Publications

December 2013
Article

Measuring the Value of Process Improvement Initiatives in a Preoperative Assessment Center using Time-driven Activity-based Costing

By: Katy E. French, Heidi W. Albright, John C. Frenzel, James R. Incalcaterra, Augustin C. Rubio, Jessica F. Jones and Thomas W. Feeley

Background: The value and impact of process improvement initiatives are difficult to quantify. We describe the use of time-driven activity-based costing(TDABC)in a clinical setting to quantify the value of process improvements in terms of cost, time and personnel... View Details

Keywords: Quality Improvement; Value Agenda; Time-Driven Activity-Based Costing; Accounting; Health; Measurement and Metrics; Value; Health Industry; North and Central America

2022
Working Paper

Causal Inference During A Pandemic: Evidence on the Effectiveness of Nebulized Ibuprofen as an Unproven Treatment for COVID-19 in Argentina

By: Sebastian Calonico, Rafael Di Tella and Juan Cruz Lopez Del Valle

Many medical decisions during the pandemic were made without the support of causal evidence obtained in clinical trials. We study the case of nebulized ibuprofen (NaIHS), a drug that was extensively used on COVID-19 patients in Argentina amidst wild claims about its... View Details

Keywords: COVID-19; Drug Treatment; Health Pandemics; Health Care and Treatment; Decision Making; Outcome or Result; Argentina

October–December 2022
Article

How Psychological Safety and Feeling Heard Relate to Burnout and Adaptation Amid Uncertainty

By: Michaela J. Kerrissey, Tuna Cem Hayirli, Aditi Bhanja, Nicholas Stark, James Hardy and Christopher Peabody

Background: Psychological safety—the belief that it is safe to speak up—is vital amid uncertainty, but its relationship to feeling heard is not well understood.
Purpose: The aims of this study were (a) to measure feeling heard and (b) to assess... View Details

Keywords: Burnout; Crisis; Psychological Safety; Feeling Heard; Process Adaptation; Interpersonal Communication; Well-being; Health Care and Treatment; Adaptation

Article

Operational Efficiency and Effective Management in the Catheterization Laboratory

By: Grant W. Reed, Michael L. Tushman and Samir R. Kapadia

Operational efficiency is a core business principle in which organizations strive to deliver high-quality goods or services in a cost-effective manner. This concept has become increasingly relevant to cardiac catheterization laboratories, as insurers move away from... View Details

Keywords: Cath Lab; Catheterization Laboratory; Health Care and Treatment; Performance Efficiency; Management; Performance Productivity; Cost Management; Health Industry

27 Oct 2020
News

Hospital Merger Seeks to Create Regional Giant in the West

June 2005
Case

Growth and Profitability at Fresenius

By: Joel Podolny, Vincent Dessain, Monika Stachowiak and Anders Sjoman

In March 2005, Mark Schneider, CEO of Fresenius, is considering the group's strategic and organizational future. The highly decentralized 7 billion euro German health care group is active in three different business units, with the largest, FMC AG, listed separately... View Details

Keywords: Globalized Firms and Management; Diversification; Organizational Structure; Growth and Development Strategy; Health Industry; Germany

2008
Simulation

Everest Leadership and Team Simulation

By: Michael A. Roberto and Amy C. Edmondson

This item is currently not available for purchase on this site. To order, please contact Customer Service - (800) 545-7685 or (617) 783-7600. **REVISED AUGUST 2009!** This web-based simulation uses the dramatic context of a Mount Everest expedition to reinforce student... View Details

Keywords: Cooperation; Decision Choices and Conditions; Groups and Teams; Knowledge Sharing; Leadership

Satish Tadikonda is a Senior Lecturer in the Entrepreneurial Management Unit at Harvard Business School. In the MBA program, Satish teaches The Entrepreneurial Manager, a required first-year MBA course, and Entrepreneurship in Life Sciences, an elective course for... View Details

August 2023 (Revised February 2024)
Case

Toby Norman: Is Passion Enough for Simprints to Thrive?

By: Jon M. Jachimowicz, Amram Migdal and Max Hancock

As co-founder and CEO of Simprints—a social enterprise with the mission to “transform the way the world fights poverty"—Toby Norman was at a crossroads. His organization had developed ground-breaking technology used to verify aid delivery, reached more than 2.5 million... View Details

Keywords: Mission and Purpose; Motivation and Incentives; Social Enterprise; Employees; Growth and Development Strategy

December 2020 (Revised April 2021)
Case

IBM Watson at MD Anderson Cancer Center

By: Shane Greenstein, Mel Martin and Sarkis Agaian

After discovering that their cancer diagnostic tool, designed to leverage the cloud computing power of IBM Watson, needed greater integration into the clinical processes at the MD Anderson Cancer Center, the development team had difficult choices to make. The Oncology... View Details

Keywords: Decision Making; Innovation Strategy; Knowledge Management; Knowledge Use and Leverage; Operations; Failure; Information Technology; Applications and Software; Health Care and Treatment; Product Development; Health Industry; Health Industry; Health Industry; United States; Houston; Texas

11 Mar 2020
News

May I Take Your Order?

August 2010 (Revised February 2014)
Case

Vitalia Franchise

By: Regina E. Herzlinger and Beatriz Munoz-Seca

Cathy Hoffmann has rapidly grown her novel facilities for day care therapy for elders with mild cognitive and physical problems. But she needs to decide whether to franchise or own the next expansion. View Details

Keywords: Entrepreneurship; Health Care and Treatment; Growth and Development Strategy; Ownership Stake; Franchise Ownership; Expansion; Health Industry; Spain

January 2021
Case

Value-Based Insurance Design at Onex

By: Joshua Schwartzstein, Amitabh Chandra and Amram Migdal

The operating executives of Health and Benefits for Onex Partners, Megan Jackson Frye and Sam Camens, faced a challenge: Healthcare costs for employees of Onex’s portfolio companies were continuing to rise above the consumer price index, reflecting broader trends... View Details

03 Apr 2020
News

How Hospitals Are Using AI to Battle Covid-19

January 2024
Article

A Cost Model for a Low Threshold Clinic Treating Opioid Use Disorder

By: Sarah E. Wakeman, Elizabeth Powell, Syed Shehab, Grace Herman, Laura Kehoe and Robert S. Kaplan

The US fee-for-service payment system under-reimburses clinics offering access to comprehensive treatments for opioid use disorder (OUD). The funding shortfall limits a clinic’s ability to expand and improve access, especially for socially marginalized patients with... View Details

Keywords: Health Care and Treatment; Cost; Equality and Inequality; Health Industry

Research Summary

Motivation and Incentive Design

Professor Ashraf's research in motivation and incentives focuses on how to design incentives in sectors where it is important that individuals are motivated by service, such as healthcare or environmental conservation. An important lever is the... View Details

23 Jan 2008
First Look

First Look: January 23, 2008

http://www.hbsp.harvard.edu/b01/en/common/item_detail.jhtml?id=608091 Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap Harvard Business School Case... View Details

Keywords: Martha Lagace

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

January 27, 2010
Article

Leadership with a Small 'l'

By: Richard Bohmer

What exactly do we mean by leadership in health care? Does it mean to take formal positions in senior leadership teams in hospitals, trusts, health boards, ministries of health, and professional societies-what might be termed leadership with a big "L?" Or does it mean... View Details

Keywords: Decision Choices and Conditions; Leadership; Service Delivery; Service Operations; Organizational Culture; Outcome or Result; Performance Effectiveness; Health Industry