Investigates the challenges that Dr. Kenneth W. Kizer confronted in seeking to create organizational change at the largest integrated health care system in North America, the Veterans Health Administration (VHA). Kizer was appointed as the Under Secretary of Health, to oversee the VHA, in 1994. Upon Kizer's arrival, it was immediately apparent that the management style that pervaded the VHA was ineffective and out of date. At the same time, the VHA faced inefficient health care delivery systems coupled with a steadily increasing number of patients. Kizer started to make plans to change the VHA into a modern, responsive, efficient, and effective health care organization. However, success in executing on his plans would require challenging a bureaucratic system with a long history. Documents progress, including organizational efficiencies gained that include consolidation of health care facilities, and illuminates leadership actions that facilitate this progress. Clearly, many challenges still lie ahead. Near the end of the case, Dr. Kizer awaits news from Congress on his reappointment for another four-year term.
This month, all of Harvard Business Review's Forethought contributions address avian influenza, its potential to become a pandemic, and the red flags this possibility raises for businesses. Jeffrey Staples warns that the H5N1 strain of the avian flu represents a new class of global threat and urges companies to plan accordingly. Scott F. Dowell and Joseph S. Bresee show how mutations of the virus could boost its ability to spread from person to person. If a human pandemic does strike, Nitin Nohria explains, the most adaptive organizations have the best chance of surviving. Warren G. Bennis says that such times call for a leader who can articulate the common threat and inspire people to overcome it together. Baruch Fischhoff, too, emphasizes the importance of risk communication, warning that managers who dismiss it may endanger the people they're responsible for and force stakeholders to look elsewhere for information. Fischhoff also demonstrates, in another article, how managers can map out their companies' vulnerabilities. Larry Brilliant tells us what people worldwide can expect from their governments. Peter Susser views the threat of a pandemic from a legal perspective, examining several HR-related issues businesses could face. Sherry Cooper points out the social and economic lessons we should have learned from Toronto's 2003 outbreak of severe acute respiratory syndrome. William MacGowan explains how Sun Microsystems is building a continuity plan to keep its global workforce healthy in the event of a pandemic. Wendy Dobson and Brian R. Golden caution that if a pandemic begins in China, as many scientists expect, the global impact will be immediate because China is so integral to the world economy. HBR also provides pandemic planning guidelines adapted from a checklist compiled by the Centers for Disease Control and Prevention as well as a list of recommended avian flu resources.
The senior vice president of the Robert Mondavi Corp. (one of the world's leading producers of premium wine) and head of Mondavi's Chilean joint venture, faces a series of quality problems with the Caliterra brand. At the same time, he has the unprecedented task of building a state of the art winery in Chile in less than 10 months or losing the entire harvest. The case traces the process of entering into a joint venture with Vina Errazuriz, a much smaller, but well respected, Chilean company, and presents the cross-cultural communication challenges faced by the joint venture partners. Communication and trust are central issues in the case.