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2013
Teaching Note

Xinhua Hospital: Implementation of EMR Project (TN)

By: F. Warren McFarlan, Ning Jia, Weiqi Liu and Shanshan Cao

Established in 1958, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (hereafter referred to as "Xinhua Hospital") is an integrated modern teaching and research hospital with a comprehensive set of disciplines and a specialization in... View Details

Keywords: China; Hospitals; China

Article

Effects of Description of Options on Parental Perinatal Decision-Making

By: Marlyse F. Haward, Leslie K. John, John M. Lorenz and Baruch Fischhoff

Objective: To examine whether parents' delivery room management decisions for extremely preterm infants are influenced by (a) the degree of detail with which options-comfort care (CC) or intensive care (IC)-are presented or (b) their order of presentation. Methods: 309... View Details

Keywords: Decision Making; Values and Beliefs; Personal Characteristics; Attitudes; Motivation and Incentives; Family and Family Relationships; Health Care and Treatment

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November 2012 (Revised August 2014)
Case

Cisco in 2012: Reorganizing for Efficiency and Flexibility

By: Ranjay Gulati, Alison Berkley Wagonfeld and Luciana Silvestri

In 2012, Cisco was under intense pressure to show results: growth in its core business was decelerating and a number of exploratory ventures and acquisitions had not proven as profitable as expected. CEO John Chambers vowed to restore the company's health in a way that... View Details

Keywords: Organizational Change and Adaptation; Restructuring; Adaptation; Performance Efficiency; Emerging Markets; Information Technology Industry

September 2012 (Revised March 2014)
Case

Reinventing Brainlab (A)

By: Regina E. Herzlinger, Vincent Dessain and Karol Misztal

The management of Germany's Brainlab AG, a leading provider of software-driven oncology and surgery solutions, needs to evaluate strategic options for proceeding without an exclusive hardware partner in its most profitable business segment. View Details

Keywords: Strategy; Information Infrastructure; Applications and Software; Medical Specialties; Health Care and Treatment; Information Technology Industry; Information Technology Industry; Germany

30 Aug 2012
Other Presentation

Value-Based Health Care Delivery: Faculty Information Session

By: Michael E. Porter

Keywords: Health

August 2012 (Revised December 2023)
Background Note

Note on Health Insurance Coverage, Coding, and Payment

By: Regina E. Herzlinger and Jo Ellen Slurzberg

This note explains how health care technology and service innovators receive payment from government insurers, in the U.S. and abroad, and from private insurers. It describes each of the three steps needed to obtain reimbursement: coverage, coding, and payment. It also... View Details

Keywords: Health Care Delivery; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Private Sector; Public Sector; Decision Making; Information Technology; Health Industry; Health Industry

August 2012 (Revised August 2012)
Case

HealthAllies (A)

By: Regina E. Herzlinger and Michael Sherman

This case describes a "do good and do well" firm that enables individuals to buy health care services at discounted prices. It delineates the characteristics of the uninsured and others who are the primary targets for the firm. "HealthAllies (B)" provides information... View Details

Keywords: Entrepreneurship; Health Care and Treatment; Marketing Channels; Demand and Consumers; Commercialization; Health Industry

August 2012 (Revised January 2013)
Case

Public Health Insurance Exchanges: The Massachusetts Experience

By: Regina Herzlinger and Jordan Bazinsky

The CEO of Tufts Health Plan, James Roosevelt, is wondering whether to offer insurance products on the Massachusetts Connector, the first U.S. exchange. He wonders if he should enter these uncharted waters at all. And, if yes, with a broad network or a narrow network... View Details

Keywords: Health Insurance Exchange; Healthcare Reform; Public Health Insurance Exchange; Decision Making; Market Entry and Exit; Emerging Markets; Health Care and Treatment; Health Industry; Health Industry; Massachusetts

2012
Working Paper

The Need for (long) Chains in Kidney Exchange

By: Itai Ashlagi, David Gamarnik, Michael A. Rees and Alvin E. Roth

It has been previously shown that for sufficiently large pools of patient-donor pairs, (almost) efficient kidney exchange can be achieved by using at most 3-way cycles, i.e., by using cycles among no more than 3 patient-donor pairs. However, as kidney exchange has... View Details

Keywords: Networks; Complexity; Performance Efficiency; Medical Specialties; Health Care and Treatment; Philanthropy and Charitable Giving

June 2012
Article

Leadership Is a Conversation

By: Boris Groysberg and Michael Slind

Globalization and new technologies have sharply reduced the efficacy of command-and-control management and its accompanying forms of corporate communication. In the course of a recent research project, the authors concluded that by talking with employees, rather than... View Details

Keywords: Employees; Management Style; Interpersonal Communication; Leadership; Cooperation; Partners and Partnerships

May 2012 (Revised August 2014)
Case

McKesson

By: Regina E. Herzlinger and Natalie Kindred

McKesson, a large, diversified drug distribution and health care IT company, is considering development of new business offerings to help private practice physicians remain independent. The company, with $122 billion in 2010 revenues, just made its first foray into... View Details

Keywords: Health Care Industry; Health Care Policy; Organizational Transformations; Health Services; Health Care and Treatment; Business Model; Service Operations; Change Management; Corporate Strategy; Information Technology; Policy; Health Industry; Health Industry; United States

March 2012 (Revised December 2014)
Case

Schön Klinik: Measuring Cost and Value

By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman

The case illustrates how a leading German hospital group has invested deeply in the measurement of patient-level outcomes and costs, the foundations of a health care value framework. The company launches a pilot project to use time-driven activity-based costing (TDABC)... View Details

Keywords: Health Care; Costing; Activity-Based Costing; Hospitals; Activity Based Costing and Management; Value; Health Care and Treatment; Outcome or Result; Health Industry; Germany

February 2012 (Revised June 2013)
Case

Moving to Universal Coverage: Health Care Reform in Massachusetts

By: Michael E. Porter and Jennifer F Baron

State health care reform in Massachusetts has involved a phased process, focusing first on coverage expansion and then turning to delivery system innovation and cost containment. In 2006, the state adopted an individual mandate to obtain health care coverage which,... View Details

Keywords: Health Care and Treatment; Business and Government Relations; Insurance; Massachusetts

2014
Working Paper

Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups

By: Melissa A. Valentine and Amy C. Edmondson

This paper shows how meso-level structures support effective coordination in temporary groups. Prior research on coordination in temporary groups describes how roles encode individual responsibilities so that coordination between relative strangers is possible. We... View Details

Keywords: Fluid Personnel; Team Scaffolds; Team Effectiveness; Role-based Coordination; Multi-method; Health Care and Treatment; Analytics and Data Science; Knowledge Use and Leverage; Organizational Structure; Outcome or Result; Performance Effectiveness; Groups and Teams; Networks; Behavior; Balance and Stability; Health Industry

12 Jan 2012
Other Presentation

Value-Based Health Care Delivery Faculty Information Session

By: Michael E. Porter

Keywords: Health

December 2011
Article

Data Impediments to Empirical Work on Health Insurance Markets

By: Leemore S. Dafny, David Dranove, Frank Limbrock and Fiona Scott Morton

We compare four datasets that researchers might use to study competition in the health insurance industry. We show that the two datasets most commonly used to estimate market concentration differ considerably from each other (both in levels and in changes over time),... View Details

Keywords: Competition; Analytics and Data Science; Market Participation; Insurance Industry

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2011
Working Paper

Discretion Within the Constraints of Opportunity: Gender Homophily and Structure in a Formal Organization

By: Adam M. Kleinbaum, Toby E. Stuart and Michael L. Tushman

Homophily in social relations is widely documented. We know that homophily results from both individual preferences and uneven opportunities for interaction, but how these two mechanisms interact in formal organizations is not well understood. We argue that... View Details

Keywords: Interactive Communication; Analytics and Data Science; Organizational Structure; Partners and Partnerships; Behavior; Internet and the Web; Theory; Information Technology Industry

2011
Article

Strategic Change and the Jazz Mindset: Exploring Practices That Enhance Dynamic Capabilities for Organizational Improvisation

By: Ethan S. Bernstein and Frank J. Barrett

How can leaders adopt a mindset that maximizes learning, remains responsive to short-term emergent opportunities, and simultaneously strengthens longer-term dynamic capabilities of the organization? This chapter explores the organizational decisions and practices... View Details

September 2011 (Revised January 2012)
Case

Telemonitoring at Visiting Nurse Health System

By: F. Warren McFarlan, Mark Keil and Mala Kaul

The Telemonitoring at Visiting Nurse Health System case presents one home healthcare organization's efforts to use telemonitoring to improve the quality of care provided to at-risk patients who were discharged from hospitals and needed home care. After two years of... View Details

Keywords: Capital Budgeting; Cost vs Benefits; Risk Management; Technology Adoption; Technological Innovation; Organizational Change and Adaptation; Competitive Strategy; Health Industry; Health Industry

September 2011
Article

How to Solve the Cost Crisis in Health Care

By: Robert S. Kaplan and Michael E. Porter

Existing health care costing systems have serious flaws that make it impossible to measure costs accurately at the individual patient and medical condition level. This gap has severely limited meaningful cost reduction throughout the system. The paper describes a new... View Details

Keywords: Cost; Health Care and Treatment; Measurement and Metrics; Service Delivery; Outcome or Result; Quality; Health Industry

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