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JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 1 of 3
Week 9: Becoming the Leader
The challenges of the first three months in a new leadership position can be significant, whether you are
becoming the leader of a team, a department, or an entire organization. A lot is at stake regarding
organizational effectiveness and career success – both yours and those of the people being led by you.
Leveraging a proven model will help ensure that you make a successful transition into the new leadership
role. This week, we will explore practical steps you can take to make your move into a new role successful
and to embrace the challenges the new opportunity presents.
Leading in the First 90 Days
Four common types of business situations must be understood for you to select the most effective
leadership strategy: startup, turnaround, realignment, and sustaining. These business situations can be
particular to a team or department, or they could apply to the entire organization.
Startups and turnarounds give new leaders the opportunity to start fresh. For these situations, courage is
essential because difficult decisions are often required early on. Realignments and sustaining conditions
present a different challenge. A new leader must quickly assess what to preserve because it is successful,
and what to change to move the organization forward. Once the type of business situation is identified, two
fundamental choices must be made:
1. A decision whether to focus on learning about the organization or taking action
In turnarounds and startups, the emphasis is typically on immediate action. Often, early
decisions will be required even without complete information. The new leader does not have
the luxury of a protracted analytical phase, and must focus on quickly identifying what is
needed to manage the tactical elements as quickly as possible.
2. A decision whether to proactively pursue new initiatives or to defend the current
position of the company
While the best strategy may integrate elements of both, a new leader must decide which to
emphasize initially. Of course, for a startup, the emphasis is on active pursuit of new initiatives.
In a turnaround, the strategy is to find the core strengths and work to protect them. For a
realignment situation, identifying new initiatives is important, as is defending the current
position. For sustaining an organization, the best approach is typically to support the current
company position.
JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 2 of 3
Early Wins
What comprises an early win is different for each business situation. Devising a clear strategy and forming
the right team are essential wins early in a startup situation. In a turnaround, it is also important to get the
right team on board, as well as to determine which core components of the business to focus on. In
realignments, because employees often do not see the need for change, an early win is building urgency
and buy-in regarding the need for change. For sustaining situations, the important early win is when others
in the organization know that you understand what makes that organization successful.
The 10 Key Transition Opportunities
1. Promote yourself – let go of the old, take charge of the new
2. Accelerate learning – focus on what you need to learn first, given the situation
3. Diagnose and match strategy to the situation
4. Secure early wins
5. Build a good relationship with your new boss – refer to Week 7 for ideas about how to do this
6. Focus on strategic alignment to ensure the business's strategy, structure, systems, and capabilities
are aligned
7. Build your team – apply candor, differentiation, and transparency
8. Build alliances – review Week 7 material for useful approaches
9. Build your network – find others to help you keep your perspective and provide counsel
10. Support everyone’s transition to your leadership
JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 3 of 3
Your Leadership Journey
• If you are new to leadership, think about how to establish some early wins in your new role.
• If you are already a team leader, consider the transition traps that you may face when you are
moving from a past leadership role into a new position.
• If you are a senior/veteran leader, consider how you – and your direct reports leading their teams –
can embrace crucibles as poignant leading experiences.
**## Measalsdeath.docx**
1. Health
**First Measles Death Reported in Texas Outbreak**
**An unvaccinated, school-age child died after being hospitalized in West Texas**
_By_
[_Jennifer Calfas_](https://www.wsj.com/news/author/jennifer-calfas)
_Follow_
_Updated Feb. 26, 2025 7:55 pm ET_
[2387](https://www.wsj.com/health/measles-death-texas-outbreak-963e33a0?mod=healthcare_more_article_pos3)
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During a cabinet meeting on Wednesday, Health Secretary Robert F. Kennedy Jr. was asked about a measles outbreak that has killed one child and sickened nearly 140 people in Texas and New Mexico. Photo: Andrew Harnik/Getty Images
A child who tested positive for measles died in Texas, the state health department said, marking the first death in an outbreak that has sickened nearly 140 people.
The Texas Department of State Health Services said a school-age child died after being hospitalized in Lubbock. The child wasn’t vaccinated, the state health department said.
The child’s death marked the first measles-related death in the U.S. since 2015.
Over the past month, nearly 140 people in Texas and New Mexico
[have been sickened with measles](https://www.wsj.com/health/healthcare/measles-sicken-nearly-100-in-texas-and-new-mexico-42d9b2ed?mod=article_inline). At least 18 people have been hospitalized, and children make up the majority of those infected.
Measles causes a fever, rash and cough, among other symptoms, and can be particularly harmful for babies and young children, according to the Centers for Disease Control and Prevention. Federal officials said measles was eliminated from the U.S. in 2000. But measles
[outbreaks have risen](https://www.wsj.com/health/healthcare/rfk-jr-wants-to-rethink-the-measles-vaccine-heres-what-the-science-shows-2527380e?mod=article_inline) around the country as vaccination rates have fallen in recent years.
“We’re now seeing a very serious consequence of what happens when we have measles in our community,” said Dr. Amy Thompson, chief executive of Covenant Children’s Hospital, where the young patient died. Hospital officials declined to provide more details about the patient.
At least 124 people in Texas have tested positive since January, according to the Texas Department of State Health Services, with residents of rural Gaines County in West Texas making up nearly two-thirds of the state’s cases. All but five of the Texans who tested positive for measles are unvaccinated or have an unknown vaccination status, according to the state health department. An additional nine people, including four children, tested positive for measles across the state line in New Mexico’s Lea County.
Most Texans testing positive for measles are unvaccinated, or their vaccination status is unknown. Photo: Julio Cortez/Associated Press
The outbreak shows how quickly this disease can spread in communities without high levels of vaccination. The measles outbreak is the largest in Texas since 1992, according to the state’s health department. Public-health officials are urging more people to get vaccinated and trying to educate residents about the severity of the disease.
The measles, mumps and rubella vaccine, or MMR vaccine, is required for children to attend school in Texas, but not all schoolchildren are inoculated against the disease due to exemptions under state law. A child can receive an exemption for reasons of conscience, which includes religious beliefs.
Newsletter Sign-up
**What’s News**
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Vaccination rates for kindergartners across the U.S. have fallen since the Covid-19 pandemic, according to the CDC. In Gaines County, around 18% of kindergartners reported exemptions for any vaccine last school year, one of the highest percentages of any of the state’s counties. Just 7.5% of kindergartners in Gaines County had exemptions for a vaccine a decade ago, according to data from the state health department.
The early spread of the outbreak occurred in the Mennonite community in Gaines County, said Lara Anton, a spokesperson for the state’s department of health. Residents in the rural county have to travel long distances for errands and healthcare appointments, which might contribute to the county’s lower vaccination rates, she said.
Texas public-health leaders and epidemiologists are convening on twice-a-day calls to update case counts and identify where they might need more resources. In Gaines County, a free vaccine clinic is open seven days a week and public health officials are advertising clinic hours and measles information on digital billboards, said Zach Holbrooks, executive director of the South Plains Public Health District in Seminole, a city in Gaines County.
Over the past month, nearly 140 people in Texas and New Mexico have been sickened with measles. Photo: Julio Cortez/Associated Press
Multiple sites are screening residents for measles around the region. The community’s public-health officials are working with state and federal health leaders to translate guidance and radio scripts into Spanish and German, in addition to English, to reach more of the community.
The reality of this outbreak is pushing more people to get vaccinated, said Katherine Wells, director of public health in Lubbock. The public-health department has administered around 100 more measles vaccines over the past week or two than they do normally. More than half of those went to children receiving the vaccine for the first time. School nurses also checked students’ vaccine records and alerted parents if their sons or daughters hadn’t received their second dose yet, Wells said.
“The goal right now is to find pockets of unvaccinated people who have not yet been exposed, and just get our vaccination rates up as high as possible,” Wells said. “That’s what’s going to slow this down.”
Advertisement
Measles killed around 400 to 500 each year in the U.S. before the vaccine was introduced in the 1960s, according to the CDC. The virus killed more than 100,000 people globally in 2023, according to the World Health Organization.
In 2024, CDC reported 285 cases of the measles nationwide across 33 states. There were 16 outbreaks, which include three or more related cases. In 2023, the CDC reported 59 cases of the measles and four outbreaks.
About 20 patients have been admitted to Covenant Children’s Hospital in Lubbock for measles over the past month. Photo: Mary Conlon/Associated Press
This latest outbreak comes on the heels of
[the confirmation](https://www.wsj.com/politics/policy/rfk-jr-senate-confirmation-vote-trump-hhs-secretary-d4ad51df?mod=article_inline) of Health and Human Services Secretary Robert F. Kennedy Jr., who has criticized vaccine mandates and has made the
[debunked claim that vaccines cause autism](https://www.wsj.com/livecoverage/trump-cabinet-confirmation-hearings/card/what-has-rfk-jr-said-about-vaccines–CvT3i2RSzwYa9uNS6ZIU?mod=article_inline). Kennedy said during his confirmation hearing that he supported the measles and polio vaccines.
[During a cabinet meeting](https://www.wsj.com/politics/policy/trump-to-cabinet-youre-out-if-youre-unhappy-with-musk-c648eee0?mod=article_inline) at the White House on Wednesday, Kennedy said the department was following the outbreak, and that they weren’t unusual. “We have measles outbreaks every year,” he said.
Some measles patients in Texas are traveling to Lubbock, just under 100 miles northeast of Gaines County, for treatment. About 20 patients have been admitted to Covenant Children’s Hospital in Lubbock for measles over the past month, with doctors providing supplemental oxygen and other support to aid patients in their recovery, said Dr. Lara Johnson, chief medical officer of Covenant Health. Several of those patients have required intensive care, and all of them are unvaccinated, Johnson said.
When Johnson graduated from medical school more than 20 years ago, she said she didn’t expect to see measles cases in her career.
“This may be something that we’ll see more often if we continue to see those lower vaccination rates,” Johnson said.
Write to Jennifer Calfas at
[jennifer.calfas@wsj.com](mailto:jennifer.calfas@wsj.com)
Copyright ©2025 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8
_Appeared in the February 27, 2025, print edition as 'Child Dies of Measles In Texas Outbreak'._
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**## JWI510_WK9_LectureNotes_1194.pdf**
JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 1 of 3
Week 9: Becoming the Leader
The challenges of the first three months in a new leadership position can be significant, whether you are
becoming the leader of a team, a department, or an entire organization. A lot is at stake regarding
organizational effectiveness and career success – both yours and those of the people being led by you.
Leveraging a proven model will help ensure that you make a successful transition into the new leadership
role. This week, we will explore practical steps you can take to make your move into a new role successful
and to embrace the challenges the new opportunity presents.
Leading in the First 90 Days
Four common types of business situations must be understood for you to select the most effective
leadership strategy: startup, turnaround, realignment, and sustaining. These business situations can be
particular to a team or department, or they could apply to the entire organization.
Startups and turnarounds give new leaders the opportunity to start fresh. For these situations, courage is
essential because difficult decisions are often required early on. Realignments and sustaining conditions
present a different challenge. A new leader must quickly assess what to preserve because it is successful,
and what to change to move the organization forward. Once the type of business situation is identified, two
fundamental choices must be made:
1. A decision whether to focus on learning about the organization or taking action
In turnarounds and startups, the emphasis is typically on immediate action. Often, early
decisions will be required even without complete information. The new leader does not have
the luxury of a protracted analytical phase, and must focus on quickly identifying what is
needed to manage the tactical elements as quickly as possible.
2. A decision whether to proactively pursue new initiatives or to defend the current
position of the company
While the best strategy may integrate elements of both, a new leader must decide which to
emphasize initially. Of course, for a startup, the emphasis is on active pursuit of new initiatives.
In a turnaround, the strategy is to find the core strengths and work to protect them. For a
realignment situation, identifying new initiatives is important, as is defending the current
position. For sustaining an organization, the best approach is typically to support the current
company position.
JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 2 of 3
Early Wins
What comprises an early win is different for each business situation. Devising a clear strategy and forming
the right team are essential wins early in a startup situation. In a turnaround, it is also important to get the
right team on board, as well as to determine which core components of the business to focus on. In
realignments, because employees often do not see the need for change, an early win is building urgency
and buy-in regarding the need for change. For sustaining situations, the important early win is when others
in the organization know that you understand what makes that organization successful.
The 10 Key Transition Opportunities
1. Promote yourself – let go of the old, take charge of the new
2. Accelerate learning – focus on what you need to learn first, given the situation
3. Diagnose and match strategy to the situation
4. Secure early wins
5. Build a good relationship with your new boss – refer to Week 7 for ideas about how to do this
6. Focus on strategic alignment to ensure the business's strategy, structure, systems, and capabilities
are aligned
7. Build your team – apply candor, differentiation, and transparency
8. Build alliances – review Week 7 material for useful approaches
9. Build your network – find others to help you keep your perspective and provide counsel
10. Support everyone’s transition to your leadership
JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 3 of 3
Your Leadership Journey
• If you are new to leadership, think about how to establish some early wins in your new role.
• If you are already a team leader, consider the transition traps that you may face when you are
moving from a past leadership role into a new position.
• If you are a senior/veteran leader, consider how you – and your direct reports leading their teams –
can embrace crucibles as poignant leading experiences.
**## Measalsdeath.docx**
1. Health
**First Measles Death Reported in Texas Outbreak**
**An unvaccinated, school-age child died after being hospitalized in West Texas**
_By_
[_Jennifer Calfas_](https://www.wsj.com/news/author/jennifer-calfas)
_Follow_
_Updated Feb. 26, 2025 7:55 pm ET_
[2387](https://www.wsj.com/health/measles-death-texas-outbreak-963e33a0?mod=healthcare_more_article_pos3)
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(7 min)
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Tap For Sound
During a cabinet meeting on Wednesday, Health Secretary Robert F. Kennedy Jr. was asked about a measles outbreak that has killed one child and sickened nearly 140 people in Texas and New Mexico. Photo: Andrew Harnik/Getty Images
A child who tested positive for measles died in Texas, the state health department said, marking the first death in an outbreak that has sickened nearly 140 people.
The Texas Department of State Health Services said a school-age child died after being hospitalized in Lubbock. The child wasn’t vaccinated, the state health department said.
The child’s death marked the first measles-related death in the U.S. since 2015.
Over the past month, nearly 140 people in Texas and New Mexico
[have been sickened with measles](https://www.wsj.com/health/healthcare/measles-sicken-nearly-100-in-texas-and-new-mexico-42d9b2ed?mod=article_inline). At least 18 people have been hospitalized, and children make up the majority of those infected.
Measles causes a fever, rash and cough, among other symptoms, and can be particularly harmful for babies and young children, according to the Centers for Disease Control and Prevention. Federal officials said measles was eliminated from the U.S. in 2000. But measles
[outbreaks have risen](https://www.wsj.com/health/healthcare/rfk-jr-wants-to-rethink-the-measles-vaccine-heres-what-the-science-shows-2527380e?mod=article_inline) around the country as vaccination rates have fallen in recent years.
“We’re now seeing a very serious consequence of what happens when we have measles in our community,” said Dr. Amy Thompson, chief executive of Covenant Children’s Hospital, where the young patient died. Hospital officials declined to provide more details about the patient.
At least 124 people in Texas have tested positive since January, according to the Texas Department of State Health Services, with residents of rural Gaines County in West Texas making up nearly two-thirds of the state’s cases. All but five of the Texans who tested positive for measles are unvaccinated or have an unknown vaccination status, according to the state health department. An additional nine people, including four children, tested positive for measles across the state line in New Mexico’s Lea County.
Most Texans testing positive for measles are unvaccinated, or their vaccination status is unknown. Photo: Julio Cortez/Associated Press
The outbreak shows how quickly this disease can spread in communities without high levels of vaccination. The measles outbreak is the largest in Texas since 1992, according to the state’s health department. Public-health officials are urging more people to get vaccinated and trying to educate residents about the severity of the disease.
The measles, mumps and rubella vaccine, or MMR vaccine, is required for children to attend school in Texas, but not all schoolchildren are inoculated against the disease due to exemptions under state law. A child can receive an exemption for reasons of conscience, which includes religious beliefs.
Newsletter Sign-up
**What’s News**
Catch up on the headlines, understand the news and make better decisions, free in your inbox daily. Enjoy a free article in every edition.
Preview
Subscribe
Vaccination rates for kindergartners across the U.S. have fallen since the Covid-19 pandemic, according to the CDC. In Gaines County, around 18% of kindergartners reported exemptions for any vaccine last school year, one of the highest percentages of any of the state’s counties. Just 7.5% of kindergartners in Gaines County had exemptions for a vaccine a decade ago, according to data from the state health department.
The early spread of the outbreak occurred in the Mennonite community in Gaines County, said Lara Anton, a spokesperson for the state’s department of health. Residents in the rural county have to travel long distances for errands and healthcare appointments, which might contribute to the county’s lower vaccination rates, she said.
Texas public-health leaders and epidemiologists are convening on twice-a-day calls to update case counts and identify where they might need more resources. In Gaines County, a free vaccine clinic is open seven days a week and public health officials are advertising clinic hours and measles information on digital billboards, said Zach Holbrooks, executive director of the South Plains Public Health District in Seminole, a city in Gaines County.
Over the past month, nearly 140 people in Texas and New Mexico have been sickened with measles. Photo: Julio Cortez/Associated Press
Multiple sites are screening residents for measles around the region. The community’s public-health officials are working with state and federal health leaders to translate guidance and radio scripts into Spanish and German, in addition to English, to reach more of the community.
The reality of this outbreak is pushing more people to get vaccinated, said Katherine Wells, director of public health in Lubbock. The public-health department has administered around 100 more measles vaccines over the past week or two than they do normally. More than half of those went to children receiving the vaccine for the first time. School nurses also checked students’ vaccine records and alerted parents if their sons or daughters hadn’t received their second dose yet, Wells said.
“The goal right now is to find pockets of unvaccinated people who have not yet been exposed, and just get our vaccination rates up as high as possible,” Wells said. “That’s what’s going to slow this down.”
Advertisement
Measles killed around 400 to 500 each year in the U.S. before the vaccine was introduced in the 1960s, according to the CDC. The virus killed more than 100,000 people globally in 2023, according to the World Health Organization.
In 2024, CDC reported 285 cases of the measles nationwide across 33 states. There were 16 outbreaks, which include three or more related cases. In 2023, the CDC reported 59 cases of the measles and four outbreaks.
About 20 patients have been admitted to Covenant Children’s Hospital in Lubbock for measles over the past month. Photo: Mary Conlon/Associated Press
This latest outbreak comes on the heels of
[the confirmation](https://www.wsj.com/politics/policy/rfk-jr-senate-confirmation-vote-trump-hhs-secretary-d4ad51df?mod=article_inline) of Health and Human Services Secretary Robert F. Kennedy Jr., who has criticized vaccine mandates and has made the
[debunked claim that vaccines cause autism](https://www.wsj.com/livecoverage/trump-cabinet-confirmation-hearings/card/what-has-rfk-jr-said-about-vaccines–CvT3i2RSzwYa9uNS6ZIU?mod=article_inline). Kennedy said during his confirmation hearing that he supported the measles and polio vaccines.
[During a cabinet meeting](https://www.wsj.com/politics/policy/trump-to-cabinet-youre-out-if-youre-unhappy-with-musk-c648eee0?mod=article_inline) at the White House on Wednesday, Kennedy said the department was following the outbreak, and that they weren’t unusual. “We have measles outbreaks every year,” he said.
Some measles patients in Texas are traveling to Lubbock, just under 100 miles northeast of Gaines County, for treatment. About 20 patients have been admitted to Covenant Children’s Hospital in Lubbock for measles over the past month, with doctors providing supplemental oxygen and other support to aid patients in their recovery, said Dr. Lara Johnson, chief medical officer of Covenant Health. Several of those patients have required intensive care, and all of them are unvaccinated, Johnson said.
When Johnson graduated from medical school more than 20 years ago, she said she didn’t expect to see measles cases in her career.
“This may be something that we’ll see more often if we continue to see those lower vaccination rates,” Johnson said.
Write to Jennifer Calfas at
[jennifer.calfas@wsj.com](mailto:jennifer.calfas@wsj.com)
Copyright ©2025 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8
_Appeared in the February 27, 2025, print edition as 'Child Dies of Measles In Texas Outbreak'._
Show Conversation (2387)
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**## JWI510_WK9_LectureNotes_1194.pdf**
JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 1 of 3
Week 9: Becoming the Leader
The challenges of the first three months in a new leadership position can be significant, whether you are
becoming the leader of a team, a department, or an entire organization. A lot is at stake regarding
organizational effectiveness and career success – both yours and those of the people being led by you.
Leveraging a proven model will help ensure that you make a successful transition into the new leadership
role. This week, we will explore practical steps you can take to make your move into a new role successful
and to embrace the challenges the new opportunity presents.
Leading in the First 90 Days
Four common types of business situations must be understood for you to select the most effective
leadership strategy: startup, turnaround, realignment, and sustaining. These business situations can be
particular to a team or department, or they could apply to the entire organization.
Startups and turnarounds give new leaders the opportunity to start fresh. For these situations, courage is
essential because difficult decisions are often required early on. Realignments and sustaining conditions
present a different challenge. A new leader must quickly assess what to preserve because it is successful,
and what to change to move the organization forward. Once the type of business situation is identified, two
fundamental choices must be made:
1. A decision whether to focus on learning about the organization or taking action
In turnarounds and startups, the emphasis is typically on immediate action. Often, early
decisions will be required even without complete information. The new leader does not have
the luxury of a protracted analytical phase, and must focus on quickly identifying what is
needed to manage the tactical elements as quickly as possible.
2. A decision whether to proactively pursue new initiatives or to defend the current
position of the company
While the best strategy may integrate elements of both, a new leader must decide which to
emphasize initially. Of course, for a startup, the emphasis is on active pursuit of new initiatives.
In a turnaround, the strategy is to find the core strengths and work to protect them. For a
realignment situation, identifying new initiatives is important, as is defending the current
position. For sustaining an organization, the best approach is typically to support the current
company position.
JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 2 of 3
Early Wins
What comprises an early win is different for each business situation. Devising a clear strategy and forming
the right team are essential wins early in a startup situation. In a turnaround, it is also important to get the
right team on board, as well as to determine which core components of the business to focus on. In
realignments, because employees often do not see the need for change, an early win is building urgency
and buy-in regarding the need for change. For sustaining situations, the important early win is when others
in the organization know that you understand what makes that organization successful.
The 10 Key Transition Opportunities
1. Promote yourself – let go of the old, take charge of the new
2. Accelerate learning – focus on what you need to learn first, given the situation
3. Diagnose and match strategy to the situation
4. Secure early wins
5. Build a good relationship with your new boss – refer to Week 7 for ideas about how to do this
6. Focus on strategic alignment to ensure the business's strategy, structure, systems, and capabilities
are aligned
7. Build your team – apply candor, differentiation, and transparency
8. Build alliances – review Week 7 material for useful approaches
9. Build your network – find others to help you keep your perspective and provide counsel
10. Support everyone’s transition to your leadership
JWI 510: Leadership in the 21st Century
Lecture Notes
© Strayer University. All Rights Reserved. This document contains Strayer University confidential and proprietary information and may not be
copied, further distributed, or otherwise disclosed, in whole or in part, without the expressed written permission of Strayer University.
JWI 510 – Lecture Notes (1194) Page 3 of 3
Your Leadership Journey
• If you are new to leadership, think about how to establish some early wins in your new role.
• If you are already a team leader, consider the transition traps that you may face when you are
moving from a past leadership role into a new position.
• If you are a senior/veteran leader, consider how you – and your direct reports leading their teams –
can embrace crucibles as poignant leading experiences.
**## Measalsdeath.docx**
1. Health
**First Measles Death Reported in Texas Outbreak**
**An unvaccinated, school-age child died after being hospitalized in West Texas**
_By_
[_Jennifer Calfas_](https://www.wsj.com/news/author/jennifer-calfas)
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_Updated Feb. 26, 2025 7:55 pm ET_
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During a cabinet meeting on Wednesday, Health Secretary Robert F. Kennedy Jr. was asked about a measles outbreak that has killed one child and sickened nearly 140 people in Texas and New Mexico. Photo: Andrew Harnik/Getty Images
A child who tested positive for measles died in Texas, the state health department said, marking the first death in an outbreak that has sickened nearly 140 people.
The Texas Department of State Health Services said a school-age child died after being hospitalized in Lubbock. The child wasn’t vaccinated, the state health department said.
The child’s death marked the first measles-related death in the U.S. since 2015.
Over the past month, nearly 140 people in Texas and New Mexico
[have been sickened with measles](https://www.wsj.com/health/healthcare/measles-sicken-nearly-100-in-texas-and-new-mexico-42d9b2ed?mod=article_inline). At least 18 people have been hospitalized, and children make up the majority of those infected.
Measles causes a fever, rash and cough, among other symptoms, and can be particularly harmful for babies and young children, according to the Centers for Disease Control and Prevention. Federal officials said measles was eliminated from the U.S. in 2000. But measles
[outbreaks have risen](https://www.wsj.com/health/healthcare/rfk-jr-wants-to-rethink-the-measles-vaccine-heres-what-the-science-shows-2527380e?mod=article_inline) around the country as vaccination rates have fallen in recent years.
“We’re now seeing a very serious consequence of what happens when we have measles in our community,” said Dr. Amy Thompson, chief executive of Covenant Children’s Hospital, where the young patient died. Hospital officials declined to provide more details about the patient.
At least 124 people in Texas have tested positive since January, according to the Texas Department of State Health Services, with residents of rural Gaines County in West Texas making up nearly two-thirds of the state’s cases. All but five of the Texans who tested positive for measles are unvaccinated or have an unknown vaccination status, according to the state health department. An additional nine people, including four children, tested positive for measles across the state line in New Mexico’s Lea County.
Most Texans testing positive for measles are unvaccinated, or their vaccination status is unknown. Photo: Julio Cortez/Associated Press
The outbreak shows how quickly this disease can spread in communities without high levels of vaccination. The measles outbreak is the largest in Texas since 1992, according to the state’s health department. Public-health officials are urging more people to get vaccinated and trying to educate residents about the severity of the disease.
The measles, mumps and rubella vaccine, or MMR vaccine, is required for children to attend school in Texas, but not all schoolchildren are inoculated against the disease due to exemptions under state law. A child can receive an exemption for reasons of conscience, which includes religious beliefs.
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Vaccination rates for kindergartners across the U.S. have fallen since the Covid-19 pandemic, according to the CDC. In Gaines County, around 18% of kindergartners reported exemptions for any vaccine last school year, one of the highest percentages of any of the state’s counties. Just 7.5% of kindergartners in Gaines County had exemptions for a vaccine a decade ago, according to data from the state health department.
The early spread of the outbreak occurred in the Mennonite community in Gaines County, said Lara Anton, a spokesperson for the state’s department of health. Residents in the rural county have to travel long distances for errands and healthcare appointments, which might contribute to the county’s lower vaccination rates, she said.
Texas public-health leaders and epidemiologists are convening on twice-a-day calls to update case counts and identify where they might need more resources. In Gaines County, a free vaccine clinic is open seven days a week and public health officials are advertising clinic hours and measles information on digital billboards, said Zach Holbrooks, executive director of the South Plains Public Health District in Seminole, a city in Gaines County.
Over the past month, nearly 140 people in Texas and New Mexico have been sickened with measles. Photo: Julio Cortez/Associated Press
Multiple sites are screening residents for measles around the region. The community’s public-health officials are working with state and federal health leaders to translate guidance and radio scripts into Spanish and German, in addition to English, to reach more of the community.
The reality of this outbreak is pushing more people to get vaccinated, said Katherine Wells, director of public health in Lubbock. The public-health department has administered around 100 more measles vaccines over the past week or two than they do normally. More than half of those went to children receiving the vaccine for the first time. School nurses also checked students’ vaccine records and alerted parents if their sons or daughters hadn’t received their second dose yet, Wells said.
“The goal right now is to find pockets of unvaccinated people who have not yet been exposed, and just get our vaccination rates up as high as possible,” Wells said. “That’s what’s going to slow this down.”
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Measles killed around 400 to 500 each year in the U.S. before the vaccine was introduced in the 1960s, according to the CDC. The virus killed more than 100,000 people globally in 2023, according to the World Health Organization.
In 2024, CDC reported 285 cases of the measles nationwide across 33 states. There were 16 outbreaks, which include three or more related cases. In 2023, the CDC reported 59 cases of the measles and four outbreaks.
About 20 patients have been admitted to Covenant Children’s Hospital in Lubbock for measles over the past month. Photo: Mary Conlon/Associated Press
This latest outbreak comes on the heels of
[the confirmation](https://www.wsj.com/politics/policy/rfk-jr-senate-confirmation-vote-trump-hhs-secretary-d4ad51df?mod=article_inline) of Health and Human Services Secretary Robert F. Kennedy Jr., who has criticized vaccine mandates and has made the
[debunked claim that vaccines cause autism](https://www.wsj.com/livecoverage/trump-cabinet-confirmation-hearings/card/what-has-rfk-jr-said-about-vaccines–CvT3i2RSzwYa9uNS6ZIU?mod=article_inline). Kennedy said during his confirmation hearing that he supported the measles and polio vaccines.
[During a cabinet meeting](https://www.wsj.com/politics/policy/trump-to-cabinet-youre-out-if-youre-unhappy-with-musk-c648eee0?mod=article_inline) at the White House on Wednesday, Kennedy said the department was following the outbreak, and that they weren’t unusual. “We have measles outbreaks every year,” he said.
Some measles patients in Texas are traveling to Lubbock, just under 100 miles northeast of Gaines County, for treatment. About 20 patients have been admitted to Covenant Children’s Hospital in Lubbock for measles over the past month, with doctors providing supplemental oxygen and other support to aid patients in their recovery, said Dr. Lara Johnson, chief medical officer of Covenant Health. Several of those patients have required intensive care, and all of them are unvaccinated, Johnson said.
When Johnson graduated from medical school more than 20 years ago, she said she didn’t expect to see measles cases in her career.
“This may be something that we’ll see more often if we continue to see those lower vaccination rates,” Johnson said.
Write to Jennifer Calfas at
[jennifer.calfas@wsj.com](mailto:jennifer.calfas@wsj.com)
Copyright ©2025 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8
_Appeared in the February 27, 2025, print edition as 'Child Dies of Measles In Texas Outbreak'._
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