The head nurse at the Clearbrook Diabetes Centre (CDC) faced mounting pressure to improve patient outcomes in light of rapidly advancing diabetes technologies. For years, CDC had relied on manual data collection during in-person consultations, overlooking new tools such as continuous glucose monitors and nutrition apps. Seeing the potential for a centralized, multi-user system to transform the care CDC provided its patients, DeMille sought guidance .....more

In May 2023, the CEO of pharmaceutical company Eli Lilly was called before the US Senate to testify on the rising costs of insulin prices in the United States. At the time of the hearing, Eli Lilly’s insulin prices had increased by 400% over the past 20 years, a much higher rate than targeted inflation (2%). In the face of rising public resentment and potential legislative changes, Eli Lilly was forced to either justify or reckon with its pricing .....more

In 2016, Zipline International Inc. (Zipline) launched the world’s first national drone delivery service in Rwanda, using artificial intelligence (AI)-enabled systems to transport blood and vaccines across remote regions. By 2023, its “sky ambulances” had become an integral part of health care logistics, credited with reducing maternal deaths and medical waste. Yet, with new competition, evolving regulations, and rising interest from commercial markets, .....more

A self-employed pediatrician in Edmonton, Alberta, Canada, was considering whether to incorporate her growing medical practice. While incorporation offered potential tax advantages and long-term financial benefits, it also introduced administrative complexity and regulatory obligations. She was also focused on personal financial planning, including saving for her child’s education and planning for retirement. With rising income and growing responsibilities, .....more

Since the fall of 2023, the pediatrics department of the Second Affiliated Hospital of Nanjing Medical University experienced a rapid increase in patient volume due to frequent seasonal influenza outbreaks and cross infection among schoolchildren, resulting in a 36.6 per cent increase in September compared to August. Confronted with the overcrowded and noisy waiting room filled with crying children, and seeking to enhance the patient experience and .....more

This case explores the transformation journey of Ireland’s Health Service Executive under Martin Curley, who spearheaded its digital transformation until 2023. Facing systemic inefficiencies, fragmented data systems, and resistance to change, Curley introduced a framework aimed at improving patient outcomes, reducing costs, and modernizing healthcare. Despite remarkable successes, Curley faced resistance. The case raises questions about driving change .....more

The technical director of Diagnostico de Laboratorio Argentina (DLA), Mariana Vega, was responsible for ensuring that an average of 5,500 samples were processed at the lab daily. The samples had three sources: samples collected on-premises, samples sent from the 40 other DLA labs, and samples sent from external labs. The company had recently been experiencing long lead times and increased costs. Two large customers threatened to switch to competing .....more

In December 2023, the founder and chief executive officer of Net-Health Pty. Ltd. (Net-Health) faced a pivotal strategic decision. Net-HealthData, the company’s digital health platform for managing gestational diabetes, had achieved traction across major hospitals in Australia but growth prospects were constrained and competition was intensifying. With gestational diabetes five times more prevalent in the United States, she saw potential for scale, .....more

Mohnish Gupta, an HIV-AIDS physician, left a government hospital position for a pivotal position at The Global Health Engine (GHE), an international organization renowned for coordinating and promoting scientifically based medical efforts on a global scale. GHE provided Gupta with career prestige and a comprehensive package that doubled his government salary, but the job was exhausting Gupta, jeopardizing his health, and robbing him of precious time .....more

In February 2025, a data scientist at Unity Health Toronto (UHT) faced a pressing challenge central to the hospital’s operational efficiency and financial stability. Tasked by the vice president of data science and advanced analytics, and the interprofessional resource team, the data scientist was charged with proposing an optimal size and skill mix for the nursing team at UHT’s St. Michael’s Hospital for the upcoming fiscal year (April 2025–March .....more