Organization | Luiss Business School

30 Ottobre 2025

Being friends or being in a fight club: Organizing work amidst conflicts. How politics, egos, and tensions among physicians disrupted vital work in a cardiac department

Autori: Sriteja Reddy Wudaru, Andrea Prencipe Abstract: In Jupiter, a leading international hospital in Southern India, around 20 cardiac physicians share two “Catheterization Laboratories” to perform interventional cardiac procedures for patients. Jupiter’s management has designed a schedule that allocates the labs in 1- or 2-hour slots to different physicians at different times on different days. Additionally, they have also appointed a coordinator to ensure the physicians respect the schedule and to manage any discrepancies that may arise. Because only 2 labs are present, a physician can perform a procedure only if another physician already using a lab hands it over on time. But these hand-offs never go according to the plan because of a few reasons. Jupiter implements a unique fee-for-service business model. It does not pay physicians a fixed salary; instead they earn a fee for seeing patients in their “out-patient” offices, and a share in the amount earned through interventional procedures. To balance procedures and out-patient office, physicians often put their patients in the lab and go back to their out-patient offices. The lab remains blocked and other physicians cannot use it. This derails everyone’s schedule within and beyond CCL. Physicians also plan their procedures in ways that benefit them without any concern towards others’ work. Additionally, the interpersonal competition amongst physicians has put pressure on them to appear superior to their peers. They try to highlight their own skills or defame or trash-talk about others. As more and more physicians engage in such behaviors, even those who joined the hospital recently think this is legitimate and acceptable behavior. There is also a lack of loyalty towards and identity with the hospital as physicians work in other organizations too. As they can leave taking their patients with them, Jupiter’s top management is reluctant to impose sanctions on the physicians for not following the rules. As a result, frequent tensions occur amongst physicians who often resort to arguing and even fistfights. The coordinator often tries to resolve these conflicts through various tactics but no concrete solution seems to be possible. Download Case Study Richiesta Teaching Notes

Case Studies

30 Ottobre 2025

Benelux Baltics in Business Case

Autore: Agne Nainyte, Gabriel Mayrink Abstract: Benelux Baltics in Business (BBinB) is a non-profit networking organization founded by four Lithuanian professionals residing in both Lithuania and the Netherlands. Established in 2020, BBinB aims to connect entrepreneurs and business professionals from the Baltic and Benelux regions to facilitate international business growth and networking opportunities. The organization’s flagship event, an annual conference in Amsterdam, has become a pivotal platform for fostering connections and promoting business collaboration these regions. This business case explores the founding story, motivations, key events, challenges, and future strategies of BBinB, providing insights into the dynamics of establishing and sustaining an international networking organization. Download Case Study Richiedi Teaching Notes

Case Studies

30 Ottobre 2025

Orange Fiber’s growth path in the sustainable fashion industry

Autori: Maria Giovanna Devetag, Giovanni Zazzerini, Enrica Arena Abstract: The case analyses the key challenges faced by Orange Fiber during the transition from the startup to the scaleup stage. Orange Fiber is a company producing fabrics from citrus juice byproducts that otherwise would be wasted. The fabrics are produced starting from a silk-like cellulose yarn that can be used either in its purest form or blended with other materials.Challenges faced by the founders refer to the market, the financial resources needed to sustain the company’s growth, product development, as well as organizational issues. Download Case Study Richiedi Teaching Notes

Case Studies

30 Ottobre 2025

Reimagining Mobility: ASPI’s Data-Driven Approach to Organizational Agility

Autori: Paolo Boccardelli, Chiara Bartoli, Lorenza Gerardi, Stefano Coiro Abstract: In recent years, Autostrade per l’Italia, one of Europe’s leading concessionaires in the construction and management of toll motorways, has undergone significant transformations. The global macro-trends of the “twin transition” – namely digitalization and sustainability – have gained momentum in reshaping the industrial landscape, while the reconfiguration of organizational and mobility market dynamics, accelerated by the long-term impacts of the COVID-19 pandemic, has imposed new challenges. This has been compounded by escalating geopolitical tensions and the volatility of the energy market. In this complex and rapidly changing context, Autostrade per l’Italia has embarked on a profound organizational transformation. Driven by a complete overhaul of its operational and strategic procedures, the company has placed people and data at the center of its model, seeking to respond to new external transformations with a new organizational structure that fosters business agility. In this case study, we retrace the history of Autostrade per l’Italia and the current market context, highlighting its key drivers of change. Finally, this analysis explores the core pillars of Autostrade’s organizational transformation by investigating its strategic shifts. Download Case Study Richiedi Teaching Notes

Case Studies