A doctor in the Department of Pediatrics at Riverdale Hospital, an Australian hospital affiliated with the faculty of medicine at a leading nearby university, reported directly to the chair of the department. The doctor received funding for his research in the amount of $380,000 per year, but because he was not a tenured faculty member, he was not able to directly control the contributions. Instead, the fund was administered by the department chair, under the doctor’s supervision. While checking the accounting of the fund in December 2010, the doctor discovered an irregularity that made him doubt the chair’s administration of the donations. As more clues and irregularities emerged, the doctor became convinced that the fund was being mismanaged and that this mismanagement was being covered up. When he eventually confronted the chair, he found himself in a stressful and difficult situation, with little support. In 2018, the dean of medicine circulated an external audit that claimed there had been no wrongdoing, and the doctor found himself facing a much larger, stronger opponent. Should he take action, pursuing civil or criminal charges? Should he leave the institution and take the donations with him? Should he stay where he was and deal with the consequences?
Employees are faced each day with important decisions that they need to make, which force them to evaluate potential benefits and risks and act accordingly. Organizations depend on the successful decisions that business leaders make. Unfortunately, business students do not spend as much time as they should studying decision-making risk and how to evaluate it. Recent organizational failures, such as the collapse of Enron and Lehman Brothers, exhibit a fundamental lack of understanding.<br><br>Decision-making risk (DMR) is, quite simply, the risk associated with making a decision. With each decision, there are risk variables that interact with one another to create an overall risk profile. It is this interaction that is arguably under-observed in business schools. Furthermore, it is contended that a lack of focus on this interaction often leads to poor decision-making.<br><br>In this note, we use the Bear Stearns collapse and the Maple Leaf Foods listeria outbreak as timely examples of miscalculated decision-making risk. After examining these cases, it is quite clear that the associated risks in both were quite high. This raises a number of questions. Why didn’t the decision-makers at the time realize the risks that their organizations were facing? How can business leaders learn from these failures to ensure similar mistakes are not made in the future? In particular, this note was written to answer the question: Is there a comprehensive framework that can be used to assess decision-making risk?
This case explores the transformation of Umbra Health Partners (Umbra), a privately owned Canadian healthcare organization, as it undergoes an extensive restructuring, through the perspective of the branch manager, who is a recent graduate of a master of business administration program in health services administration. The first part of the case examines the branch manager's role and the last part of the case examines his new role in the corporate office. When he is first hired at Umbra, he assesses the organizational problems inherent in the branch office and in the organization as a whole. As branch manager, he attempts to find solutions to those problems and improve the reliability of his branch. Later, he is promoted to a position in the corporate office, where he addresses the organizational problems at the corporate level (some of which mirror those at the branch office), such as a lack of interdependence and a vague sense of the direction in which the organization is headed. Taken together, the case offers a host of material to discuss the complexities of organizational change.
Learning Lab Denmark, a research and development institute, encountered many of the difficulties typically experienced by start-ups, especially obstacles that involve developing a set of routines for getting things done. In other respects LLD faced several distinct challenges that are specific to its charter. This case describes in detail the history behind the formation of Learning Lab Denmark, the goals and the organizing principles underlying LLD and its sub-components, the various personnel roles and issues, including performance problems, criticism and paradoxes that arose in the first couple of years. The supplement, Organizing from Scratch: The Learning Lab Denmark Experience (B) case, product 9B06C007, picks up the story and discusses significant organizational changes.
This supplement to Organizing From Scratch: The Learning Lab Denmark Experience (A), product 9B06C006, identifies several of the consortia's achievements, notes some findings from LLD's self-evaluation report and discusses significant organizational changes.