個案總覽

This case addresses the issues of leadership and change management in the process of transforming an industry through an innovative public-private partnership approach to policy making. In 2005, the Governor of Arizona issued an Executive Order to create a roadmap for the state to achieve statewide electronic health data exchange between various entities in the health care delivery system. The Roadmap development project, a key initiative for Arizona, was led primarily by the State CIO. Being one of the first States to develop a statewide Roadmap, Arizona was being recognized as a national leader in the area of healthcare IT. While CIO and his team had successfully initiated a large-scale transformation within the state, they were now faced with the challenge of transforming the blueprint into reality. This case documents the process of creating this Roadmap and the issues that need to be addressed to achieve a true and lasting transformation in the healthcare arena.

The anthrax attacks of 2001 exposed serious inadequacies in the response of the U.S. public health system to meet such grave threats. The public health infrastructure required rebuilding to respond to any type of large-scale health emergency. The Public Health Department at Penville County had been charged with implementing an emergency preparedness and response system for the county. Federal funds were provided to the county to develop an emergency preparedness infrastructure that met the requirements specified by the Centers for Disease Control and Prevention. County public officials had to coordinate their efforts to ensure seamless communication, coordination, and information exchange between various divisions within the public health department, external entities, and the state public health agency. Focuses on the director of Public Health Department and the challenges he faced. Explores issues related to structure, organization, culture, and technology infrastructure.