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Dr. Semmelweis at Vienna General Hospital SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Dr. Semmelweis at Vienna General Hospital


The case provides an example of an individual who meets harsh criticism, personal attacks, and broad resistance despite clear evidence that what he is proposing is right and could save the lives of thousands of human beings. The case recounts the story of Dr. Ignaz Philip Semmelweis, a pioneer in medical antiseptic procedures who is today known as "the savior of mothers." In 1847, Semmelweis discovered that the practice of hand disinfection in obstetrical clinics can effectively eliminate the outbreak of puerperal fever ("childbed fever"), a condition that killed up to 30 percent of mothers and babies in maternity clinics at the time of the case. The relatively short case - which is designed to be handed out during class - is divided into three parts. Part A describes the situation at Vienna General Hospital in 1846, when Semmelweis is assigned to head one of the two maternity clinics. Much of this part is dedicated to describing the natural experiment that Semmelweis encountered when learning that the two clinics had vastly different mortality rates. Part B lists the many hypotheses that Semmelweis had formulated and refuted, reports on his discovery that the contamination of women by doctors performing anatomical dissections of corpses is causing puerperal fever, and reveals his findings that it can be easily and effectively treated through hand disinfection. Part C provides an account of the resistance he faced from the medical establishment, despite the overwhelming evidence that Semmelweis had collected in support of his findings.

Authors :: Ulf Schaefer

Topics :: Leadership & Managing People

Tags :: Decision making, Experimentation, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Dr. Semmelweis at Vienna General Hospital" written by Ulf Schaefer includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Semmelweis Clinics facing as an external strategic factors. Some of the topics covered in Dr. Semmelweis at Vienna General Hospital case study are - Strategic Management Strategies, Decision making, Experimentation and Leadership & Managing People.


Some of the macro environment factors that can be used to understand the Dr. Semmelweis at Vienna General Hospital casestudy better are - – banking and financial system is disrupted by Bitcoin and other crypto currencies, cloud computing is disrupting traditional business models, central banks are concerned over increasing inflation, increasing government debt because of Covid-19 spendings, there is increasing trade war between United States & China, talent flight as more people leaving formal jobs, increasing transportation and logistics costs, increasing inequality as vast percentage of new income is going to the top 1%, increasing energy prices, etc



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Introduction to SWOT Analysis of Dr. Semmelweis at Vienna General Hospital


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




Strengths Dr. Semmelweis at Vienna General Hospital | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Semmelweis Clinics in Dr. Semmelweis at Vienna General Hospital Harvard Business Review case study are -

Strong track record of project management

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

Training and development

– Semmelweis Clinics has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Dr. Semmelweis at Vienna General Hospital 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.

Operational resilience

– The operational resilience strategy in the Dr. Semmelweis at Vienna General Hospital 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.

Ability to recruit top talent

– Semmelweis Clinics is one of the leading recruiters in the industry. Managers in the Dr. Semmelweis at Vienna General Hospital are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Ability to lead change in Leadership & Managing People field

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

Organizational Resilience of Semmelweis Clinics

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

Digital Transformation in Leadership & Managing People segment

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

Superior customer experience

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

Learning organization

- Semmelweis Clinics 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 Semmelweis Clinics is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Dr. Semmelweis at Vienna General Hospital Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Diverse revenue streams

– Semmelweis Clinics is present in almost all the verticals within the industry. This has provided firm in Dr. Semmelweis at Vienna General Hospital 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.

Low bargaining power of suppliers

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

High switching costs

– The high switching costs that Semmelweis Clinics 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.






Weaknesses Dr. Semmelweis at Vienna General Hospital | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Dr. Semmelweis at Vienna General Hospital are -

Slow decision making process

– As mentioned earlier in the report, Semmelweis Clinics 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. Semmelweis Clinics 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.

Skills based hiring

– The stress on hiring functional specialists at Semmelweis Clinics 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.

Slow to strategic competitive environment developments

– As Dr. Semmelweis at Vienna General Hospital HBR case study mentions - Semmelweis Clinics 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.

Capital Spending Reduction

– Even during the low interest decade, Semmelweis Clinics 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.

Increasing silos among functional specialists

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

Low market penetration in new markets

– Outside its home market of Semmelweis Clinics, firm in the HBR case study Dr. Semmelweis at Vienna General Hospital needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

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 Semmelweis Clinics supply chain. Even after few cautionary changes mentioned in the HBR case study - Dr. Semmelweis at Vienna General Hospital, it is still heavily dependent upon the existing supply chain. The existing supply chain though brings in cost efficiencies but it has left Semmelweis Clinics vulnerable to further global disruptions in South East Asia.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Dr. Semmelweis at Vienna General Hospital, it seems that the employees of Semmelweis Clinics 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.

Interest costs

– Compare to the competition, Semmelweis Clinics 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.

Products dominated business model

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

Ability to respond to the competition

– As the decision making is very deliberative, highlighted in the case study Dr. Semmelweis at Vienna General Hospital, in the dynamic environment Semmelweis Clinics has struggled to respond to the nimble upstart competition. Semmelweis Clinics has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.




Opportunities Dr. Semmelweis at Vienna General Hospital | 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 Dr. Semmelweis at Vienna General Hospital are -

Buying journey improvements

– Semmelweis Clinics can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Dr. Semmelweis at Vienna General Hospital 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.

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. Semmelweis Clinics can explore opportunities that can attract volunteers and are consistent with its mission and vision.

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. Semmelweis Clinics 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. Semmelweis Clinics 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.

Using analytics as competitive advantage

– Semmelweis Clinics 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 Dr. Semmelweis at Vienna General Hospital - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Semmelweis Clinics 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, Semmelweis Clinics 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, Dr. Semmelweis at Vienna General Hospital, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Reforming the budgeting process

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

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

Developing new processes and practices

– Semmelweis Clinics 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.

Creating value in data economy

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

Loyalty marketing

– Semmelweis Clinics 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.

Low interest rates

– Even though inflation is raising its head in most developed economies, Semmelweis Clinics 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.

Increase in government spending

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

Learning at scale

– Online learning technologies has now opened space for Semmelweis Clinics 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.




Threats Dr. Semmelweis at Vienna General Hospital External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Dr. Semmelweis at Vienna General Hospital are -

High dependence on third party suppliers

– Semmelweis Clinics 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.

Consumer confidence and its impact on Semmelweis Clinics 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.

Technology acceleration in Forth Industrial Revolution

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

Shortening product life cycle

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

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. Semmelweis Clinics 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 Semmelweis Clinics

– 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 Semmelweis Clinics.

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 Semmelweis Clinics business can come under increasing regulations regarding data privacy, data security, etc.

Stagnating economy with rate increase

– Semmelweis Clinics 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.

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. Semmelweis Clinics 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.

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 Semmelweis Clinics.

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.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Dr. Semmelweis at Vienna General Hospital, Semmelweis Clinics 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 .

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Semmelweis Clinics 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 Dr. Semmelweis at Vienna General Hospital 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 Dr. Semmelweis at Vienna General Hospital 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 Dr. Semmelweis at Vienna General Hospital 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 Dr. Semmelweis at Vienna General Hospital 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 Dr. Semmelweis at Vienna General Hospital 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 Semmelweis Clinics needs to make to build a sustainable competitive advantage.



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