Publications
Publications
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- All HBS Web
(1,643)
- Faculty Publications (370)
- May 2009
- Article
Regulatory Exploitation and Management Changes: Upcoding in the Hospital Industry
By: Leemore S. Dafny and David Dranove
- June 2009 (Revised April 2011)
- Case
Cincinnati Children's Hospital Medical Center
By: Anita L. Tucker and Amy C. Edmondson
The case describes an organization's use of the science of improvement to transform their process quality from below average to the top 10% in their industry. The case outlines the protagonist's strategy of developing internal experts who are trained in a common... View Details
- 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
- March 2009
- Case
Barbara Norris: Leading Change in the General Surgery Unit
By: Boris Groysberg, Nitin Nohria and Deborah Bell
Barbara Norris struggles to address the many problems facing her as a recently promoted nurse manager in the General Surgery Unit (GSU) at Eastern Massachusetts University Hospital (EMU). She has inherited a unit with the lowest employee satisfaction scores and highest... View Details
- February 2009 (Revised June 2019)
- Case
Cleveland Clinic: Transformation and Growth 2015
By: Michael E. Porter and Elizabeth O. Teisberg
The Cleveland Clinic's health care services are internationally renowned for quality. In 2008, The Clinic began to restructure the organization into teams defined around patient needs, rather than traditional medical specialties. "Patients First!" takes shape as the... View Details
Keywords: Health; Health Care Operations; Health Care Quality; Health Care; Strategy And Leadership; Strategy Development; Health Care and Treatment; Leading Change; Goals and Objectives; Growth and Development Strategy; Measurement and Metrics; Service Delivery; Organizational Change and Adaptation; Outcome or Result; Health Industry; Cleveland
- 2008
- Book
On Competition
By: M. E. Porter
Competition is one of society's most powerful forces for making things better in many fields of human endeavor. The study of competition and the creation of value, in their full richness, have preoccupied me for several decades. Competition is pervasive, whether it... View Details
- October 2008 (Revised June 2010)
- Case
State of Emergency at Mercy Hospital
By: Thomas J. DeLong and Chirag D Shah
Dr. Scott Gabu, Chairman of the Emergency Department of the world-renowned, university-based Mercy Hospital, was deeply disturbed when he read the letter from the family of John Samson, a patient who had come to the emergency room one week earlier, that described an... View Details
- June 2008
- Case
Brigham and Women's Hospital: Shapiro Cardiovascular Center
By: Michael E. Porter, Robert S. Huckman and Jeremy Lance Friese
Considers the situation facing Gary Gottlieb, president of Brigham and Women's Hospital (BWH), prior to the opening of BWH's integrated cardiovascular center. This case allows students to develop an appreciation of the strategic, financial, organizational, clinical,... View Details
- 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
- May 2008 (Revised April 2018)
- Case
The University of Texas MD Anderson Cancer Center: Interdisciplinary Cancer Care
By: Michael E. Porter and Sachin H. Jain
In 2006, University of Texas MD Anderson Cancer Center was an internationally leading institution for cancer care, education, and research. Since 1996, it had successfully reorganized itself from a cancer hospital that was physically organized around clinical... View Details
- November 2007 (Revised January 2010)
- Case
ThedaCare: System Strategy
By: Michael E. Porter and Sachin H. Jain
Over the 1980s and 1990s, America's changing health care payer environment resulted in mergers of numerous community hospitals into hospital systems. Based in Appleton, Wisconsin, ThedaCare stood out among community hospital systems in its pursuit of service... View Details
- 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
- 2007
- Working Paper
The Effects of a Centralized Clearinghouse on Job Placement, Wages, and Hiring Practices
By: Muriel Niederle and Alvin E. Roth
New gastroenterologists participated in a labor market clearinghouse (a "match") from 1986 through the late 1990's, after which the match was abandoned. This provides an opportunity to study the effects of a match, by observing the differences in the outcomes and... View Details
- September 2007 (Revised October 2007)
- Supplement
Children's Hospital and Clinics (B)
By: Amy C. Edmondson, Ingrid M. Nembhard and Kate Roloff
Explores the numerous initiatives Children's Hospital and Clinics has undertaken to improve patient safety since the late 1990s--from the perspective of 2007. The case thus updates the A case by revisiting the hospital to find out what happened as a result of the... View Details
- September 2007 (Revised January 2009)
- Case
Reading Rehabilitation Hospital: Implementing Patient-Focused Care (A) (Abridged)
By: Roy D. Shapiro
Reading Rehab Hospital has experimented with a popular concept in health care--patient-focused care--intended to increase quality and reduce costs by organizing care delivery around particular diagnoses or "service lines," rather than around the functions or... View Details
- June 2007 (Revised October 2007)
- Case
Information Technology and Clinical Operations at Beth Israel Deaconess Medical Center
By: Richard M.J. Bohmer, F. Warren McFarlan and Julia Rose Adler-Milstein
Describes the history of clinical computing at Boston's Beth Israel Hospital and the development, since the 1996 merger to form the Beth Israel Deaconess Medical Center, of an information system designed to support the delivery of patient care. The hospitals' CIO, John... View Details
- June 2007
- Article
Implementing New Practices: An Empirical Study of Organizational Learning in Hospital Intensive Care Units
By: A. L. Tucker, I. Nembhard and A. C. Edmondson
- May 2007 (Revised July 2011)
- Case
The West German Headache Center: Integrated Migraine Care
By: Michael E. Porter, Clemens Guth and Elisa M. Dannemiller
Describes the joint efforts of the German health plan KKH and Essen University Hospital to develop an integrated practice unit (IPU), and the West German Headache Center's efforts to improve the quality of migraine care. Provides an overview of the German health care... View Details
- May 2007 (Revised September 2007)
- Case
Cleveland Clinic
By: Frances X. Frei, Amy C. Edmondson, Christine van Keuren and Eliot Sherman
Cleveland Clinic is consistently ranked among the nation's most eminent hospitals, and for decades has been a leader in pioneering cardiac care. This case evaluates the methods, processes, and personnel that the hospital has cultivated over the years in order to... View Details
- March 2007 (Revised August 2009)
- Case
Aurolab: Bringing First-World Technology to the Third-World Blind
Aurolab is the in-house producer of IOLs (required in cataract surgery) for the Aravind Eye Care System, a group of charity hospitals with the largest volume of eye surgery in the world. Aurolab's manufacturing capability and capacity had long exceeded the requirements... View Details