Miami-Dade County led the work to get South Florida designated a national climate resilience tech hub, the only one of 31 focused on climate change, an urgent major issue for the region in light of global warming and sea level rise. Venture capitalists saw the potential but not many investable ventures; some entrepreneurs created scalable ventures but without much regional support; economic development agencies were not yet fully building the ecosystem or just getting started. Most wanted more from government, higher education, and others. The label "climate tech hub" had to be backed by specific proposals to attract available funding. What are the gaps and missing ingredients? What actions might fill the gaps?

Fawn Weaver, as a Black woman and industry outsider in a capital-intensive, highly regulated, competitive and male-dominated spirits industry, successfully overcame numerous obstacles to launch a premium American whiskey brand, Uncle Nearest in 2017, which became the fastest growing and most awarded whiskey brand in America. By October 2023, Weaver announced the company's plans to expand into cognac to support her vision of building the next major conglomerate for alcoholic beverages. However, she still heavily relied on capital and needed to convince new investors that her plans for cognac would yield success.

In September 2023, Brighter Bites, a Houston-based non-profit that distributed fresh produce and nutrition education in underserved communities across 11 cities and 5 states, grappled with identifying the best path forward for continued growth. Brighter Bites proved that their program effectively changed behavior with participating families developing and sustaining healthier eating habits and consuming more fruits and vegetables each week, two years after they completed the program. Brighter Bites wanted to change the trajectory of health across low-income and food insecure households and had to navigate the program's dependency on produce and logistics partners and restricted funding sources.

Louis (Lou) Gossett Jr.'s exemplary life included a groundbreaking career in entertainment and a bold and audacious goal to erase racism. From the Broadway stage to television and the movie screen, Gossett earned major accolades in his field, notably becoming the first African American man to win an Oscar (Academy Award) for Best Supporting Actor for his moving portrayal as Sergeant Emil Foley in An Officer and a Gentleman in 1982. Despite his accomplished Hollywood career, as an African-American male he was subjected to constant discrimination in the industry and in society. Amidst the duality of success and distress in his life, Gossett forged a meaningful life path, marked by resilience and perseverance. In 2006, his desire to make an even greater impact led him to create the Eracism Foundation. Eracism was defined as "the removal from existence of the belief that one race, one culture, one people is superior to another."

Two experienced healthcare leaders that participated in the Advanced Leadership Initiative at Harvard University worked together to improve the nation's healthcare system through the early stage company Empathetics (an organization that teaches empathy to healthcare professionals and staff to improve the patient experience). With their guidance the company seems to make progress on staffing and funding, but despite Mandato's and McNerney's experience and optimism, the Empathetics team faced a great deal of uncertainty. Do they have the right team in place? Will they successfully raise their next round of funding? Can they penetrate the complex and crowded market and build a thriving business? Can the Empathetic products be perceived and recognized as a pain killer as opposed to a nice to have? How should they align themselves with hospitals and insurance companies? Can Empathetics fundamentally change the healthcare industry and normalize empathy training as an essential part of clinical and administrative training?

Medical errors both in the U.S. and worldwide occur at alarming rates. In the U.S. medical errors were the third leading cause of death. Southwick experienced the consequences of preventable medical errors firsthand. As a physician and a professor, he researched and wrote about the causes and solutions for medical errors over the years. Southwick also launched pilot programs applying different quality improvement frameworks from other fields to medicine. Although the results were positive, he encountered resistance from many physicians. To build more skills, Southwick became an Advanced Leadership Fellow in 2010 and a Senior Advanced Leadership Fellow in 2011. He used his time at Harvard to develop solutions that would address the root causes of medical errors. The complexities in healthcare and the entrenched cultural norms presented strong barriers to creating change. The case explores Southwick's efforts in getting medical professionals to work collaboratively, communicate effectively, and create a new sustainable culture that improves healthcare outcomes. Southwick's experience raises the question of how one person can best make a difference in a large, complex, entrenched system.

With Brazil's crisis as the backdrop, the 2016 ALI Fellows, Partners, and guests, traveled throughout São Paulo in June of 2016 and were exposed to social innovations in Heliopolis (the largest favela), the transformation of Vila Madalena (neighborhood), cultural inclusion efforts in Sala São Paulo and Pinacoteca (downtown), and highly respected social change leaders and thinkers throughout the trip. The participants were able to engage with a wide array of projects and understand the challenges on the ground more clearly.

Former law firm chairman/CEO Harvey Freishtat was actively involved in the formation of The Conversation Project, a national public engagement campaign to promote earlier end-of-life care discussions among loved ones and then with providers to ensure that end-of-life care wishes were both expressed and respected. The Conversation Project's media campaign and three-pronged strategy of targeting people where they live, work, and pray, was beginning to yield results. However, questions still remained. Would the health care industry create the mechanisms needed to follow people's end-of-life wishes? Was The Conversation Project taking the right steps to fulfill its mission of culture change?

Beatriz Cardoso, founder of Laboratório de Educação (Education Laboratory) had a dream to propel Brazilian education. However challenges in fundraising made it difficult to scale up her project, based on helping adults help children improve their literacy skills. To succeed in her goals, Cardoso had to build partnerships, raise funds, and expand the reach of Laboratório de Educação.

Bob Whelan developed an idea with partners that was a seed before his fellowship year and addressed a significant national challenge - college financing - with a creative concept and experience from his years in investment banking. His nonprofit was called 13th Avenue Funding and it provided equity as an alternative to debt for students to finance college. Since he first set out on his journey, he faced a lot of resistance and difficulty in scaling his non-profit aimed at enabling one million low income students to obtain a postsecondary education debt free. Whelan continued to persist and adapt to the changing environment.

Two years after the formation of the Asian Americans Advancing Justice (AAAJ), a national affiliation of four independent Asian American civil rights groups, Paul Lee, who spent his professional career as a corporate attorney and stayed active in social justice issues, was still wondering how to strengthen the affiliation. Lee led the creation of AAAJ to be a national civil rights voice for Asian Americans. However, the affiliation still struggled to act as a unified group without a formal governance structure to resolve disagreements between the affiliates. Lee felt that the common goal of creating a national civil rights voice for Asian Americans was very important. But sustainably advancing towards that goal was a difficult task to master for AAAJ given that affiliates had differing priorities, boards, and working methods.

The U.S. air transportation system flies high on some indicators, mostly involving capacity to take to the air, but lands low on others, mostly involving ground facilities and processes. This note provides an overview of the history and current state of air transportation in the U.S., covering industry costs; types of airlines, including passenger and cargo (e.g., Delta, Southwest, Alaska, and Frontier); airport issues; and the role of technology. It reviews some opportunities for innovation that will solve the pain points and bottlenecks facing the system and outlines high-priority policy areas. It becomes clear that individual airlines have often been managed back to health and focus on innovation, but the overall system itself and its governmental connections need attention, including the desire for NextGen air traffic control and revisiting Open Skies agreements.

It is impossible to discuss national competitiveness without considering cities and the regions they anchor. Cities are transportation hubs, centers of commercial exchange, and the locus of lives. They thrive by the ways they connect to the world. Demographic changes in recent years-such as the decreasing popularity of cars and increasing urban populations-have implications for 21st century transportation and infrastructure. This is apparent in the case of Chicago, a global city in the vanguard of change. This paper focuses on five major 21st century transportation and infrastructure projects in Chicago: rail decongestion; airport modernization; mass transit modernization; a complete streets plan; and an infrastructure trust as a financing innovation. It also discusses leadership by Mayor Rahm Emanuel to create an integrated strategy that includes technology and education, and how he executes on it.

IBM's Corporate Citizenship office created an innovation in public education through a business-school partnership for widespread replication and diffusion. In 2012, while P-TECH (Pathways in Technology Early College High School) was still in its first year operating, Stanley Litow, IBM's Vice President of Corporate Citizenship and Corporate Affairs and President of the IBM International Foundation, found himself overwhelmed by interested parties who wanted to replicate the model. Chicago Mayor Emanuel, the J.A. and Kathryn Albertson Foundation in Idaho, the New York City Department of Education, and New York Governor Cuomo were all in various stages of implementing the concept. Chicago launched five schools in 2012 that were inspired by the P-TECH model, with IBM partnering with one school. New York City developed five more schools; two were scheduled to open in fall 2013 and three more in fall 2014. New York launched a Request for Proposal with plans to open 16 of these schools in fall 2014. Meanwhile IBM remained engaged at the federal level to help accelerate the replication through policy changes. This case explores the challenges and complications of replication.

IBM's Corporate Citizenship office created a social and organizational innovation in public education through a business-school partnership. IBM's Stanley Litow was the key architect in designing Pathways in Technology Early College High School, known as P-TECH. The open enrollment high school located in New York City's Brooklyn was launched in 2011 through a joint partnership between IBM, City University of New York (CUNY), and the New York City Department of Education (NYCDOE). The innovative design incorporated career and technical education (CTE), STEM (science, technology, engineering, and math), and early college. Students could graduate with an associate degree (essentially, two free years of college) and be "first in line" for jobs at IBM. The school was already seeing remarkable results; one third of the inaugural class entered P-TECH below grade level and nearly all students were promoted to the 10th grade and more than half of them took college courses before the end of their sophomore year. This case explores the motivation behind P-TECH (a growing skills gap), how it was developed along with the challenges, and the attention generated by the unique school design.

In 2011, Gilberto Dimenstein, a well-known Brazilian journalist, created a new model that connected disparate resources to revitalize Sao Paulo. He wanted his model to expand across Brazil and the world. Dimenstein covered many of the social issues facing Brazil as a journalist and became determined to create solutions. Dimenstein started two social ventures, ANDI and Escola Aprendiz, before creating and developing Catraca Livre (meaning "open turnstile" in Portuguese) while he was an Advanced Leadership fellow at Harvard. Dimenstein pursued his idea of "learning neighborhoods", which meant a localized, low cost and effective way to leverage the existing available resources as educational opportunities. The resources were underutilized because of a lack of awareness. He believed that education should not be limited to the classroom and instead should be expanded to the entire city. Catraca Livre enabled Sao Paulo's residents to utilize untapped resources by aggregating all of the available resources and disseminating the information through multiple avenues including a website, subways, restaurants, workplaces, and more. This case shows how Dimenstein spearheads his solution to improve his city and offers a model for revitalizing cities around the world.

Monique Leroux led a major transformation, overcoming resistance, at a large Canadian financial cooperative based in Quebec that competed with top Canadian banks. Leroux was elected in 2008 as Chairman, President, and CEO of Desjardins Group. In order to compete effectively in a demanding and changing financial services industry and survive the global financial crisis, Desjardins needed to integrate, consolidate, and determine how to preserve traditional values while preparing for the future and emerging as a less provincial financial group. In 2012 she reflected on the change efforts and the opportunities and challenges ahead.