Tessa Lyons was a rising star at Facebook. She had been the project manager in charge of news feed integrity for a little over a year, stationed at the front lines in the battle against misinformation and "fake news." However, in early 2019, she faced an ethical dilemma that could define her tenure at the company and perhaps her career: whether to ban Alex Jones and the content from his platform, Infowars, from the Facebook news feed.

This case examines the transformation of the University of Virginia Health System (UVAHS) into a leader of operational excellence focused on both patient outcomes and health care team members' well-being with its signature quality improvement and safety program, Be Safe. The case provides opportunities for class discussions in several areas, including managing organizational change, understanding senior leadership in launching and implementing a major operational transformation, and applying Lean principles and methods in health care operations. It also exposes students to issues currently facing the health care industry, particularly from an academic hospital standpoint. It concentrates on the improvement activities led by Dr. Tracey Hoke, chief of quality and performance improvement for UVAHS, during the first two years of the Be Safe initiative to lay the foundation for future success in all aspects of patient care.

This case, a follow-up to "The University of Virginia Health System: The Next Generation of Quality Care and Patient Safety (A)" (UV7975) continues to follow the University of Virginia Health System's (UVAHS's) transformation into a leader of operational excellence focused on both patient outcomes and the well-being of health care team members with Be Safe, its new signature quality improvement and safety program. This case gives students an opportunity to engage more deeply in class discussions in several areas, including managing organizational change, understanding supportive leadership actions on multiple levels, and implementing Lean principles and methods in service line-structured operations. It also exposes students to issues currently facing the health care industry, particularly from an academic hospital standpoint. The case first follows UVAHS's realignment of hospital team members, physicians, and the School of Medicine into service lines for performance management. In the case, a closer look at a successful service line, Neurosciences & Behavioral Health, gives students an opportunity to examine key management decision points involved in executing a new organizational vision. The case then presents a current management challenge; how to improve Leader Standard Work (LSW) for 300 midlevel managers-assistant nurse managers, nurse managers, and medical directors-to provide mechanisms for reinforcing accountability during performance management in service lines.

Blockchain technologies are benefiting from significant interest in both societal and business contexts. Cryptocurrencies like bitcoin have grown rapidly in user adoption over the past 8 years. However, blockchain technologies, which fuel cryptocurrencies, have the potential to extend to other business applications even more profoundly. Blockchain can be leveraged to drive innovation and increase efficiencies in new domains-including digital arts management, supply chains, and healthcare-but there remain technical, organizational, and regulatory headwinds that must be overcome before mass adoption can occur. In this article, we provide a brief history of blockchain and identify some of the key features that have enabled its popular uptake in the world of cryptocurrencies. We discuss how blockchain technologies have evolved from traditional software and web technologies and then examine their underlying strengths and evaluate new, noncryptocurrency use cases. We conclude with a look at the limitations of blockchain and present several important factors for managers considering blockchain implementation within their organizations.

In a global marketplace, customers are often unaware of the exact sources of the products they purchase and consume. To address this lack of awareness, blockchain technology can be implemented in supply chains to increase customers' knowledge of products' provenance. Provenance knowledge-information about products' origin, production, modifications, and custody-enables customers to be assured of their purchasing decisions. This assurance comes from information on the origin, authenticity, custody, and integrity of the product that helps reduce risk perceptions. We develop a provenance knowledge framework and show how its application can enhance assurances and reduce perceived risks via the application of blockchain. We present a guide on how to implement blockchain to establish provenance knowledge and close with a kind warning on the importance of demonstrating the value of blockchain to customers.

Much of the attention surrounding blockchain today has focused on financial services, with very little discussion about nonfinancial services firms and how blockchain technology may affect organizations, their business models, and how they create and deliver value. In addition, some confusion remains between Blockchain (capital letters) and blockchain (lower case), distributed ledger technologies, and their applications. Our article offers a primer on blockchain technology aimed at general managers and executives. The key contributions of this article lie in providing an explanation of blockchain, including how a blockchain transaction works and a clarification of terms, and outlining different types of blockchain technologies. We also discuss how different types of blockchain impact business models. Building on the well-established business model framework by Osterwalder and Pigneur, we outline the effect that blockchain technologies can have on each element of the business model, along with illustrations from firms developing blockchain technology.

The ongoing discussion on blockchain technologies is mainly focused on cryptocurrencies, but blockchain features and functionalities have developed beyond financial instruments. As the technologies provide new functionalities, the associated value proposition changes as well. This study explores the relationship between blockchain technologies and their underlying value drivers. Four identified distinct blockchain stages of increased maturity are analyzed and discussed. This covers the evolutionary technology types focused on transactions, smart contracts, decentralized applications, and the introduction of artificial intelligence supporting decentralized decision making. In addition, we address management issues around appropriate blockchain adoption through the use of a blockchain value driver driver-focused framework that gives decision makers actionable questions and recommendations. We provide practitioners with a method for assessing suitable blockchain adoption that addresses the specific value creation associated with a given organizational strategy. For academics, we critically identify and assess the characteristics of the blockchain stages and their strategy implications and provide a structured approach conceptualizing blockchain technology evolution.

Following the uncertainty of regulatory reform under Brexit and the new Trump administration era, this installment of Accounting Matters explores the future of international financial reporting standards (IFRS). I interviewed Mr. Hans Hoogervorst, Chairmanof the International Accounting Standards Board (IASB), and Mr. Michael Izza, Chief Executive of the Institute of Chartered Accountants in England and Wales (ICAEW). The two give their opinions on what they see as the lasting impact of Brexit and the Trump era on their organizations and accounting standards internationally.

This article introduces a new concept, embedded ethics, to explain the subtle impact that complex systems and structures have on ethical outcomes. We define embedded ethics as the entrenched complex of networked structural indicators that subtly and silently direct actions in the form of normalized industrial, organizational, and/or functional-role behavior. We then describe two examples-one from the legal systems (corporate governance) and one from business (shareholder value)-to demonstrate the usefulness of this concept in helping to identify opportunities to improve unethical outcomes in systems in which actors otherwise are understood as just doing their job. The concept of embedded ethics is especially critical in our too-big-to-fail corporate environment and Post-Internet Age of technological innovation.

Despite considerable recent advances in big data analytics, there is substantial evidence that many organizations have failed to incorporate them effectively in their own decision making processes. Advancing the existing understandings, this article lays out the steps necessary to implement big data strategies successfully. To this end, we first explain how the big data analytics cycle can provide useful insights into the characteristics of the environments in which many organizations operate. Next, we review some common challenges faced by many organizations in their uses of big data analytics and offer specific recommendations for mitigating them. Among these recommendations, which are rooted in the findings of strategy implementation research, we emphasize managerial responsibilities in providing continued commitment and support, the effective communication and coordination of efforts, and the development of big data knowledge and expertise. Finally, in order to help managers obtain a fundamental knowledge of big data analytics, we provide an easy-to-understand explanation of important big data algorithms and illustrate their successful applications through a number of real-life examples.

The labor market has long included individuals seeking nonemployee, alternative work arrangements. Now, alternative work arrangements such as freelancing, independent contracting, and temporary contracts have entered the lexicon through the following terminology: the gig economy, the sharing economy, the YouEconomy, agile workforce, and contingent workers. There are currently an estimated 18.6 million independent contractors engaged in direct selling. This article reports the first attempt to empirically investigate and document both the economic and social impacts of direct selling in the U.S. Our findings suggest that direct selling has a consequential impact on the U.S. economy and that the direct selling experience fosters a variety of skills that benefit professional activities as well as the personal lives of millions of independent workers.

Strategy is an important tool for competitive success and how firms formulate and implement strategy is widely discussed in both the academic and practitioner literature. Historically, there has been a divide between strategy formulation and execution. Strategy formulation has largely been associated with top management teams, while implementation was assigned to middle and lower-level managers. Organizations can benefit from broadening the strategy formulation process to include a range of both external and internal stakeholders. In this article, we explore the promise and risks associated with open strategy and offer some suggestions for overcoming associated dysfunctions.

While previous studies and management conventions often adopted a finance-centric perspective of cross-border mergers and acquisitions (CBM&A or CBA), we demonstrate that CBA can be an effective platform upon which to build a global corporate social responsibility (CSR) program and that CSR initiatives can be customized for different locales. These CSR-CBA interconnections and customizations respond to a range of stakeholder interests associated with both national and societal institutional factors. We develop a managerial framework for the CSR-CBA setting and illustrate the framework with an exemplar of international expansion through acquisitions combined with the international development and implementation of CSR.

The purpose of this article is to describe how innovative organizations work beyond traditional overlays of rules, hierarchy, and process. This cultural context is best described as tribal and can be framed as seven key instincts: ambition, emergent structure, roles and responsibilities, trust, navigation, resolve, and sacrifice. This tribal approach provides a useful framework for organizations seeking to improve their predisposition for discovering extraordinary ideas.

Millennials are redefining what it means to develop future leaders. In business organizations, leadership development-defined as "the expansion of a person's capacity to be effective in leadership roles and processes"-has traditionally been the work of corporate development programs for select employees handpicked and cultivated by senior management. With the millennial generation of leaders, however, leadership self-development is becoming far more common. This note embraces the movement towards leader self-development. It also recognizes that, for it to be successful, those who are now in the driver's seat-the high-potential and emerging leaders themselves-must be equipped to succeed. The note lays out the PACE Model for leadership self-development, grounded in research, to help developing leaders forge systematic habits to accelerate self-development and success.

Spreadsheet supplement for case 519097.

It was March 2019, and Fermin Diez, Deputy CEO of the National Council of Social Service (NCSS), ran the Sun Ray scheme that had been launched in 2014 to mitigate manpower issues due to pay disparity and lack of career progression in the social service sector. Singapore's heretofore prosperity did not result in an even distribution of wealth, and with the changing demographics, Social Service Agencies (SSAs) required assistance in identifying and improving various programmes to support vulnerable groups. The government had recently announced plans to provide more support with the goal of building a more caring and compassionate society. NCSS had administered several leadership programmes to develop human capital and support organisations in the sector to strengthen the local social service ecosystem. However, the previous leadership programmes introduced experienced limited success due to low participation rates and the heavy workloads of staff in the social service sector. The newer Sun Ray scheme would instead centrally hire potential social service leaders under the NCSS payroll and second them out to SSAs. In return, the SSAs were required to pay a subsidised secondment fee to NCSS. This way, individual SSAs would benefit from good leaders at subsidised salaries while the impact of each Sun Rayz would not be limited to any particular SSA. Diez knew that the scheme had been successful, but sought to make improvements.

Stanley Cirano owns two retail shopping centers in suburban Chicago. With interest rates near all-time lows in late 2015, Cirano believed it was an opportune time to consider the debt financing of his properties. Although the properties were similar in many respects, the lenders willing to lend against each property were offering noticeably different terms. Cirano had to consider not only the interest rate and size of each potential loan but also the differing fees, potential prepayment penalties, and variations in recourse to make the best decision for each property.