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The chief financial officer at Beijing Automobile Group Co. Ltd., a large Chinese state-owned automobile manufacturer, is weighing up whether the company should purchase an equity stake and/or access to the intellectual property rights and production equipment of Saab Automobile, the troubled Swedish premium automaker owned by General Motors. Previous experience of Chinese technology acquisitions in the auto sector has given him pause for thought. He has to weigh up the likely return on investment, the ability of the company’s workforce to absorb and develop new technology, and the role of competitors in China’s rapidly growing auto market. He has three options: purchase access to Saab’s intellectual property rights alone, purchase an equity stake as well as access to those rights or do neither. If he goes ahead with either of the first two options, and if the gamble pays off, he will enhance his own reputation and that of his company. However, if the gamble fails, not only reputation but potentially a lot of money will be lost and much effort wasted in trying to absorb a foreign product into current operations.

They were part of leading a high-profile global consortium aimed at, in the words of Rwandan Minister of Health Agnes Binagwaho, creating "a critical mass of health professionals" and transforming Rwanda's health care system. HRH paired United States faculty from more than 20 institutions-including Dartmouth, University of Virginia, Duke, and Yeshiva-with Rwandan college faculty counterparts. A discipline-specific "twinning model" sought to provide a two-way learning experience that would help support and develop a sustainable health care system in Rwanda. The HRH Program held not only great promise for the country of Rwanda, but it also held personal promise for Dr. Ntakiyiruta's day-to-day life and work. Since joining the University of Rwanda in 2008, where Dr. Ntakiyiruta taught undergraduate as well as post-graduate courses in addition to maintaining a full clinical schedule at the University Teaching Hospital of Kigali (CHUK), there had never been more than four permanent university-employed faculty in the Department of Surgery. If the HRH program achieved its ambitious human resource growth targets, it was reasonable to conclude that the professional lives of devoted physicians like Dr. Ntakiyiruta would witness desired improvements with the opportunity to serve more patients and to educate the next generation of surgeons in Rwanda. It would also provide more time for published research and academic inquiry. When the HRH program was launched a little more than two years earlier, news of the Rwandan effort was accompanied by great fanfare. "This is the boldest effort I've seen to make good on a central promise of global health," said Dr. Paul Farmer, the Kolokotrones University Professor at Harvard University and Chair of the Harvard Medical School Department of Global Health and Social Medicine. "The fruits of science serve everyone, especially those that bear the highest burden of disease," he also noted.

The founder and president of Sport-Fresh was in the middle of a four-state road trip to meet his firm’s U.S. distributors and sales representatives. He had just returned from an international trade show in Germany, and was eager to update his agents about the incredible response the company product Sport-Fresh, a disinfecting equipment spray, had received. But he was worried about the time commitment required to follow up on all the leads he had received, and juggle his normal workload at the same time. The president looked at the challenges and opportunities in front of him. He had built a growing brand and he felt as if he was at a crossroads. Sport-Fresh was the only disinfectant spray on the market; all of its other direct competitors were odor masking and perfume sprays. There was potential for growth, if he could find a way.

A North America-based representative of a major European airline has just received a letter from an unhappy customer detailing a very large number of service problems. A quick check had revealed that this premium-paying customer's complaints were all valid. A meeting is planned with the customer. Before this, the airline representative must decide (A) what to say in response, and (B) what, if any, compensation should be offered. Internally, there was a need (C) to resolve what their organization should learn from this experience, both from a subsidiary and parent company perspective, and the implications on their participation in the Crown Alliance. This case raises many important questions regarding service recovery, communications, and non-equity alliances.

Everyone from CEOs to frontline workers commits preventable mistakes-for example, underestimating how long it will take to finish a project or focusing too much on information that supports their current view. It is extraordinarily difficult to rewire the human brain to undo the patterns that lead to such mistakes. But there is another approach: Alter the environment in ways that encourage people to make decisions that lead to good outcomes. Leaders can do this by restructuring how work is performed, say Harvard Business School's John Beshears and Francesca Gino. In this article, they offer a five-step process for mitigating the effects of cognitive biases and low motivation on decision making: Understand the kinds of systematic errors people make and the factors that affect motivation. Define the problem to determine whether behavioral issues are at play. Diagnose the specific underlying causes. Design a way to tweak the environment to reduce or mitigate the negative impact of cognitive biases and insufficient motivation on decisions. Rigorously test the proposed solution.

The Oscar-winning producer of "Splash" and "Apollo 13" on curiosity, delegation, and rising to the top.

Mr. J, the Manager of the Health Department in District X, South Africa, was hopeful that he could bring increased resources and better health to the area. District X, one of about 50 districts in 9 provinces in South Africa, was a largely rural area saddled with high levels of poverty, poor infrastructure, and high mortality rates; medical needs were high but almost half of the positions in the health department were unfilled, and turnover among staff was high. In South Africa, there was a push to improve primary care and to decentralize management to local levels in order to respond to local needs more effectively, but the processes for planning, reporting and budgeting were extremely complex and did not seem to support that goal. Mr. J wondered what additional skills he needed in order to work the system, and was also thinking about how the system itself could be improved.

As CEO Rick Siegrist signed the paperwork to dissolve his three-year-old startup Cambria Health, he pondered what had gone wrong. He had started the company to provide a turnkey software and technical solution to health care organizations that wanted to introduce shared medical appointments to improve patient care. But after several successful beta sites, the company was not able to achieve sufficient traction to continue. After over a year of inactivity, he decided to officially "pull the plug." Rick had previously co-founded three successful healthcare software companies before starting Cambria Health. He wondered what was different with Cambria. Was it a failure related to the idea or vision? Was it the strategy or business model of the company? Execution? Other reasons? Rick knew that he and fellow entrepreneurs liked to talk a lot about their successes, but not much about their failures. Perhaps there was more to learn from those failures regarding future opportunities.

Starting with a small pilot centre in Hyderabad in 2010, a chain of quality dialysis centres had grown to 25 centres by mid-2014, with plans to expand to 100 by 2017. As they planned for this growth, the three co-founders had several questions with respect to NephroPlus's business model, partners, staff, systems, processes and culture playing on their minds. With the threat of competition looming large, they knew that they had to work hard to achieve both high quality and affordability as they continued with their fast-paced growth.

This is a case organized around the theme of preserving an entrepreneurial culture in the face of rapid growth, including over 800 employees and several offices. Founded by four friends, all still under age 30, the company has reached over $124 million in annual sales. As of January 23, 2015, when the company went public, its market valuation was over $1.5 billion. The company is particularly conscious of wanting to preserve the open, action-centered, fun culture that has been created. In some ways it is a highly representative Silicon Valley technology company, and the case tries to capture the flavor of such an organization. There is an excellent video available that was made for Inc. magazine when it named Box CEO Aaron Levie as entrepreneur of the year in 2013,[1] as well as several video interview clips done for the case with Dan Levin, COO.

Hewlett-Packard (HP) has been a 75-year-old technology leader with operations across 170 countries and an employee strength of over 3,20,000 employees. In 2013, HP launched Actionable Analytics Services (HAVEn) a Big Data analytics platform, leveraging the capabilities of Hadoop, Autonomy, Vertica, Enterprise Security, and n applications. HP enterprise wanted to mobilize the prospective and existing customer base to embrace the HAVEn offering. Historically, large organizations had a fair coverage and influence on the entire sales cycle with them driving need identification all the way through to influencing the purchase decision and purchase. However, recent studies started showing that this was changing, and nearly 70% of the purchase decision was made before engaging a sales representative independent of the offering. The HAVEn team was aware of this shift in trend, and for an enterprise class product, with high initial investment needs and relatively new outlook to how businesses could extract value; the need to influence sales cycle right from stage-one to drive adoption was an important task. Pramod Singh, Director of HP digital analytics and Ayush Jain, manager of HP social media analytics were approached by the HAVEn team to help them identify the most relevant influencers in the Big Data space and help device a strategy of engagement with the same. Topic relevant influencer identification was tough considering the volume, velocity, and complexity of social media content. Quantifying the influence of the brands, thereby enabling comparison and competitive benchmarking was even more difficult. The problem of firstly defining influence, and then identifying influencers relevant to a topic of interest, in real time, using a data source that was high volume, high velocity with little or no structure, was a challenge that enticed Pramod and Ayush to group their best talent pool together.

Has our obsession with health gone too far? A researcher explains why efforts to encourage employees to meet the new ideal of fitness may backfire.

Bridging cultural differences demands exceptional emotional intelligence. This chart shows the percentage of leaders in each of seven global regions--the U.S., the Middle East, India, Latin America, sub-Saharan Africa, Europe, and China--who demonstrated strength in a range of hard and soft skills, according to a study by YSC, a corporate psychology consultancy.

Henry Wu, the Programme Director of the Transformation Office at Alexandra Health System (AHS), conferred with his team on the status of the Population Health programme, a joint initiative between AHS and Singapore's Ministry of Health (MOH), in May 2015. The programme sought to increase health awareness and encourage a targeted population of the island city-state's residents to make positive lifestyle changes. The centrepiece of the programme is a systematic effort to attract residents to voluntary screening events to assess their health and lifestyle habits. The programme also provides a clear path co-developed by residents, community nurses and intervention specialists for unhealthy or high-risk residents to seek medical treatment or participate in lifestyle intervention programmes. The most critical outcome would be encouraging them to take appropriate follow-up actions and be able to measure their habits and behaviour. In the longer term, the Population Health team faces the task of scaling up the program from an initial target population of 16,000 residents to cover the entire population of 220,000 residents over the age of 40 in the north of Singapore. The stakes are high for Singapore's healthcare system and in particular for AHS, a healthcare cluster in the north that manages Khoo Teck Puat Hospital (KTPH). KTPH has only been open for less than five years and is already experiencing serious capacity constraints. Most incoming patients are residents over the age of 50 who suffer from chronic diseases. Doctors and hospital administrators believe that a population health programme targeting people over the age of 40 could mitigate hospital resource strain by averting chronic diseases before symptoms became more acute as people age. By encouraging middle-aged residents to live healthier and more active lives, the anticipated rise in healthcare demand (and associated costs) for the next generation of elderly Singaporeans could be stabilised.

Facing reduced government funding, yet committed to broadening access to its services, Sankara Eye Care, a chain of hospitals in India, was at a crossroads in 2015. Over the years it had developed a lean operational model to provide free care to approximately 80 percent of its non-paying patients (cross-subsidized by paying patients). Continuous improvements and further innovation, however, were needed to achieve its ambitious goal of expanding from 9 hospitals to 20 by 2020. The case highlights Sankara's key decisions, including issues of intrinsic and extrinsic motivation, moving from a charity to a business mindset, and determining the expansion strategy.

VisionSpring enabled access to affordable eye care for low-income individuals suffering from vision impairment in developing economies. Established in the United States as a not-for-profit social enterprise, it sold more than two million pairs of eyeglasses globally, which included over one million pairs of eyeglasses sold in India. Despite achieving this scale, VisionSpring believed there was a long way to go considering the estimated 300 million people in India requiring eyeglasses for vision correction. Realizing this as a huge unmet opportunity, the company set a goal of achieving 10 times its annual sales volume in India. This was not an easy task considering the socio-economic dynamics of the base of the pyramid segment, as well as market challenges in peri-urban and rural India. The plan would require a total paradigm shift in the overall business model of VisionSpring in India.

VisionSpring enabled access to affordable eye care for low-income individuals suffering from vision impairment in developing economies. Established in the United States as a not-for-profit social enterprise, it sold more than two million pairs of eyeglasses globally, which included over one million pairs of eyeglasses sold in India. Despite achieving this scale, VisionSpring believed there was a long way to go considering the estimated 300 million people in India requiring eyeglasses for vision correction. Realizing this as a huge unmet opportunity, the company set a goal of achieving 10 times its annual sales volume in India. This was not an easy task considering the socio-economic dynamics of the base of the pyramid segment, as well as market challenges in peri-urban and rural India. The plan would require a total paradigm shift in the overall business model of VisionSpring in India.

Bikanervala — a manufacturer of Indian snacks and sweets and restaurant chain — had a goal to put Indian ethnic food in a prominent position globally. Its initiatives taken over the years had ranged from introducing new cuisines to streamlining processes, systems and standards that helped the firm keep customers happy. Through these initiatives, Bikanervala had been able to diversify and grow both in India and internationally. But the food services industry faced a set of challenges, with the most important being a lack of availability of skilled workers. What could Bikanervala do to meet this challenge and keep at pace with the growing industry?

Bikanervala - a manufacturer of Indian snacks and sweets and restaurant chain - had a goal to put Indian ethnic food in a prominent position globally. Its initiatives taken over the years had ranged from introducing new cuisines to streamlining processes, systems and standards that helped the firm keep customers happy. Through these initiatives, Bikanervala had been able to diversify and grow both in India and internationally. But the food services industry faced a set of challenges, with the most important being a lack of availability of skilled workers. What could Bikanervala do to meet this challenge and keep at pace with the growing industry?

This document identifies the characteristics of excellent case studies and their accompanying teaching notes. The purpose is to provide guidance in preparing these educational vehicles. These guidelines were developed based on consultations with very experienced case teachers and an analysis of the elements of case studies and their teaching notes considered to be high quality by Harvard Business School faculty across departments, and on the basis of cases highly demanded by other schools. Elements of Excellence in case studies include focus, complexity, clarity, engagement, controversy, complexity, robustness, and intellectual richness. Key elements analyzed in teaching notes include learning objectives, substantive analyses, and teaching processes, including discussion plans, questions, openings and closings. Appendices provide guidance on the case study and teaching note development process as well as check lists for the key elements of excellence in cases and teaching notes.