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  • All HBS Web  (4,839)
    • People  (12)
    • News  (1,624)
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    • Events  (13)
    • Multimedia  (75)
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  • Research Summary

Cost Management and Management Control Systems in Hospitals

By: V.G. Narayanan

 Hospitals tend not to have very good cost accounting and control systems. More broadly,  there is enormous opportunity for managing costs and aligning incentives in the health care industry. I am studying how cost accounting methods can be used to... View Details

  • April 2012
  • Article

Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry

By: Jonathan R. Clark and Robert S. Huckman
The long-standing argument that focused operations outperform others stands in contrast to claims about the benefits of broader operational scope. The performance benefits of focus are typically attributed to reduced complexity, lower uncertainty, and the development... View Details
Keywords: Performance Capacity; Operations; Advertising; Production; Corporate Strategy; Relationships; Medical Specialties; Complexity; Risk and Uncertainty; Experience and Expertise; Diversification; Quality; Health Industry
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Clark, Jonathan R., and Robert S. Huckman. "Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry." Management Science 58, no. 4 (April 2012): 708–722.
  • 2009
  • Working Paper

Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry

By: Jonathan R. Clark and Robert S. Huckman
The long-standing argument that focused operations outperform others stands in contrast to claims about the benefits of broader operational scope. The performance benefits of focus are typically attributed to reduced complexity, lower uncertainty, and the development... View Details
Keywords: Health Care and Treatment; Medical Specialties; Performance Capacity; Diversification; Health Industry
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Clark, Jonathan R., and Robert S. Huckman. "Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry." Harvard Business School Working Paper, No. 09-120, April 2009. (Revised April 2011.)
  • 2022
  • Working Paper

House Prices, Home Equity and Entrepreneurship: Evidence from U.S. Census Micro Data

By: Sari Pekkala Kerr, William R. Kerr and Ramana Nanda
During 1992-2007, house price growth is strongly correlated with local entrepreneurship. We show with Census Bureau data that most of this entry is related to construction and real estate; these entrants tend to be small and short-lived. Using a 1998 Texas reform that... View Details
Keywords: House Prices; Collateral Channel; Entry; Demography; Mortgages; Entrepreneurship
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Kerr, Sari Pekkala, William R. Kerr, and Ramana Nanda. "House Prices, Home Equity and Entrepreneurship: Evidence from U.S. Census Micro Data." Harvard Business School Working Paper, No. 15-069, February 2015. (Revised June 2022.)
  • September 2019
  • Case

Alex Atala: Bringing Brazil to the World

By: Boris Groysberg, Priscilla Zogbi and Ruth Costas
Brazilian Michelin-star chef Alex Atala managed four restaurants, a foundation advocating for the environment, and a seminar focused on food and sustainability. His new initiative was opening a hotel. View Details
Keywords: Hospitality Industry; Environment; Sustainability; Management; Innovation; Entrepreneurship; Innovation and Management; Creativity; Leadership Style; Situation or Environment; Food and Beverage Industry; Tourism Industry; Latin America; Brazil
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Groysberg, Boris, Priscilla Zogbi, and Ruth Costas. "Alex Atala: Bringing Brazil to the World." Harvard Business School Case 420-042, September 2019.
  • January–February 2021
  • Article

Between Home and Work: Commuting as an Opportunity for Role Transitions

By: Jon M. Jachimowicz, Julia Lee Cunningham, Bradley Staats, Francesca Gino and Jochen I. Menges
Across the globe, every workday people commute an average of 38 minutes each way, yet surprisingly little research has examined the implications of this daily routine for work-related outcomes. Integrating theories of boundary work, self-control, and work-family... View Details
Keywords: Commuting; Boundary Work; Self-control; Work-family Conflict; Prospection; Transition
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Jachimowicz, Jon M., Julia Lee Cunningham, Bradley Staats, Francesca Gino, and Jochen I. Menges. "Between Home and Work: Commuting as an Opportunity for Role Transitions." Organization Science 32, no. 1 (January–February 2021): 64–85.
  • February 2010
  • Case

Foxwoods: Turning Data into Insights in the Hospitality Industry

By: Lynda M. Applegate and Deborah L. Soule
This case describes how an IT director identified an opportunity and implemented an innovative business solution designed to enable line managers and executives to convert data to information to insights. The case also details how the company partnered with an emerging... View Details
Keywords: Corporate Entrepreneurship; Technological Innovation; Knowledge Use and Leverage; Partners and Partnerships; Information Technology; Entertainment and Recreation Industry; Connecticut
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Applegate, Lynda M., and Deborah L. Soule. "Foxwoods: Turning Data into Insights in the Hospitality Industry." Harvard Business School Case 810-083, February 2010.
  • July 2002 (Revised August 2002)
  • Case

Washington Hospital Center (D): Emergency Medicine After September 11

By: Rosabeth M. Kanter and Michelle Heskett
The all-risks-ready emergency room prototype project becomes widely accepted as a need after September 11, 2001. The already operational medical informatics system, Insight, comes under heavy demand after its strong performance during crises and is noticed by various... View Details
Keywords: Change Management; Health Care and Treatment; Nonprofit Organizations; Medical Specialties; Organizational Culture; Crisis Management; Technological Innovation; Higher Education; Performance Productivity; Health Industry; District of Columbia
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Kanter, Rosabeth M., and Michelle Heskett. "Washington Hospital Center (D): Emergency Medicine After September 11." Harvard Business School Case 303-022, July 2002. (Revised August 2002.)
  • 2010
  • Article

Hospital Performance, the Local Economy, and the Local Workforce: Findings from a U.S. National Longitudinal Study

Background: Pay-for-performance is an increasingly popular approach to improving health care quality, and the US government will soon implement pay-for-performance in hospitals nationwide. Yet hospital capacity to perform (and improve performance) likely depends on... View Details
Keywords: Health Care and Treatment; Performance; Health Industry; United States
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Blustein, Jan, William Borden, and Melissa Valentine. "Hospital Performance, the Local Economy, and the Local Workforce: Findings from a U.S. National Longitudinal Study." PLoS Medicine 7, no. 6 (2010).
  • Summer 2014
  • Article

Designed for Workarounds: A Qualitative Study of the Causes of Operational Failures in Hospitals

By: Anita L. Tucker, W. Scott Heisler and Laura D. Janisse
Frontline care providers in hospitals spend at least 10% of their time working around operational failures, which are situations where information, supplies, or equipment needed for patient care are insufficient. However, little is known about underlying causes of... View Details
Keywords: Supply Chain; Health Care and Treatment; Failure; Business Processes; Health Industry
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Tucker, Anita L., W. Scott Heisler, and Laura D. Janisse. "Designed for Workarounds: A Qualitative Study of the Causes of Operational Failures in Hospitals." Permanente Journal 18, no. 3 (Summer 2014): 33–41.
  • 02 Jul 2015
  • Working Paper Summaries

Mums the Word! Cross-national Effects of Maternal Employment on Gender Inequalities at Work and at Home

Keywords: by Kathleen L. McGinn & Elizabeth Long Lingo
  • Article

Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change

By: A. Tucker and A. Edmondson
The importance of hospitals learning from their failures hardly needs to be stated. Not only are matters of life and death at stake on a daily basis, but also an increasing number of U.S. hospitals are operating in the red. This article reports on in-depth qualitative... View Details
Keywords: Health Care and Treatment; Health Industry
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Tucker, A., and A. Edmondson. "Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change." California Management Review 45, no. 2 (Winter 2003). (Winner of Accenture Award For the article published in the California Management Review that has made the most important contribution to improving the practice of management​.)
  • 05 Jul 2006
  • Working Paper Summaries

Implementing New Practices: An Empirical Study of Organizational Learning in Hospital Intensive Care Units

Keywords: by Anita L. Tucker, Ingrid M. Nembhard & Amy C. Edmondson; Health
  • September 2012 (Revised February 2013)
  • Case

micro Home Solutions: A Social Housing Initiative in India

By: William R. Kerr and Alexis Brownell
mHS is a social enterprise for the provision of affordable housing in India. After India's microfinance industry collapses, mHS needs to reposition itself for continued operations and long-term growth. View Details
Keywords: India; Loans; Development; Micro Finance; Entrepreneurship; Housing; Social Enterprise; Poverty; India
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Kerr, William R., and Alexis Brownell. "micro Home Solutions: A Social Housing Initiative in India." Harvard Business School Case 813-092, September 2012. (Revised February 2013.)
  • June 2008
  • Case

Gordon Williams: Clinical Research at Brigham and Women's Hospital

By: H. Kent Bowen and Courtney Purrington
Clinical research is a critical element of biomedical research and development. This case describes the challenges of clinical research, and its role in bringing breakthroughs to patients. Dr. Williams leads through his own research and special programs to train... View Details
Keywords: Training; Health Care and Treatment; Success; Programs; Research and Development; Biotechnology Industry; Health Industry
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Bowen, H. Kent, and Courtney Purrington. "Gordon Williams: Clinical Research at Brigham and Women's Hospital." Harvard Business School Case 608-168, June 2008.
  • 29 Jul 2020
  • Working Paper Summaries

What Jobs Are Being Done at Home During the COVID-19 Crisis? Evidence from Firm-Level Surveys

Keywords: by Alexander Bartik, Zoë Cullen, Edward L. Glaeser, Michael Luca, and Christopher Stanton
  • 2022
  • Article

Investigating the Association Between Telemedicine Use and Timely Follow-Up Care After Acute Cardiovascular Hospital Encounters

By: Mitchell Tang, A Jay Holmgren, Erin E. McElrath, Ankeet S. Bhatt, Anubodh S. Varshney, Simin Gharib Lee, Muthiah Vaduganathan, Dale S. Adler and Robert S. Huckman
Background: Telemedicine use increased dramatically during the COVID-19 pandemic; however, questions remain as to how telemedicine use impacts care.
Objectives: The purpose of this study was to examine the association of increased telemedicine use on rates of... View Details
Keywords: Health Care; Telemedicine; Health Care and Treatment; Outcome or Result; Behavior; Health Industry; United States
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Tang, Mitchell, A Jay Holmgren, Erin E. McElrath, Ankeet S. Bhatt, Anubodh S. Varshney, Simin Gharib Lee, Muthiah Vaduganathan, Dale S. Adler, and Robert S. Huckman. "Investigating the Association Between Telemedicine Use and Timely Follow-Up Care After Acute Cardiovascular Hospital Encounters." JACC: Advances 1, no. 5 (2022).
  • Article

Front-line Staff Perspectives on Opportunities for Improving the Safety and Efficiency of Hospital Work Systems

By: Anita L. Tucker, Sara J. Singer, Jennifer E. Hayes and Alyson Falwell

Objective To link safety-related concerns raised by frontline staff about hospital work systems (operational failures) to the safety and efficiency of hospitals, and to contrast these concerns with national patient safety initiatives.

Data... View Details

Keywords: Perspective; Opportunities; Safety; Performance Efficiency; System; Failure; Conferences; Employees; Management Analysis, Tools, and Techniques; Experience and Expertise; Health Care and Treatment; Health Industry; United States
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Tucker, Anita L., Sara J. Singer, Jennifer E. Hayes, and Alyson Falwell. "Front-line Staff Perspectives on Opportunities for Improving the Safety and Efficiency of Hospital Work Systems." Health Services Research 43, nos. 5, pt.2 (October 2008).
  • February 2022 (Revised February 2024)
  • Case

Sekisui House and the In-Home Early Detection Platform

By: John D. Macomber and Akiko Kanno
To address an aging population and sales declines, a major Japanese homebuilder considers pivoting to provide and support an in-home health detection platform, in competition with tech companies. This case considers the point of view of major builders regarding how... View Details
Keywords: Voice Assistants; Architecture; Smart Home; Aging Society; Digitalization; Real Estate; Home Automation; Sensors; Strategy; Digital Platforms; Health Care and Treatment; Housing; Age; Real Estate Industry; Construction Industry; Health Industry; Japan
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Macomber, John D., and Akiko Kanno. "Sekisui House and the In-Home Early Detection Platform." Harvard Business School Case 222-070, February 2022. (Revised February 2024.)
  • October 2007 (Revised May 2009)
  • Case

Offering the Right Service in the Right Place: Growing Orthopedics at the Brigham and Women's/Faulkner (BW/F) Hospitals

By: V.G. Narayanan, Michael G. Wilson and Rachel Gordon
After the merger of two local hospitals, hospital leaders much decide how to reorganize services to take advantage of newly created efficiencies. Focuses on the Orthopedics department at one of the hospitals. View Details
Keywords: Cost Accounting; Mergers and Acquisitions; Cost vs Benefits; Service Operations; Organizational Structure; Performance Efficiency; Competitive Advantage; Health Industry
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Narayanan, V.G., Michael G. Wilson, and Rachel Gordon. "Offering the Right Service in the Right Place: Growing Orthopedics at the Brigham and Women's/Faulkner (BW/F) Hospitals." Harvard Business School Case 108-016, October 2007. (Revised May 2009.)
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