個案總覽

A renowned cardiologist and healthcare leader explains how technology is making diagnosis and treatment faster and more accurate-and why we are in the midst of a 'Gutenberg moment' in healthcare. He also describes the dawn of 'the era of informed consent'; the ongoing power of the 'Angelina [Jolie] effect'; how wireless technology is changing healthcare, and how 'Consumer Genomics' will turn Medicine on its head. In the end, he shows that "The movement towards self-generated data by smart, hyper-connected patients represents a serious challenge to medical paternalism.

This is an MIT Sloan Management Review article. When Martha Payne, a 9-year-old student in Argyll, Scotland, started a blog in April 2012 to photograph and rate her school lunches, she had no idea of the stir she would cause. The blog logged 2 million hits in its first six weeks. When the local area council asked her to stop, an online firestorm ensued and the council reversed its decision. It's a familiar story -every day, images or events with the potential to incite passions get captured digitally, posted to the Web, and "go viral."With social media, people share their experiences with friends or followers, who share with more people. Seemingly insignificant occurrences can strike a nerve with a nascent virtual community, and unsuspecting parties must respond to a dicey new problem. The capacity to generate causes and controversies almost instantly may be the most salient aspect of what authors Robert D. Austin and David M. Upton call the "super-transparent society." Historically, the authors explain, people in a particular community were the only ones who paid attention to the local goings-on. When information moved outside of that environment, it was due to deliberate action: some identifiable person or organization moving it. If you wanted to guard information, you built a barrier. Many things have changed, particularly the volume of information. The article suggests several steps that can help managers meet the new expectations for transparency, including the following: Examine your assumptions about how you can keep information contained. Review your strategy for dealing with vulnerability to unintended transparency. Review operations for issues that might be problematic if revealed. Assume that others will put out information about your organization for their own reasons and that you won't be able to prevent it. Recognize that new information flows change what people consider to be fair.

Science-based industries such as biotechnology offer the potential of high growth, but they are fraught with risk. The payoffs can take many years to materialize or may never come. Even though the traditional venture capital/entrepreneurial model has been shown to stimulate innovation in a wide range of technology settings (software, computers, Internet, electronics, etc.), it wasn't designed to deal with the costs, risks, and slow payout of science-based industries. Although venture capital continues to flow into industries like biotechnology, there has been a significant shift away from funding ventures at the earliest stages. A key concern is that lack of availability of future rounds of financing can shut off the flow of venture capital funding abruptly. In this article, authors Andrew W. Lo and Gary P. Pisano draw on comparisons to projects in the moviemaking industry and propose the project-focused organization (PFO) as an alternative structure for undertaking long-term, high-risk, highly capital-intensive R&D programs in science-based industries such as biotech. PFOs are entities created to conduct a specific R&D project. The authors discuss how they could work in practice, using the example of biopharmaceutical R&D. Researchers innovating in a science-based context must overcome two specific challenges. First, they need to raise sufficient capital to fund a long-term, highly risky, and very expensive project. Second, they must have a governance mechanism for allocating capital (human and financial) and conducting projects. The authors propose that governance centered on the project rather than the company may be a more efficient way to organize innovation in science-based industries. To reduce overhead, they propose contracting out for resources as necessary. As with movie projects, investors could choose projects they want to invest in, with the understanding that they will receive returns only if those projects succeed.

Narrow-mindedness holds back many organizations in their efforts to turn global presence into a real source of competitive advantage. In this article, the authors explore the manifestations and costs associated with what they call the "headquarters knows best"syndrome, as well as ways companies can address the problem. Many of the things companies have done are fairly predictable, such as decentralizing global responsibilities, changing the reporting relationships, internationalizing senior management, and creating cross-national teams. At Irdeto B.V., a Dutch developer of security software for digital media, the remedy was more extreme: It elected to create two headquarters, one in the Netherlands and the other in China. While this was expensive -and something the CEO's successor ultimately did away with in 2015 -the decision to operate out of dual headquarters helped the company realign its focus, and it had significant positive effects on Irdeto's performance. The authors argue that many corporate executives aren't aware that the "headquarters knows best"syndrome exists. Typically, top executives interact with executives from the subsidiaries that are closest to headquarters (in terms of geography, economic development, and culture); the executives'frame of reference is based on subsidiary managers who benefit from ample attention, autonomy, or influence. Executives from peripheral subsidiaries are the ones who are most likely to be affected and least likely to be heard. In addition, the value of missed opportunities and lost talent is hard to assess, and headquarters executives can easily invoke contextual factors (such as competition for labor) to explain problems. They can also try to pin blame on the local entities. After establishing its dual headquarters in 2007, the authors note, Irdeto saw measurable improvements on four fronts: increased top management attention, greater subsidiary contributions, richer lateral exchanges,

This is an MIT Sloan Management Review article. The Chinese technology company Xiaomi cultivates a close connection with its customers through a product development process that invites user participation -as well as through social media and fan clubs.

While global supply chains are expected to be lean, agile, and sustainable, they have also become the focus of growing attention from a variety of external stakeholders seeking information that includes and frequently exceeds what the company is legally obliged to disclose. In this article, the authors discuss the pressures on companies to disclose supply chain information, the drivers and impediments to such disclosure, and the types of supply chain information typically made available to the public. The article identifies the broad disclosure strategies companies can use to release supply chain information and offers managers guidance on designing the optimal disclosure strategy for their company. In addition to exploring the topic with examples from companies including Nike Inc., WD-40, and Patagonia Inc., the authors take a detailed look at how Apple's approach to supply chain disclosure has evolved since 2009. In considering how to manage supply chain information disclosure, the authors argue that managers must appreciate the diverse forces and actors driving and enabling this trend. Aside from internal governance and risk concerns, external pressure has come from government regulations, best practices of peers, changing expectations from salient stakeholder groups, and, of course, external events (such as the 2013 Rana Plaza garment factory collapse in Bangladesh). The authors note that improving transparency can be expensive. The lack of standardized reporting systems, the absence of a common technology platform, ill-defined standards, and a lack of supplier education can also pose serious hindrances to companies wishing to improve their supply chain transparency. The authors identify four common types of supply chain information that tends to be publicly disclosed: supply chain membership, provenance of materials, environmental information, and information on social impacts such as working conditions.

HDIF is one of the few Armenia-based organizations that falls under the vague definition of a social enterprise. HDIF is focusing its activity in three areas: selling handicrafts; tourism development through organizing festivals; and, empowering rural communities in Armenia. The founder, Tim Straight, is leaving the foundation and the executive director will have to assume responsibility for the emerging new strategy that she and the founder had begun discussing. Should she continue down the same path and remain heavily dependent on the continuing financial investments from Tim Straight, or should she shift to a new and economically promising area of eco-tourism in order to become financially sustainable?

Kunvarji Group was on its way to transform from a commodity trading business to a service-driven business. To become an integrated service provider in the agri-supply chain, Kunvarji was participating actively in procurement and trading, and is now eyeing options for providing agri-storage services. Their dilemma reeled around the choice of storage that should be preferred for better returns: warehouse, cold storage, or silos and what growth strategy they had to adopt.

This case study features ProsFit, a European start-up company founded in 2013 that used breakthrough technology - Computer Aided Design (CAD) and 3D printing - to transform the way in which sockets for prosthetic limbs are produced. It promised to reduce fitting times considerably, improve comfort and cut production costs, helping to meet growing demand. Companies were registered in Bulgaria and in the UK. Proof of concept was established in April 2014, and ethics approval in the UK was granted. Two successful rounds of fundraising were completed at the time of publication of this case study in late 2015, and there were seven employees. It is a family firm, having been co-founded by father-and-son team Alan and Chris Hutchison. The latter is a double amputee and user of prosthetic limbs. Alan Hutchison is an experienced business developer, with a degree in Engineering Science from the University of Oxford. The decision to start the company stemmed from concern about the pain and discomfort Chris was experiencing with a prosthetic limb fitted traditionally as well as the lengthy time-to-comfort of the fitting process. Software scanning and 3D printing technology replaced the artisanal approach used for sculpting sockets. The company was set up to be both commercial and philanthropic, using profits from developed countries to subsidize sockets in developing nations. First invoices were issued in 2015. The founders estimated they had an18- to 24-month first-mover advantage from mid-2015.

George Mitchell founded Mitchell Energy to prospect for gas in resource rich Texas. The company was imbued with a counter-intuitive, "can-do" culture right from its start as a scrappy independent player among the more formidable majors, many of whom had a large presence in the region. However, unlike the established rivals who were primarily competing to prospect and produce oil reserves, Mitchell focused on natural gas. The natural gas business was not a hospitable environment especially in the 1970's when Mitchell Energy was getting fully entrenched in the business. George Mitchell brought a new perspective to the gas business by implementing a blue ocean approach. Creating a culture of innovation that encouraged his crew to question received wisdom, fostering an environment helped his staff take well measured and well managed risks, he was able to oversee the advent of the shale gas revolution the United States. The case offers several important lessons on implementing blue ocean thinking in practice that can be used across industry settings.

Hain Celestial manufactured natural and organic food and personal care products to be sold to retailers of these products. The company had grown successfully and profitably through acquisitions and organically for two decades. In late 2015, Hain faced challenges on several fronts. First, new consumers were interested in these products and these consumers had characteristics different from those of historical consumers in the segment. Second, the natural and organic market segment had been growing faster than the conventional market overall and was expected to continue to do so. This had caused large conventional manufacturers to enter this space increasing the level of competition for Hain. Third, this segment growth was also attracting a wider range of retailers wanting to sell these products and some of these retailers were introducing their own natural and organic brands.

This note introduces students to some economic concepts and ideas that are important ingredients for strategy, such as scale, learning, and the effects of market structure on competition. The note approaches these ideas really from a strategy perspective with a focus on their practical implications.

Founder and CEO Jeff Bezos has taken Amazon.com from an online bookstore to the largest online retailer and comparison-shopping site in the world. Bezos has followed the trend of integrating hardware and software, products and services, and online and brick-and-mortar stores. Amazon diversified into cloud computing (with Amazon Web Services, or AWS) and content delivery and original content creation. Its membership service, Prime, offers free two-day shipping, instant video streaming, music, grocery delivery service, Kindle lending library, and other benefits. Amazon finds itself engaged in a fierce competitive battle for control of the emerging digital ecosystem, pitted against technology giants such as Apple, Google, Facebook, and Alibaba. Yet, profitability eludes Amazon-how much longer will its shareholders be patient with Jeff Bezos?

Tesla Motors, Inc. was founded in 2003 in San Carlos, CA, with the mission "to accelerate the advent of sustainable transport by bringing compelling mass-market electric cars to market as soon as possible." By 2015, Tesla is now a public company that faces multiple challenges, including scaling-up production, market acceptance, the lack of a clear technology standard, timing and launch of a mass-market vehicle, and increased global competition. Moreover, the competition in the automobile industry is getting more intense as gasoline prices have fallen by 50 percent in the United States. CEO Elon Musk must decide how to handle these issues to keep Tesla successful.

This case study presents the dilemmas faced by the Country Manager of Pioneer Energy in Turkmenistan. He has to find closure on a variety of issues ranging from procurement of steel casings to complete test wells in the Turkmen region, to implementing a new performance evaluation system mandated by Pioneer's headquarters in Dallas, localization of the workforce, and challenging cross-cultural matters associated with an upcoming trip by Turkmenistan officials to the US offices of Pioneer

This case study presents the dilemmas faced by Pioneer Energy in Turkmenistan. The company has to find closure on a variety of issues ranging from procurement of steel casings to complete test wells in the Turkmen region, to implementing a new performance evaluation system mandated by Pioneer's headquarters in Dallas, localization of the workforce, and challenging cross-cultural matters associated with an upcoming trip by Turkmenistan officials to the U.S. offices of Pioneer.

Kamla Nehru Memorial Hospital (KNMH) is a non-profit, non-government trust organization that is managed by the Gandhi-Nehru family, India's premier political family which gave the country three generations of prime ministers. Members of the family continue to be at the helm of the board. The hospital specializes in the areas of Obstetrics and Gynecology (O&G) and Oncology and has several supporting departments. It is a very reputed hospital in Allahabad, in the highly populated state of Uttar Pradesh in Northern India, and draws patients from nearby states, primarily from the Eastern part of India where infrastructure is largely underdeveloped, and from other developing countries such as Nepal and Bhutan. The hospital is endowed by the Trust. Due to its reach, it attracts funds from governmental and non-governmental agencies as an implementing agency for several of their health schemes and initiatives. The hospital operated independently and without a formal administrative structure for many years. Consequently, the governance as well as the efficiency of hospital operations had been going downhill for some time, with the result that patients were choosing other hospitals and nursing homes over KNMH. Decreasing revenues and inefficient operations led to operational losses. After the next generation of the Gandhi-Nehru family joined the governing board, there was some rethinking at the top about the way forward for the hospital. They decided that the time had come to manage the hospital professionally in order to be able to serve patients in a more efficient and effective manner. It was in this setting that Dr. Madhu Chandra, a pathologist and PhD, who had served at a corporate hospital (Yashoda Hospitals, Hyderabad), was appointed Chief Executive Officer of KNMH. Her goal was to streamline hospital operations and put it back on a growth trajectory.

For the past 20 years, the theory of disruptive innovation has been enormously influential in business circles and a powerful tool for predicting which industry entrants will succeed. Unfortunately, the theory has also been widely misunderstood, and the "disruptive" label has been applied too carelessly anytime a market newcomer shakes up well-established incumbents. In this article, the architect of disruption theory, Clayton M. Christensen, and his coauthors correct some of the misinformation, describe how the thinking on the subject has evolved, and discuss the utility of the theory. They start by clarifying what classic disruption entails-a small enterprise targeting overlooked customers with a novel but modest offering and gradually moving upmarket to challenge the industry leaders. They point out that Uber, commonly hailed as a disrupter, doesn't actually fit the mold, and they explain that if managers don't understand the nuances of disruption theory or apply its tenets correctly, they may not make the right strategic choices. Common mistakes, the authors say, include failing to view disruption as a gradual process (which may lead incumbents to ignore significant threats) and blindly accepting the "Disrupt or be disrupted" mantra (which may lead incumbents to jeopardize their core business as they try to defend against disruptive competitors). The authors acknowledge that disruption theory has certain limitations. But they are confident that as research continues, the theory's explanatory and predictive powers will only improve.

No business survives over the long term without reinventing itself. But knowing when to undertake strategic transformation-when to change a company's core products or business model because of impending industry disruption-may be the hardest decision a leader faces. Five interrelated "fault lines" can indicate that the ground beneath a company is unstable and that it's time for radical change. The authors' fault line framework addresses basic issues: whether the business serves the right customers, uses the right performance metrics, is positioned properly in its industry, deploys the correct business model, and has employees and partners who possess the capabilities required for future success. The framework can help executives build a case for change and persuade stakeholders to support the decision. And by identifying gaps between an organization's current state and where it needs to be to continue to thrive, it can inform the vision of how the company must transform. Diagnostic questions and an in-depth look at the health care company Aetna-an organization in the midst of an ambitious transformation effort, where one of the authors (Mark Bertolini) is CEO-illuminate how to detect the fault lines while there's still ample time to respond.

The chief marketing officer of a Dutch hospitality group considers whether she should invest a substantial portion of her budget in partnering with a start-up whose business model involves bypassing online travel agencies. Expert commentary comes from Ted Teng, president and CEO of The Leading Hotels of the World, and Michael Levie, COO at citizenM, a Netherlands-based hotel company.