Publications

March 2017
Article

Variation in the Cost of Care for Primary Total Knee Arthroplasties

By: Derek A. Haas and Robert S. Kaplan

The study examined the cost variation across 29 high-volume U.S. hospitals for delivering a primary total knee arthroplasty without major complicating conditions. Hospital and physician personnel costs were calculated using time-driven activity-based costing.... View Details

Keywords: Cost Management; Performance Productivity; Health Care and Treatment; Health Industry

13 Aug 2018
Research & Ideas

Women Heart Patients Have Better Survival Odds with Women Doctors

Tempura Women having a heart attack are less likely to die if their doctor is also female, a new study shows. How much less likely? When treated for a heart attack by men, the risk for women goes up 1.5 percent. That means roughly one in 66 women has a better chance of... View Details

Keywords: by Rachel Layne; Health

Research Summary

Health Care Management

Samuel S. Chun is studying pricing schemes for various health care services. He focuses on two aspects of the health care delivery problem. First, how do physicians respond to financial incentives and what are the characteristics of a pricing scheme which incents... View Details

August 2019 (Revised October 2019)
Case

Amandla Capital: Real Estate in Côte d‘Ivoire

By: John D. Macomber, Pippa Tubman Armerding and Dilyana Botha

This case describes Amandla Capital, a fledgling company in Cote d’Ivoire, facing three opportunities in the real estate and hospitality industries in Africa. It introduces students to several concepts: decision-making and cost-benefit analysis in real estate,... View Details

Keywords: Small Business; Decision Making; Decision Choices and Conditions; Cost vs Benefits; Finance; Assets; Asset Management; Investment Portfolio; Investment Return; Project Finance; Relationships

Article

National Trends in the Safety Performance of Electronic Health Record Systems From 2009 to 2018

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

Importance Despite the broad adoption of electronic health record (EHR) systems across the continuum of care, safety problems persist. Objective To measure the safety performance of operational EHRs in hospitals across the country during a 10-year period. Design,... View Details

Keywords: Electronic Health Record Systems; Health Care and Treatment; Information Technology; Performance; Safety; Measurement and Metrics; United States

Article

Surgeons and Administrators Co-Creating Value

By: Michael Nurok, Thoralf Sundt, Robert S. Kaplan and Bruce Gewertz

Most hospitals have arms-length relationships with physicians, viewing them as people they must ‘‘manage,’’ not as potentially valuable strategic partners. But surgeons make clinical decisions every day that have great influence on both patient outcomes and hospital... View Details

Keywords: Value-based Health Care; Collaboration; Healthcare Administration; Health Care and Treatment; Management; Strategy; Value Creation

Article

Physician–patient Racial Concordance and Disparities in Birthing Mortality for Newborns

By: Brad N. Greenwood, Rachel R. Hardeman, Laura Huang and Aaron Sojourner

Recent work has emphasized the benefits of patient–physician concordance on clinical care outcomes for underrepresented minorities, arguing it can ameliorate outgroup biases, boost communication, and increase trust. We explore concordance in a setting where racial... View Details

Keywords: Racial Bias; Birthing Outcomes; Concordance; Mortality; Health Care and Treatment; Race

June 2010 (Revised June 2010)
Case

Virginia Mason Medical Center (Abridged)

By: Richard M.J. Bohmer

In 2000, Dr. Gary Kaplan became CEO of the Virginia Mason Medical Center in Seattle, Washington. The hospital was facing significant challenges: it was losing money for the first time in its history, staff morale had plummeted, and area hospitals presented ardent... View Details

Keywords: History; Competition; Operations; Leadership Style; Problems and Challenges; Change Management; Health Care and Treatment; Business Strategy; Growth and Development Strategy; Health Industry; Seattle

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

Keywords: Business Model; Health Care and Treatment; Medical Specialties; Industry Structures; Service Delivery; Integration; Health Industry; Germany

08 May 2018
First Look

First Look at New Research and Ideas, May 8, 2018

Nguyen No abstract available. Purchase this case: https://cb.hbsp.harvard.edu/cbmp/product/417066 Harvard Business School Case 318-077 Wenzhou Kangning Hospital: Changing Mental Healthcare in China (B) This case updates Wenzhou Kangning View Details

Keywords: Sean Silverthorne

01 Mar 2013
Working Paper Summaries

Hurry Up and Wait: Differential Impacts of Congestion, Bottleneck Pressure, and Predictability on Patient Length of Stay

Keywords: by Jaeker Berry Jillian & Anita L. Tucker; Health

February 2001 (Revised June 2001)
Case

eSurg (A): Negotiating the Start-Up

By: Jay O. Light and Anthony Massaro

The founders of an online medical supplies firm must negotiate with an established hospital distributor and a venture capital firm. View Details

Keywords: Venture Capital; Negotiation; Internet and the Web; Financing and Loans; Business Startups; Medical Devices and Supplies Industry

October 2005 (Revised June 2007)
Case

Apollo Hospitals--First-World Health Care at Emerging-Market Prices

By: Felix Oberholzer-Gee, Tarun Khanna and Carin-Isabel Knoop

The Apollo Hospitals Group, one of Asia's premier health care organizations, had come to rival the best health care organizations on the globe. Apollo offered advanced medical procedures, such as cardiac surgery using the beating heart technique, at very high levels of... View Details

Keywords: Vertical Integration; Decision Choices and Conditions; Health Care and Treatment; Global Strategy; Developing Countries and Economies; Health Industry; Thailand; United States; India

April 1996 (Revised June 2001)
Case

Partners HealthCare System, Inc. (B): Cardiac Care Improvement

By: Gary P. Pisano and Maryam Golnaraghi

Explores the challenges confronting the CEO at the Brigham and Women's Hospital in the wake of radical changes in the health care environment. As pressures have risen for cost containment in health care, the hospital has embarked on a series of reengineering efforts to... View Details

Keywords: Consolidation; Health Care and Treatment; Mergers and Acquisitions; Organizational Change and Adaptation; Change Management; Management Teams; Operations; Innovation and Invention; Cost Management; Health Industry; Massachusetts

November 2010 (Revised January 2011)
Case

Computerized Provider Order Entry at Emory Healthcare

By: Richard G. Hamermesh, F. Warren McFarlan, Mark Keil, Andrew Katz, Michael Morgan and David LaBorde

The Computerized Provider Order Entry at Emory Healthcare case presents one hospital system's efforts to implement computerized provider order entry (CPOE) across all of its hospitals and the challenges they faced in doing so. Issues such as standardization of care,... View Details

Keywords: Health Care and Treatment; Information Management; Management Systems; Standards; Service Delivery; Business Processes; Organizational Change and Adaptation; Projects; Information Technology; Applications and Software; Health Industry

24 Mar 2011
Working Paper Summaries

Individual Rationality and Participation in Large Scale, Multi-Hospital Kidney Exchanges

Keywords: by Itai Ashlagi & Alvin E. Roth; Health

Article

Value of New Performance Information in Healthcare: Evidence from Japan

By: Susanna Gallani, Takehisa Kajiwara and Ranjani Krishnan

Mandatory measurement and disclosure of outcome measures are commonly used policy tools in healthcare. The effectiveness of such disclosures relies on the extent to which the new information produced by the mandatory system is internalized by the healthcare... View Details

Keywords: Value Of Information; Feedback; Patient Satisfaction; Healthcare; Health Care and Treatment; Satisfaction; Information; Measurement and Metrics; Performance Improvement

Find at Harvard

March 1994 (Revised December 2014)
Case

Humana, Inc.: Managing in a Changing Industry

By: Stuart Gilson

Intensifying competition and change in the U.S. health care industry force a large integrated health-care provider to reassess its strategy of operating both hospitals and health insurance plans (HMOs). In an attempt to increase its stock price and operating... View Details

Keywords: Business Strategy; Restructuring; Change Management; Financial Management; Health Industry