Publications

Article

The IT Transformation Health Care Needs

By: Nikhil R. Sahni, Robert S. Huckman, Anuraag Chigurupati and David M. Cutler

In recent years, health care organizations have made sizable investments in information technology. They’ve used their IT systems to replace paper records with electronic ones and to improve billing processes, thereby boosting revenue. But so far, IT has been of little... View Details

Keywords: Health Care and Treatment; Information Technology; Performance Improvement; Business Model

16 Apr 2001
Research & Ideas

Breaking the Code of Change

Leadership Top-down Participative Focus Structure and systems Culture Planning Programmatic Emergent Motivation Incentives lead Incentives lag Consultants Large/ knowledge-driven Small/ process-driven That is, each of them does promote... View Details

Keywords: by Michael Beer & Nitin Nohria

March 2015 (Revised December 2016)
Case

Philips Healthcare Latin America

By: Sunil Gupta

On a beautiful sunny afternoon in October 2013, Daniel Mazon (GMP 15), decided to take some time out of his busy schedule of the General Management Program (GMP) at the Harvard Business School to reflect on his company's situation. Mazon was the Vice President and... View Details

Keywords: Healthcare; Latin America; Organizational Structure; Salesforce Management; Health Care and Treatment; Medical Devices and Supplies Industry; Health Industry; Latin America

November 2020 (Revised February 2022)
Case

CommonSpirit Health: Integrating a Merger of Equals

By: Robert S. Huckman, Hise Gibson and Nicole Gilmore

Soon after closing the 2019 merger of Catholic Health Initiatives (CHI) and Dignity Health to create CommonSpirit Health, Lloyd Dean and Kevin Lofton-–jointly appointed to the role of CEO—must make several operational and strategic decisions related to the integration... View Details

Keywords: Health Care Delivery; Hospital; Merger; Merger Integration; Hospital Mergers; Health Information Technology; CEOs; Health Care and Treatment; Mergers and Acquisitions; Integration; Leadership; Customer Value and Value Chain; Decision Choices and Conditions; Governance; Information Technology; Health Industry; United States

July–August 2016
Article

How to Pay for Health Care

By: Michael E. Porter and Robert S. Kaplan

The United States stands at a crossroads in how to pay for health care. Fee for service, the dominant model in the United States and many other countries, is now widely recognized as perhaps the biggest obstacle to improving health care delivery. A battle is currently... View Details

Keywords: Health Care and Treatment; Finance; Health Industry; United States

05 Aug 2008
First Look

First Look: August 5, 2008

Growth within the EU has been sluggish, with high unemployment and low investment in R&D. The EU has launched a set of reforms to create a "single passport" system of mutual recognition within the EU for capital, services,... View Details

Keywords: Martha Lagace

July 2011
Article

Kidney Paired Donation

By: C. Bradley Wallis, Kannan P. Samy, Alvin E. Roth and Michael A. Rees

Kidney paired donation (KPD) was first suggested in 1986, but it was not until 2000 when the first paired donation transplant was performed in the U.S. In the past decade, KPD has become the fastest growing source of transplantable kidneys, overcoming the barrier faced... View Details

Keywords: Philanthropy and Charitable Giving; Health Care and Treatment; Growth and Development Strategy; Success; Problems and Challenges; Programs; System; United States

January 2010 (Revised December 2011)
Case

Jiamei Dental: Private Health Care in China

By: William C. Kirby and G.A. Donovan

With the recent announcement from the Chinese government that the country's healthcare system was going to undergo reform, Jiamei Dental Chairman Liu Jia wondered what that meant for his 15 year-old dental clinic business. Founded in 1993, Jiamei Dental Medical... View Details

Keywords: Private Sector; Economic Slowdown and Stagnation; Entrepreneurship; Governing Rules, Regulations, and Reforms; Policy; Health Care and Treatment; Private Ownership; Partners and Partnerships; Competition; Expansion; Health Industry; China

March 1997 (Revised March 1998)
Case

Help the World See: Self-Sustaining Eye Care in Belize

In 1992, Help the World See (HTWS), a U.S. nonprofit organization dedicated to improving eye care in developing countries, established permanent, self-sustaining eye care clinics in Belize in conjunction with the Belize Council for the Visually Impaired (BCVI). The... View Details

Keywords: Conflict of Interests; Nonprofit Organizations; Health Care and Treatment; Health Industry; Belize

04 Aug 2009
First Look

First Look: August 4

709-474 In 2005, Partners in Health (PIH) was invited by the Rwandan Ministry of Health to assume responsibility for the management of public health care in two rural districts in Eastern Rwanda and create an HIV treatment program at... View Details

Keywords: Martha Lagace

19 Jan 2023
Research & Ideas

What Makes Employees Trust (vs. Second-Guess) AI?

making decisions often decide to trust their anecdotal experience rather than AI’s interpretation of the data. The trouble is, sometimes decision makers think they understand the inner workings of an AI system better than they actually... View Details

Keywords: by Rachel Layne

December 2009
Article

Restructuring Within an Academic Health Center to Support Quality and Safety: The Development of the Center for Quality and Safety at the Massachusetts General Hospital

By: Richard Bohmer, Jonathan David Bloom, Elizabeth Mort MD, Akinluwa Demehin and Gregg Meyer MD

Recent focus on the need to improve the quality and safety of health care has created new challenges for academic health centers (AHCs). Whereas previously quality was largely assumed, today it is increasingly quantifiable and requires organized systems for... View Details

Keywords: Health Care and Treatment; Organizational Change and Adaptation; Organizational Culture; Organizational Design; Performance Improvement; Quality; Safety; Massachusetts

June 2010 (Revised September 2010)
Case

athenahealth: Innovating in Response to a Crisis in Healthcare

When Jonathan Bush and his partner, Todd Park, realized that their revolutionary approach to delivering clinical care was being stymied by the inefficiencies in the healthcare system and insurance red tape, they turned their proprietary technology, athenaNet, to a new... View Details

Keywords: Entrepreneurship; Health Care and Treatment; Information Management; Innovation and Invention; Brands and Branding; Product Development; Health Industry; United States

January 2020
Article

Assessing the Safety of Electronic Health Records: A National Longitudinal Study of Medication-related Decision Support

By: A Jay Holmgren, Zoe Co, Lisa Newmark, Melissa Danforth, David Classen and David Bates

Background Electronic health records (EHR) can improve safety via computerised physician order entry with clinical decision support, designed in part to alert providers and prevent potential adverse drug events at entry and before they reach the patient.... View Details

Keywords: Hospital; Electronic Health Records; Health Care and Treatment; Information Technology; Safety; Performance; Quality; Performance Improvement

24 Jun 2008
First Look

First Look: June 24, 2008

research outputs in a panel dataset spanning the careers of 3,862 academic life scientists. Using inverse probability of treatment weights (IPTW) to account for the dynamics of self-selection into patenting, we find that patenting has a... View Details

Keywords: Martha Lagace

September 2017
Editorial

Helping Patients with Cancer Navigate Narrow Networks

By: Stephen M. Schleicher, Emeline M. Aviki and Thomas W. Feeley

The Affordable Care Act of 2010 (ACA) was designed primarily to improve patient access to affordable health care. The access-expanding provisions of the ACA included federal- and state-based health insurance exchanges with minimum coverage requirements and preexisting... View Details

Keywords: Health Care and Treatment; Insurance; Problems and Challenges; United States

2013
Article

The Impact of Electronic Health Record Use on Physician Productivity

By: Julia Adler-Milstein and Robert S. Huckman

To examine the impact of the degree of electronic health record (EHR) use and delegation of EHR tasks on clinician productivity in ambulatory settings.
Study Design: We examined EHR use in primary care practices that implemented a web-based EHR from athenahealth... View Details

Keywords: Electronic Health Records; Health Care; Productivity; Healthcare IT; Information Technology; Performance Productivity; Health Care and Treatment; Health Industry

June 30, 2020
Article

Bipartisan Tax-Free Solution to Health Care Financing: Coupling HRAs With a Public Option

By: Regina E. Herzlinger, Richard Boxer and James Wallace

A combination of health insurance initiatives by the presumptive 2020 Democratic and Republican presidential nominees could expand health care coverage and significantly reduce costs, without raising taxes. Along the way, the combination could revitalize private... View Details

Keywords: Health Care Financing; Public Option; Health Reimbursement Arrangement (HRA); Health Care and Treatment; Insurance; Cost Management