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This case focuses on the challenges of keeping a collective impact program—the Tackling Youth Substance Abuse (TYSA) program on Staten Island—focused and effective over time, a problem faced by many collaborative community-based efforts. The TYSA program…

In July 2016, Jennifer Brown, a graduate student at Southwest State School of Public Health, had been asked to staff an Ethics Advisory Group (EAG) meeting at Mountain Health Insurance Company, a large, regional nonprofit health insurance company where…

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…

In 2007, Dr. Mark Horton took over as the head of the new California Department of Public Health (CDPH), at time when the governor, Arnold Schwarzenegger, had already identified obesity as a prevention priority in his health care reform proposal.…

In April 2003, Dr. Julio Frenk, the Minister of Health of Mexico, prepared for the debate on his health reform bill to begin in the Senate. Since becoming Minister of Health in President Vicente Fox’s administration in 2000, Dr. Frenk had worked…

Jane Leader, president of Simsbury General Hospital, was reviewing the recommendations put together by her senior management team to resolve the growing problems her hospital was facing. The recommendations, totaling some $10 million, could put the…

John Leader, president of Simsbury Children’s Hospital, was reviewing the recommendations put together by his senior management team to resolve the growing problems his hospital was facing. The recommendations, totaling some $10 million, could put the…

Lucy Normen, Chief Operating Officer of Sweetbriar Hospital, had just gotten off the phone with her Emergency Department Director, Dr. Max Warner. He was very upset with the present situation in the ED: people currently boarding in the ED hallways…

Thandeka Sisulu had just been hired as the new administrative director for the Eastern Cape Clinic, located in the outskirts of the South African city of East London. The Clinic had opened about 18 months ago with support from the government and from two…

Dr. Casey had just come out of a long meeting with his business manager, Linda Baker, and he was quite concerned. She shared with him that his practice was losing $10,000 a month on monthly revenues of approximately $90,000. Just six months ago he had…