that the employees of Hadassah Scopus 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.

Increasing silos among functional specialists

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

High bargaining power of channel partners

– Because of the regulatory requirements, Susan Madden, Richard B. Siegrist suggests that, Hadassah Scopus 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.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Management Control Challenges at Hadassah University Hospital-Mt. Scopus, is just above the industry average. Hadassah Scopus 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 cash cycle compare to competitors

Hadassah Scopus 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.

Slow decision making process

– As mentioned earlier in the report, Hadassah Scopus 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. Hadassah Scopus 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, Hadassah Scopus 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.

Low market penetration in new markets

– Outside its home market of Hadassah Scopus, firm in the HBR case study Management Control Challenges at Hadassah University Hospital-Mt. Scopus needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Slow to strategic competitive environment developments

– As Management Control Challenges at Hadassah University Hospital-Mt. Scopus HBR case study mentions - Hadassah Scopus 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.




Opportunities Management Control Challenges at Hadassah University Hospital-Mt. Scopus | 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 Management Control Challenges at Hadassah University Hospital-Mt. Scopus are -

Increase in government spending

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

Building a culture of innovation

– managers at Hadassah Scopus 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.

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 Hadassah Scopus 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.

Developing new processes and practices

– Hadassah Scopus 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.

Lowering marketing communication costs

– 5G expansion will open new opportunities for Hadassah Scopus 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.

Manufacturing automation

– Hadassah Scopus can use the latest technology developments to improve its manufacturing and designing process in Leadership & Managing People segment. It can use CAD and 3D printing to build a quick prototype and pilot testing products. It can leverage automation using machine learning and artificial intelligence to do faster production at lowers costs, and it can leverage the growth in satellite and tracking technologies to improve inventory management, transportation, and shipping.

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. Hadassah Scopus can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Loyalty marketing

– Hadassah Scopus 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.

Buying journey improvements

– Hadassah Scopus can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Management Control Challenges at Hadassah University Hospital-Mt. Scopus 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.

Using analytics as competitive advantage

– Hadassah Scopus 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 Management Control Challenges at Hadassah University Hospital-Mt. Scopus - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Hadassah Scopus to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Hadassah Scopus 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, Management Control Challenges at Hadassah University Hospital-Mt. Scopus, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Better consumer reach

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

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




Threats Management Control Challenges at Hadassah University Hospital-Mt. Scopus External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Management Control Challenges at Hadassah University Hospital-Mt. Scopus are -

Trade war between China and United States

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

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.

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 Hadassah Scopus.

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. Hadassah Scopus 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.

Consumer confidence and its impact on Hadassah Scopus 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.

Stagnating economy with rate increase

– Hadassah Scopus 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.

Technology acceleration in Forth Industrial Revolution

– Hadassah Scopus has witnessed rapid integration of technology during Covid-19 in the Leadership & Managing People industry. As one of the leading players in the industry, Hadassah Scopus 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.

Increasing wage structure of Hadassah Scopus

– 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 Hadassah Scopus.

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.

Environmental challenges

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

Barriers of entry lowering

– As technology is more democratized, the barriers to entry in the industry are lowering. It can presents Hadassah Scopus 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 Hadassah Scopus is facing in Leadership & Managing People sector. It can lead to higher research and development costs, higher marketing expenses, lower customer loyalty, etc.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Management Control Challenges at Hadassah University Hospital-Mt. Scopus, Hadassah Scopus 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 Management Control Challenges at Hadassah University Hospital-Mt. Scopus 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 Management Control Challenges at Hadassah University Hospital-Mt. Scopus 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 Management Control Challenges at Hadassah University Hospital-Mt. Scopus 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 Management Control Challenges at Hadassah University Hospital-Mt. Scopus 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 Management Control Challenges at Hadassah University Hospital-Mt. Scopus 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 Hadassah Scopus needs to make to build a sustainable competitive advantage.



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