As our political, social and institutional environment has become increasingly volatile, we have developed new expectations of how leaders should act. Today's most effective leaders do much more than get results: they also build the capabilities of the people around them and build effective teams and systems, so that unimagined results can be achieved. If this sounds like a job that requires a great deal of thought, that's because it does. The author presents a revised leadership model that reconciles the key theories about 'what leaders do' into an integrated model that includes the thinking of John Kotter, Daniel Kahneman and Roger Martin.

Every organization-regardless of industry-shares a common quest: they are all in the business of changing human behavior in some way. For-profit companies try to convince consumers who currently buy a competitor's product to switch to theirs; while governments try to convince citizens to pay their taxes on time or renew their driver's license online. Yet, the author argues, if you think about what people actually do in organizations from day to day, the bulk of their efforts are spent on 'first-mile problems'. These include efforts devoted to thinking through the competitive landscape and coming up with new products and services. Very little attention is paid to the 'last mile'-the part where the consumer actually walks into your establishment or begins a dialogue with your staff, and then makes a decision to switch to embrace your product (or not). The solution to this 'last-mile problem', he shows, isn't so much about creating awareness about your offering as it is about facilitating action. Throughout the article, he provides guidance on how to successfully embed the science of behavioural insights into the DNA of both government and for-profit organizations.

Two of the world's leading management thinkers and two global CEOs discuss the changing nature of leadership in this excerpt from the 6th annual Global Peter Drucker Forum. Despite their varied experience and backgrounds, they agree that idea of 'architectural thinking' for leaders is becoming very powerful: of leaders designing environments and cultures to enable innovation. They show how the leadership landscape is shifting, and that the young leaders coming along are converging around a new type of leadership. In order to 'act like a leader' today, you have to devote much of your time to four activities: bridging across diverse people and groups; envisioning new possibilities; engaging people in the change process; and embodying that change.

Exponential improvement in computer gear is one of three fundamental forces enabling what the authors call 'The Second Machine Age'. They describe how innovation is being propelled by vast numbers of powerful-but-cheap devices (smartphones), each equipped with an array of processors, sensors and transmitters. They describe how services like Waze only became feasible in the past few years because of accumulated digital power increases and cost declines. Data are the lifeblood of science, they argue, and as a result, the second force powering the Second Machine age is digitization, which increases understanding by making huge amounts of data readily accessible. Thanks to the first two forces, a new style of innovation has emerged that adds social and sensor data to an existing system, greatly increasing its power and usefulness. This approach to innovation is the third and last of the forces shaping the Second Machine Age.

Despite all the hoopla around Big Data these days, the fact is, there is nothing dramatically new about having data at our fingertips. What is new, the authors argue, is that modern technology has increased the types of data that can be collected and made it cheaper, easier and faster to collect, store and analyze that data. They define three key realms of data: Descriptive, Predictive and Prescriptive, and show that progressing to the Prescriptive realm is the best way to enable a 'scientific' approach to business. They show that data and analytics are only valuable if they are used to generate insights, learning and evidence that inform business decisions-and that managers have a critical role to play: ensuring that their organization's analytics are motivated by the key decisions and challenges facing managers.

Most businesses now understand that their sustained global success depends upon the economic, social and ecological contexts in which they operate. The problem is, the stability of those contexts can no longer be taken for granted: the physical environment is becoming increasingly unpredictable; our interconnected global economy is altering social conditions; and technological innovation is transforming the nature of both consumption and production. As a result, corporate sustainability has evolved significantly, and now involves addressing critical business issues involving a complex network of strategic relationships and activities. The authors show how companies like Intel, BASF, Walmart and Stonyfield are partnering with other organizations-including Greenpeace and the World Wildlife Fund-to find solutions to sustainability challenges in their communities.

Boards of directors represent the shareholders of publicly-traded companies, validating financial results, protecting their assets, and counseling the CEO. It's a demanding responsibility, requiring directors to learn as much as they can about a company so that their insights stand up alongside those of executives. That, at least, is the ideal; but is it anywhere close to being the reality? Sadly, no, argues veteran director and educator David R. Beatty. In a wide-ranging interview with two McKinsey authors, he describes where many boards are lacking; the importance of focusing on the 3Ts (talent, time and tone), and why adding the CFO to every board is an idea worth considering. In a sidebar, the merits of family-run firms' governance models are discussed.

The author introduces the concept of 'Total Leadership', an approach he developed that aims to improve a leader's performance in all aspects of life-work, home, community, and self-by finding mutual value among them. In this article, he focuses on Facebook COO Sheryl Sandberg, who exemplifies Total Leadership by embracing three elements of the approach: building networks that provide support, using personal stories to teach, and continually resolving tensions between the different parts of life. By sharing her personal story, he shows that Sheryl Sandberg is a new breed of executive: for her, it's not about yielding to either/or; instead, it's about searching for both/and. Along the way, he shows how she has struggled, adapted, and felt intense guilt, but continues to actively pursue four-way wins over the long run. No matter where you are on the arc of your life, Total Leadership offers a model for shaping your life for the better.

A key challenge facing entrepreneurial ventures-and any company with a game-changing new offering-is to reduce audience uncertainty about the quality of the new product or service. The authors argue that certain types of communications are more effective than others in achieving this goal. Having studied eight companies and their Twitter communication strategies, they define three characteristics of a successful social media communication: a focus on quality, a relational orientation to the user, and distinctiveness cues. They then present four distinct communication streams that an organization can embrace, from 'Sparse' to 'Multi-Dimensional', concluding that the latter is most likely to receive high levels of audience responses that affirm quality.

The systemic challenges we face are beyond the reach of existing institutions and their hierarchical authority structures. Problems like climate change, destruction of ecosystems, growing scarcity of water, youth unemployment, and embedded poverty and inequity require unprecedented collaboration between organizations, sectors-and even countries. As a result, the authors argue, we have never needed System Leaders more. They describe how system leaders share three core capabilities: they are profoundly committed to the health of the whole, which nurtures similar commitment in others; they build relationships based on deep listening, so that networks of trust and collaboration begin to flourish; and they are so convinced that something can be done that they don't wait for a fully developed plan, freeing others to step ahead and learn by doing. Providing examples including Nike and Unilever, they describe how the strategic use of the right tool at the right time-with a spirit of openness-can create collective success.

When we think of leadership, we often focus on external characteristics, practices, behaviour and actions that exemplary leaders demonstrate as they take on complex challenges. While this line of thinking is a great place to start, the authors-both from McKinsey-argue that we cannot reach our potential as leaders by looking at only what is visible: we need to see what lies underneath to understand how remarkable leaders lead, and that begins with mindsets. They provide four simple exercises can help you recognize-and begin to shift-the mindsets that are limiting your potential as a leader, including 'practicing the pause' and 'making time to recover'.

A renowned Harvard Business School professor discusses her research findings around 'Collective Genius'. After spending hundreds of hours watching the world's most innovative leaders work at places like Google, Pixar and Pfizer, she found that leading innovation is really about one thing: creating a context in which others are both willing and able to do the hard work of innovation. Enabling innovation, she found, involves building your organization's capacity for three things: collaboration, discovery-driven learning, and integrative decision making. Together, these elements constitute Collective Genius-and every employee has a slice of genius to contribute. In the end, she shows that you can't plan for innovation or tell people to innovate; but you can organize for it.

Southcoast Health System consists of three hospitals in southeastern Massachusetts: St. Luke's in New Bedford, Charlton Memorial in Fall River, and Tobey in Wareham, as well as numerous affiliated entities. But how did the merger that created the Southcoast system came about? "Basically, we merged because we wanted to, not because we needed to," said John Day, President and CEO of Southcoast Health System (formerly the CEO of St. Luke's Hospital). "We wanted to avoid a divide and conquer situation. As community hospitals, we needed to be able to serve the long-term interests of our communities." "We decided it was ridiculous to be competing with each other," added Ron Goodspeed, MD, President of Southcoast Hospitals Group and Executive Vice President of Southcoast Health System (formerly the CEO of Charlton Memorial). A mix of events and environmental conditions set the stage for the three hospitals to consider merging. One of the most critical of these was a turnover in Charlton's CEO position. Meanwhile, the health care environment was becoming increasingly volatile and competitive, and the focus in the business community was shifting away from city-specific planning and toward developing the larger southeastern area of the state. The predominant goal of the management and boards at all three hospitals was to find a way to best serve the interests of their communities. They decided on a full asset merger: building a single executive management team and board of trustees to oversee the organization.

In early 1996, Charlton Memorial, St. Luke's, and Tobey Hospitals were contemplating a full asset merger, something that had never been done before in Massachusetts. The logistics of the merger and its impact on the finances of the hospitals were among the many unknowns that the boards of trustees and management were facing. But, as Ron Goodspeed, MD, CEO of Charlton at the time, explained, "We had a fundamental desire to make it work. We expected hurdles - we knew there would be difficulties - but that is not a reason to back away...We took one step at time, taking care of hurdles as they appeared."

"Alameda Health System" (AHS) describes a county-owned safety net health system adapting to the implementation of the Affordable Care Act and an increasingly competitive health delivery environment. It takes the perspective of senior management, specifically the Chief Medical Officer for the system, who has been in his job for just over one year. The case begins in late 2014, when the CEO of 9 years announced that he was leaving AHS to become CEO of a Detroit health system. He was leaving behind a senior management team that had been in place for 1-2 years, and had turned over several times throughout his tenure. At the same time, the system was experiencing a financial downturn, brought on in part by the loss of many low-income, formerly county indigent patients who selected subsidized private health insurance plans on the new state health exchange that contracted primarily with AHS's two largest competitors. AHS also had yet to integrate clinically or administratively with two community hospitals, both of which were in poor financial health, recently acquired as part of a strategy to diversify the AHS payer mix. The system faced operating challenges common to many publicly-owned safety net hospitals, including: a unionized workforce; an independent, mission-driven medical staff that had grown weary of administrative turnover; a poorly functioning revenue collection system; unprofitable contracts with managed care plans; relatively few commercially insured patients or contracts; long wait times for care; lack of telephone and transportation access to providers; and a low-income population with multiple poorly managed chronic diseases, including mental illness and substance abuse, as well as a high rate of violent crime. The case requires that students understand key aspects of the ACA and can synthesize other relevant environmental and organizational trends in order to recommend and evaluate the actions that senior management should take.

How might health insurance exchanges make health insurance more accessible and affordable for employers in the small group market (with 2-50 workers)? While the Massachusetts Health Connector-the state's first-in-the-nation health insurance exchange-successfully enrolled nearly a quarter of a million individuals in subsidized and non-subsidized individual coverage, small businesses remained elusive as customers. The Health Connector needed to increase its scale in the small group market to be able to improve the affordability and quality of health insurance products for this sector, but finding ways to create value had been challenging indeed. In 2017, the small group market would expand, when the ACA would permit SHOPs (Small Business Health Options Programs) to sell to employers with up to 100 employees. But deciding whether, and how, to enter this market, or even whether to stay in the existing small group market, was a major strategic question for the Connector and other SHOPs across the country. SHOPs everywhere could also soon face more competition in the small employer market, as brokers and consultants nationally began to create private exchanges to target small businesses. A state waiver request from the ACA could include deciding to eliminate its SHOP altogether. The Health Connector's leadership had long grappled with how to crack the small employer market, and now other states are facing the same challenge. What should they do next?

Dr. George Annan was hired as an assistant professor at Northern Plains University (NPU) in August of 2003. He was born in Kenya, Africa, and was of African descent. NPU was a predominantly white institution, and he joined a small department with faculty consisting of three additional men and one woman - all white, and with varying ranks from instructor to associate professor. Although initially evaluated as having achieved the level of performance "reasonably expected in an Assistant Professor," subsequent evaluations were increasingly negative, and he was informed that his performance did not meet the expectations required of faculty at NPU. His contract was terminated at the end of his second year. Department Head Mary Reed believed that she had provided adequate feedback and support so that this outcome could have been avoided - if he had listened to her. Annan contended that he was treated unfairly by being assigned introductory level classes that wasted his talents as a Ph.D., and because he was an African man surrounded by a predominantly white faculty and student body. He was threatening to sue NPU for discrimination. Although Department Head Reed felt that Annan had largely ignored her advice on how to improve his performance, she knew that she needed to prepare evidence to defend NPU in case Annan decided to pursue legal action. Her primary concern was that Annan would allege discrimination under Title VII of the Civil Rights Act of 1964, claiming he was discriminated against on the basis of race.

Michael Geranen and Joe Roberts forged a business relationship around a disruptive drug delivery technology that was developed by Dr. Cherng-ju Kim, a researcher and Professor at the University of Arkansas for Medical Sciences, College of Pharmacy. After an exclusive licensing agreement was negotiated with the University, EZRA Innovations, LLC began the long and arduous process of capitalizing on a flexible and low cost series of technologies that enabled EZRA to compete in the international pharmaceutical industry. EZRA reformulated drugs that were currently available in the marketplace that faced little or no competition, using drug delivery patents that EZRA had licensed. The aim was to become one of the first generic drug competitors to enter the market, and though competitive market entry put downward pressure on drug prices, maintaining what was referred to as premium-priced generics. While many drugs cost upwards of $100 million to develop and take 10 years or more, EZRA's business model offered an accelerated FDA pathway to market and the potential for exponential investor returns within 4-5 years. EZRA first needed to decide how much money to raise and then, how to craft an impactful message to acquire those funds. The challenge was to adequately allay investor fears around a complex business model while still knowing each drug they developed had to negotiate the complex world of FDA filing and approvals. Should their pro forma come to fruition, huge returns for the investors, and EZRA, were possible.

In late spring 2013, Nakedwines.com (NWC) founder and CEO Rowan Gormley brought his team together to prioritize initiatives and formulate a strategy. Five years earlier, Gormley and other Virgin Wines' veterans founded NWC in the United Kingdom, with significant backing from a German family wine company. Naked Wines' business model involved raising money directly from subscribers via the Internet, using these revenues to fund winemakers around the world, who in turn created new brands, which were consigned to NWC and then sold directly via the Internet to subscribers ("Angels") at a discount and to non-subscribers at a premium. Some industry observers considered NWC's business model "disruptive" with respect to how wine was traditionally marketed and sold, i.e. via distributors and retailers. Others opined that NWC was little more than a traditional wine club that used crowdfunding and social media technologies. NWC expanded to Australia and the United States in 2012, at which time NWC leased a Napa office and a Kenwood (Sonoma), California winery for wine production, storage, shipment, and wine tastings. NWC's Angels, who represented 95 percent of NWC's customers, had exclusive access to a mobile application to rate and purchase wines. By spring 2013, NWC had reached breakeven, signed up over 100,000 Angels, and forecasted reaching 200,000 Angels and $96 million in sales by year's end. While NWC's management was pondering which of the initiatives deserved the highest priority (acquiring new customers, retaining customers, or rethinking the mobile app strategy), the most pressing issues involved capacity and capital to grow. The case is intended as a lead-off case for a strategic management course, but also works well in information technology courses.

After significant growth in 2013 when Hostess Baking, a major competitor, declared bankruptcy, Carolina Foods, Inc.'s CEO, Paul Scarborough, wanted to develop a strategy to maintain that level of growth for his family's 80-year-old commercial bakery and its Duchess brand. Hostess brands were purchased by various other commercial bakeries, and the Twinkie, an iconic American snack cake, was back on the market. CFI's Duchess family brand of baked sweet goods included honey buns, donuts and pies manufactured in the original factory in Charlotte, NC, and distributed to markets across the USA, Canada, Mexico and Puerto Rico. Consumer tastes were changing: Snacking in general was increasing and consumers were increasingly focused on healthy, or at least healthier, snacks. Social media was changing the marketing landscape: Could honey buns, donuts and pies be sold on line? Baked sweet goods firms were steadily consolidating across the nation. At CFI, no new products had been introduced over the past twenty years, the company did not have any dedicated marketing personnel, and no marketing budget was allocated (a sales budget did exist). Students can apply numerous basic marketing principles and tools to analyze and choose a viable marketing strategy for CFI. What strategy should CFI pursue for growth? Students may consider new product development, branding, market penetration, and market development, including changes in distribution strategies.