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Established in 1958, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (hereafter referred to as "Xinhua Hospital") is an integrated modern teaching and research hospital with a comprehensive set of disciplines and a specialization in paediatrics. Xinhua Hospital currently has 1,586 beds, 47 clinical departments and 66 specialties. It has three National Key Disciplines, one Shanghai Key Discipline, five Shanghai Jiao Tong University School of Medicine Key Disciplines, one Ministry of Education Key Laboratory (MOE-Shanghai Key Laboratory of Children's Environmental Health), and two of Shanghai clinical centres, respectively. In 2005, Xinhua Hospital co-founded Shanghai Xinhua Hospital Group with Shanghai Children's Medical Centre Affiliated to Shanghai Jiao Tong University School of Medicine, No.3 People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Chongmingbao Town People's Hospital, and Xinhua Hospital Chongming Branch. Under the arrangement, members remain as stand-alone legal entities, and are financially and operationally independent. Since 2007, Xinhua Hospital has been importing talent to lead its disciplinary development and enhancing its management through informatization development. In 2011, the hospital had 3,400 employees and its number of accident & emergency unit patients reached 3.3 million, the highest in Shanghai; it treated 69,000 inpatients and undertook 41,000 operations. Xinhua Hospital is a large Class 3A (the highest grade in China) public hospital. The focus of this case study is to understand how was it able to implement an EMR-centered (electronic medical records, also known as electronic patient records or electronic health records) information system within its complicated, traditional organizational structure.

During the 2013 Indian festival of colours, a young green entrepreneur and owner of Green Horizon Consulting (GHC) faced a plethora of business growth challenges. His former employee, who had quit GHC a while back to work for a major rival, wanted to return. However, the entrepreneur could not figure it out — would rehiring an ex-employee be a sound business decision? Should he take a risk and give the former employee another chance? If he did, he could look after GHC business in India, and be free to work on his plans to start a new venture in Dubai.<br><br>But, his dilemma didn’t end there. Being the eldest son in his family, he realized that besides the aforementioned strategies, there was also the possibility of living and working with his joint family. His father was getting old and his younger brother had joined the family business; merging the two companies (his and his father’s) would allow both brothers to take care of the businesses and family between them. If that happened, he would no longer need his old frenemy. Even so, there was no doubt in his mind that relocating to Dubai would be a very lucrative move, especially as prospective clients in this region understood the language of green loud and clear. But, despite his excitement at the idea, he could not forget that there would still be all the usual (yet critical) business problems of low consumer awareness and the need to swiftly catch up to the existing competition. What other factors and options would he need to consider to keep his budding, eco-friendly company afloat and to successfully navigate the contemporary business world?

The president JH Men's Apparel, a men’s apparel company in China, is considering the options available to his firm in light of the price war initiated by his competitors who are copying his company’s sweater patterns and selling the sweaters at a lower price point. Several of his biggest customers have demanded a price reduction to match the prices being offered by these competitors. In the face of such fierce competition, the president realizes that the multiple options available to his company boil down to a fundamental strategic choice between competing on the basis of cost leadership or of a differentiated, branded product line. He needs to make a decision and start implementing the strategy promptly.

<p style="color: rgb(197, 183, 131);"><strong> AWARD WINNER - Inclusive Business Models Award, European Foundation for Management Development (EFMD) Case Writing Competition and Best case, ISB-Ivey Global Case Competition</strong></p><br>In February 2009, the additional director at the Child In Need Institute (CINI) received the most challenging assignment that CINI’s board of governors had ever given him — to prepare a comprehensive proposal recommending whether the organization should continue as a non-government organization (NGO) driven primarily by donations and grants, or should venture into social business. He had a month to give his recommendations. CINI was a reputable 37-year-old NGO from Kolkata (Calcutta), India, with a mission of “sustainable development in education, protection, health and nutrition of child, adolescent and woman in need.” Over the years, CINI had fought child malnutrition through health clinics and educating mothers, and had provided shelters and a path to betterment for street children. Despite recognition at CINI that donor funding was becoming scarce, any proposed social business was controversial because it ran the risk of alienating existing donors and replacing CINI’s existing purpose with a profit motive. This case has global relevance, as the challenges that CINI met in 2009 are faced by thousands of social enterprises across the world.

<p style="color: rgb(197, 183, 131);"><strong> AWARD WINNER - Oikos Sustainability Case Writing Competition</strong></p><br>Chipotle Mexican Grill, Inc. competes in the fast casual segment of the restaurant industry. Its founder and current co-CEO has always emphasized not only good tasting food but also a commitment to sustainability through the mission statement: “Food with Integrity.” The company has positioned itself as a differentiator, using both food quality and a commitment to sustainability as factors that isolate it from its competitors. However, in 2012, the company faces a number of challenges from increased competition and rising food costs. As a result, a hedge fund investor has recently called for shorting the company’s stock. The co-CEOs must decide on the best course to confront these challenges as the company’s stock price is in a free fall.

In January 2013, the CEO of the Russian automotive company Gorky Automobile Plant (GAZ) was pleased with the results of the recently implemented changes to the company's product-market strategy and the related organizational processes. He believed that this series of radical changes could help GAZ further cement its domestic market leadership position and at the same time allow it to complete a dramatic turnaround that had resulted in the company's most profitable year ever. He was now planning the launch of the third generation all-new Gazelle Next light transport truck, which he believed would take the company to a new level of competitiveness and revenue growth in Russia, and even more importantly, in other emerging markets.

Ford Motor Co. develops and commercializes a green technology that replaces a traditional and scarce resource with an abundant bio-material. The pilot project becomes hugely successful, and, within the company, the idea of expanding the use of bio-material gains considerable momentum, but implementation and customer acceptance prove to be a challenge. Two members from the company's research and engineering division work together to overcome these obstacles and move the company toward a vision of sustainability that involves more than just fuel economy and cost reduction.

In 2010 the Memphis City School District merged with the neighboring Shelby County School system under the supervision of a single board of education and superintendent. It promised much more than just administrative synergies-it was an opportunity to change a culture, as well as policies and practices that had existed for decades. By 2010 Shelby County school system had about 50,000 students, approximately 55 percent white and 37 percent economically disadvantaged. The Memphis student body, which numbered around 100,000, was about 85 percent black and 87 percent economically disadvantaged. In 2010, residents from within and outside the city each contributed about 50 percent of the tax revenue for the two systems, but, based on enrollment, two-thirds of the budget was allocated to Memphis City schools. Pitt Hyde and the Hyde Family Foundation saw the merger as a once-in-a-lifetime fresh start for public education in Memphis and he was determined to do what he could to make sure the merger realized its potential. Many interests, practices and players were deeply entrenched in the Memphis schools. But Hyde and his wife had encountered like-minded reformers-educators, government officials, business people and not-for-profit leaders who were willing to put a shoulder to the wheel. Prior to the merger, the Hydes had notched some considerable successes, starting with the legislation that permitted establishment of the state's first charter schools. They had established valuable partnerships, and developed performance standards and accountability for teachers and administrators. They had helped inaugurate pay-for-performance for teachers and a teacher evaluation system based on student outcomes. Building relationships, raising the money, getting others involved were critical steps along the way. They had brought new voices into the campaign.

MassChallenge Inc. is a large non-profit startup accelerator that connects new ventures with other stakeholders within an established business ecosystem. For this new company to engage stakeholders in the numbers envisaged and create a crowd-sourced deal management system, the founders need to develop a model that brings in as many quality or attractive startups as possible. Instead of taking equity in participating ventures as traditional accelerators do, MassChallenge focuses on developing a marketplace for stakeholders to gain access to startups and for startups to access the resources provided by investors and other stakeholders, including government; angel investors, venture capitalists and lawyers; and businesses, foundations and universities. The founders also need to find ways to build MassChallenge through possible expansion and funding opportunities.

This is a supplement to MassChallenge, Inc.: Launching a Non-Profit Business Accelerator (A), product 9B13M013.

In 2012, two years after a major restructuring project had begun at German skin care producer Beiersdorf, the process was still ongoing. The new chief executive officer (CEO) inherited several challenges from his predecessor, including the difficult implementation of the new transnational strategy, opposition from employees and the work council, and ineffective market-entry strategies (especially in China). Strong competitors and a slow rate of economic recovery in Beiersdorf’s main markets provided additional complexity. Questions remained about how the new CEO should address the ongoing challenges facing the company.

Rakuten is Japan's version of Amazon, but it offers a very different shopping experience. The goal of its founder in 1997 was to allow small and midsize merchants to set up shop on the internet very easily and to provide the kind of hospitality and customer service that even chain restaurants offer in Japan. Mikitani didn't want an internet superstore; he wanted something more like a bazaar, where shop owners would curate the merchandise and interact with customers. He believes that people need communication and connection: "A human being can listen to understand your needs, and can tell you the stories behind the products you're considering," he writes. Rakuten hosts more than 40,000 merchants in Japan. To control the risk of quality or service problems, the company has a tight screening process for people who want to open a store on the site. It monitors transactions, maintains a customer feedback program (shops that consistently receive poor ratings are ejected), and offers refunds for goods that don't arrive. Today it is the world's third-largest e-commerce marketplace, with global sales in 2012 of $15 billion.

At 57, Christine Lagarde has held top jobs in government, in the private sector, and now at a big global institution, the International Monetary Fund, where she became managing director in 2011. It was a doubly challenging time to take the helm: Lagarde's predecessor, Dominique Strauss-Kahn, was embroiled in scandal, and the global economy remained in dire straits. In this interview with HBR's editor in chief, Lagarde talks about what it takes to be an effective leader, the differences between "masculine" and "feminine" leadership styles and what women bring to the table in times of crisis, ideas for strengthening the IMF, and opportunities for the Fund and the world's governments to create a more vibrant global economy.

The prevailing wisdom says that negative thoughts and feelings have no place at the office. But that goes against basic biology. All healthy human beings have an inner stream of thoughts and feelings that include criticism, doubt, and fear. David and Congleton have worked with leaders in various industries to build a critical skill they call "emotional agility," which enables people to approach their inner experiences in a mindful, values-driven, and productive way rather than buying into or trying to suppress them. The authors offer four practices (adapted from Acceptance and Commitment Therapy, or ACT) designed to help readers do the same: (1) Recognize your patterns. You have to realize that you're stuck before you can initiate change. (2) Label your thoughts and emotions. Labeling allows you to see them as transient sources of data that may or may not prove helpful. (3) Accept them. Respond to your ideas and emotions with an open attitude, paying attention and letting yourself experience them. They may be signaling that something important is at stake. (4) Act on your values. Is your response going to serve your organization in the long term and take you toward being the leader you most want to be?

The creator of Dilbert on stumbling your way to success.

A new study shows that large office furniture makes people feel powerful--and that may make them more dishonest.

Most executives accept that social and civic responsibilities are indispensable to doing good business; their enterprises won't survive if those responsibilities are ignored. Starbucks CEO Howard Schultz and Unilever CEO Paul Polman are exemplars of that attitude.

StriveTogether aimed to improve education outcomes by coordinating the actions of diverse community stakeholders-nonprofit service providers, school districts, government, parents, businesses and others. StriveTogether had an intense focus on collective impact-"the commitment of a group of important actors from different sectors to a common agenda for solving a specific social problem"-and the use of data to drive decision. In the case, managing director Jeff Edmondson is faced with two dilemmas: how to attract business engagement in the City Heights neighborhood of San Diego, California, and how to achieve greater results in the communities that had implemented the StriveTogether framework.

In early 2013, the head of business development and commercial operations of Arla Foods, a dairy enterprise focused on Northern European markets, is examining, in the light of a new five-year strategy, alternatives to the existing organization structure. His dilemma is to determine the best structure that can deliver the strategy, which is focused on renewed international expansion. The new structure must support the company's strategy in relation to both the existing core markets in Northern Europe and also the growth markets of the future in countries of Asia and Africa. It must ensure that Arla Foods has the right competitive stance in individual markets, which vary widely in terms of customer buying habits and retail formats. It must also ensure regular innovation of dairy categories developed from local resources and marketable globally.