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Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap


This case addresses the issues of leadership and change management in the process of transforming an industry through an innovative public-private partnership approach to policy making. In 2005, the Governor of Arizona issued an Executive Order to create a roadmap for the state to achieve statewide electronic health data exchange between various entities in the health care delivery system. The Roadmap development project, a key initiative for Arizona, was led primarily by the State CIO. Being one of the first States to develop a statewide Roadmap, Arizona was being recognized as a national leader in the area of healthcare IT. While CIO and his team had successfully initiated a large-scale transformation within the state, they were now faced with the challenge of transforming the blueprint into reality. This case documents the process of creating this Roadmap and the issues that need to be addressed to achieve a true and lasting transformation in the healthcare arena.

Authors :: Lynda M. Applegate, Ajay Vinze, T.S. Raghu, Minu Ipe

Topics :: Leadership & Managing People

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

Swot Analysis of "Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap" written by Lynda M. Applegate, Ajay Vinze, T.S. Raghu, Minu Ipe includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Roadmap Arizona facing as an external strategic factors. Some of the topics covered in Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap case study are - Strategic Management Strategies, Leadership, Policy and Leadership & Managing People.


Some of the macro environment factors that can be used to understand the Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap casestudy better are - – challanges to central banks by blockchain based private currencies, technology disruption, wage bills are increasing, there is increasing trade war between United States & China, there is backlash against globalization, customer relationship management is fast transforming because of increasing concerns over data privacy, geopolitical disruptions, supply chains are disrupted by pandemic , digital marketing is dominated by two big players Facebook and Google, etc



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Introduction to SWOT Analysis of Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap


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




Strengths Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Roadmap Arizona in Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap Harvard Business Review case study are -

Diverse revenue streams

– Roadmap Arizona is present in almost all the verticals within the industry. This has provided firm in Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap 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.

Operational resilience

– The operational resilience strategy in the Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap Harvard Business Review case study comprises – understanding the underlying the factors in the industry, building diversified operations across different geographies so that disruption in one part of the world doesn’t impact the overall performance of the firm, and integrating the various business operations and processes through its digital transformation drive.

Training and development

– Roadmap Arizona has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap 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.

Organizational Resilience of Roadmap Arizona

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

Low bargaining power of suppliers

– Suppliers of Roadmap Arizona in the sector have low bargaining power. Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Roadmap Arizona to manage not only supply disruptions but also source products at highly competitive prices.

Ability to recruit top talent

– Roadmap Arizona is one of the leading recruiters in the industry. Managers in the Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Strong track record of project management

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

Learning organization

- Roadmap Arizona 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 Roadmap Arizona is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Cross disciplinary teams

– Horizontal connected teams at the Roadmap Arizona 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.

Successful track record of launching new products

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

Sustainable margins compare to other players in Leadership & Managing People industry

– Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap firm has clearly differentiated products in the market place. This has enabled Roadmap Arizona to fetch slight price premium compare to the competitors in the Leadership & Managing People industry. The sustainable margins have also helped Roadmap Arizona to invest into research and development (R&D) and innovation.

Ability to lead change in Leadership & Managing People field

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






Weaknesses Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap are -

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap, it seems that the employees of Roadmap Arizona 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.

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 Roadmap Arizona supply chain. Even after few cautionary changes mentioned in the HBR case study - Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap, it is still heavily dependent upon the existing supply chain. The existing supply chain though brings in cost efficiencies but it has left Roadmap Arizona vulnerable to further global disruptions in South East Asia.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap, is just above the industry average. Roadmap Arizona 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.

Interest costs

– Compare to the competition, Roadmap Arizona 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.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Roadmap Arizona is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Low market penetration in new markets

– Outside its home market of Roadmap Arizona, firm in the HBR case study Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Aligning sales with marketing

– It come across in the case study Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap 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 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap can leverage the sales team experience to cultivate customer relationships as Roadmap Arizona is planning to shift buying processes online.

Workers concerns about automation

– As automation is fast increasing in the segment, Roadmap Arizona 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.

Increasing silos among functional specialists

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

No frontier risks strategy

– After analyzing the HBR case study Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap, 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.

Lack of clear differentiation of Roadmap Arizona products

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




Opportunities Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap | 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 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap are -

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Roadmap Arizona 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, Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Developing new processes and practices

– Roadmap Arizona 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.

Changes in consumer behavior post Covid-19

– Consumer behavior has changed in the Leadership & Managing People industry because of Covid-19 restrictions. Some of this behavior will stay once things get back to normal. Roadmap Arizona 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. Roadmap Arizona 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.

Creating value in data economy

– The success of analytics program of Roadmap Arizona has opened avenues for new revenue streams for the organization in the industry. This can help Roadmap Arizona to build a more holistic ecosystem as suggested in the Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap case study. Roadmap Arizona can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.

Low interest rates

– Even though inflation is raising its head in most developed economies, Roadmap Arizona 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.

Using analytics as competitive advantage

– Roadmap Arizona 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 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Roadmap Arizona to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Remote work and new talent hiring opportunities

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

Learning at scale

– Online learning technologies has now opened space for Roadmap Arizona 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.

Increase in government spending

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

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. Roadmap Arizona can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Reforming the budgeting process

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

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 Roadmap Arizona 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.

Loyalty marketing

– Roadmap Arizona 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.




Threats Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap are -

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.

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 Roadmap Arizona.

Technology acceleration in Forth Industrial Revolution

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

Barriers of entry lowering

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

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

Increasing wage structure of Roadmap Arizona

– 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 Roadmap Arizona.

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 Roadmap Arizona in the Leadership & Managing People sector and impact the bottomline of the organization.

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.

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

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, Roadmap Arizona 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 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap .

Stagnating economy with rate increase

– Roadmap Arizona 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.

Environmental challenges

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

Trade war between China and United States

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




Weighted SWOT Analysis of Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap 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 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap 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 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap 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 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap 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 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap 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 Roadmap Arizona needs to make to build a sustainable competitive advantage.



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