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  • 27 Sep 2013
  • Working Paper Summaries

The Impact of Conformance and Experiential Quality on Healthcare Cost and Clinical Performance

Keywords: by Claire Senot, Aravind Chandrasekaran, Peter T. Ward & Anita L. Tucker; Health
  • Article

Time-Driven Activity-Based Costing for Surgical Episodes

By: Peter Najjar, Matt Strickland and Robert S. Kaplan
Health care costs related to surgical care account for 40% of all hospital and physician spending. Payers attempting to contain costs are replacing fee-for-service with value-based payment schemes that can encompass entire episodes of care, including physician services... View Details
Keywords: Surgery; Time-Driven Activity-Based Costing; Bundled Payments; Health Care and Treatment; Cost Management
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Najjar, Peter, Matt Strickland, and Robert S. Kaplan. "Time-Driven Activity-Based Costing for Surgical Episodes." JAMA Surgery 152, no. 1 (January 2017): 96–97.
  • October 1993 (Revised July 1994)
  • Case

A Brush with AIDS (A)

By: Joseph L. Badaracco Jr. and Jerry Useem
A product manager at a health products company is responsible for marketing sharps containers, which hospitals use to store used needles in order to protect medical workers from being pricked with AIDS-contaminated needles. After hospitals report repeated instances of... View Details
Keywords: Health; Cost vs Benefits; Motivation and Incentives; Safety; Values and Beliefs; Profit; Goals and Objectives; Compensation and Benefits; Medical Devices and Supplies Industry
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Badaracco, Joseph L., Jr., and Jerry Useem. "A Brush with AIDS (A)." Harvard Business School Case 394-058, October 1993. (Revised July 1994.)
  • 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
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Nurok, Michael, Thoralf Sundt, Robert S. Kaplan, and Bruce Gewertz. "Surgeons and Administrators Co-Creating Value." Annals of Surgery 274, no. 6 (December 2021).
  • 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
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Greenwood, Brad N., Rachel R. Hardeman, Laura Huang, and Aaron Sojourner. "Physician–patient Racial Concordance and Disparities in Birthing Mortality for Newborns." Proceedings of the National Academy of Sciences 117, no. 35 (September 1, 2020): 21194–21200.
  • 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
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Bohmer, Richard M.J. "Virginia Mason Medical Center (Abridged)." Harvard Business School Case 610-055, June 2010. (Revised June 2010.)
  • 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
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Porter, Michael E., Clemens Guth, and Elisa M. Dannemiller. "The West German Headache Center: Integrated Migraine Care." Harvard Business School Case 707-559, May 2007. (Revised July 2011.)
  • June 2012 (Revised January 2013)
  • Case

Great Western Hospital: High-risk Pregnancy Care

By: Michael E. Porter, Emma Stanton and Samuel Takvorian
Great Western Hospital (GWH) is a community hospital in Wiltshire, South West England and one of England's largest maternity providers; responsible for delivering over 9,000 babies per year. The case discusses the efforts of Dr. Harini Narayan, consultant obstetrician... View Details
Keywords: Health Care; Health Care and Treatment; Medical Specialties; Service Delivery; Risk Management
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Porter, Michael E., Emma Stanton, and Samuel Takvorian. "Great Western Hospital: High-risk Pregnancy Care ." Harvard Business School Case 712-495, June 2012. (Revised January 2013.)
  • May 1993
  • Case

Patient Transfusion Services Lab of Central Blood Bank

By: James L. Heskett
The vice president of the Lab and Clinical Services at Central Blood Bank is faced with the challenge of convincing a hospital to use economical shared patient transfusion testing services. View Details
Keywords: Health Care and Treatment; Quality; Service Operations; Mathematical Methods; Customer Satisfaction; Health Industry
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Heskett, James L. "Patient Transfusion Services Lab of Central Blood Bank." Harvard Business School Case 693-091, May 1993.
  • September 2011
  • Supplement

Expansion at Narayana Hrudayalaya

By: Tarun Khanna and Tanya Bijlani
Narayana Hrudayalaya has expanded into a multi-specialty health city in Bangalore, with a 25-acre campus that offers complex tertiary care procedures ranging from orthopedics to cancer care. In 2008, NH raised private equity from JP Morgan and Pinebridge Investments to... View Details
Keywords: Investment; Price; Health Care and Treatment; Emerging Markets; Social Enterprise; Expansion; Health Industry; Bangalore; Cayman Islands; Miami
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Khanna, Tarun, and Tanya Bijlani. "Expansion at Narayana Hrudayalaya." Harvard Business School Video Supplement 712-801, September 2011.
  • 30 Aug 2010
  • Research & Ideas

Turning Employees Into Problem Solvers

from Front-Line Employees" [PDF], considers data on nearly 7,500 incidents from a single hospital to determine whether two types of managerial actions increase the frequency with which frontline workers speak up by reporting incidents and... View Details
Keywords: by Julia Hanna; Health
  • June 2000
  • Case

Lifeline Systems, Inc. (A)

By: H. Kent Bowen and Marilyn Matis
Lifeline Systems provides emergency response equipment to the elderly who live at home. The company uses local hospitals to market, sell, and install these units in homes, while the hospital monitors and calls for aid to respond to emergency calls from the elderly... View Details
Keywords: Health Care and Treatment; Product Marketing; Sales; Problems and Challenges; Growth and Development Strategy; Managerial Roles; Service Operations; Information Infrastructure; Age; Service Delivery; Restructuring; Crisis Management; Health Industry; Service Industry
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Bowen, H. Kent, and Marilyn Matis. "Lifeline Systems, Inc. (A)." Harvard Business School Case 600-099, June 2000.
  • 2013
  • Working Paper

The Impact of Conformance and Experiential Quality on Healthcare Cost and Clinical Performance

By: Claire Senot, Aravind Chandrasekaran, Peter T. Ward and Anita L. Tucker
The quality of operational processes is an important driver of performance in hospitals. In particular, processes that reliably deliver both evidence-based and patient-centered care, which we call conformance and experiential quality, respectively, have been argued to... View Details
Keywords: Healthcare; Experiential Quality; Conformance Quality; Clinical Outcomes; Cost Efficiency; Quality; Service Operations; Health Care and Treatment; Performance; Outcome or Result; Health Industry
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Senot, Claire, Aravind Chandrasekaran, Peter T. Ward, and Anita L. Tucker. "The Impact of Conformance and Experiential Quality on Healthcare Cost and Clinical Performance." Harvard Business School Working Paper, No. 14-024, September 2013.
  • 02 Oct 2015
  • Working Paper Summaries

Is Mandatory Nonfinancial Performance Measurement Beneficial?

Keywords: by Susanna Gallani, Takehisha Kajiwara & Ranjani Krishnan; Health
  • 22 Feb 2017
  • Working Paper Summaries

Incentives, Peer Pressure, and Behavior Persistence

Keywords: by Susanna Gallani; Health
  • June 1997
  • Case

Massachusetts General Hospital: CABG Surgery (B)

By: Steven C. Wheelwright and Mikelle Eastley
Once the CABG care path is implemented and other care paths begun, hospital staff and administration examine the resulting data. Further methods of improving care and reducing cost are presented for analysis. View Details
Keywords: Cost Management; Policy; Retention; Management Analysis, Tools, and Techniques; Operations; Performance Improvement; Health Industry
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Wheelwright, Steven C., and Mikelle Eastley. "Massachusetts General Hospital: CABG Surgery (B)." Harvard Business School Case 697-021, June 1997.
  • May 2018 (Revised October 2020)
  • Supplement

La Ribera Health Department (B): Epilogue

By: Regina E. Herzlinger, Emer Moloney and Daniela Beyersdorfer
The La Ribera case studies depict an innovative low cost/high quality privately financed hospital model struggling to achieve alignment with the Six Factors. It is reimbursed by the public sector in a Spanish environment whose Consumers, Structure, and Public Policy... View Details
Keywords: Trends And Opportunities; Government; Government Programs; Acquisition; Business Model; Business Plan; Trends; Opportunities; Government and Politics; Programs; Health Care and Treatment; Situation or Environment; Health Industry; Insurance Industry; Technology Industry; Spain
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Herzlinger, Regina E., Emer Moloney, and Daniela Beyersdorfer. "La Ribera Health Department (B): Epilogue." Harvard Business School Supplement 318-134, May 2018. (Revised October 2020.)
  • April 2014 (Revised March 2018)
  • Case

Texas Children's Hospital: Congenital Heart Disease Care

By: Michael E. Porter, Justin M. Bachmann and Zachary C. Landman
In 2014, Dr. Charles D. Fraser Jr., Surgeon-in-Chief of Texas Children's Hospital in Houston, was contemplating the future direction of the congenital heart disease program. The nation's largest pediatric hospital, Texas Children's was ranked by U.S. News & World... View Details
Keywords: Health Care; Congenital Heart Disease; Integrated Practice Units; Health Care and Treatment; Outcome or Result; Measurement and Metrics; Performance Improvement; Health Industry; United States; Texas
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Porter, Michael E., Justin M. Bachmann, and Zachary C. Landman. "Texas Children's Hospital: Congenital Heart Disease Care." Harvard Business School Case 714-507, April 2014. (Revised March 2018.)
  • October 2013
  • Article

A Traffic Light Food Labeling Intervention Increases Consumer Awareness of Health and Healthy Choices at the Point-of-Purchase

By: Lillian Sonnenberg, Emily Gelsomin, Douglas E. Levy, Jason Riis, Susan Barraclough and Anne N. Thorndike
We surveyed customers in a hospital cafeteria in Boston, Massachusetts before and after implementation of traffic light food labeling to determine the effect of labels on customers' awareness and purchase of healthy foods. View Details
Keywords: Nutrition Labeling; Obesity; Food Labeling
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Sonnenberg, Lillian, Emily Gelsomin, Douglas E. Levy, Jason Riis, Susan Barraclough, and Anne N. Thorndike. "A Traffic Light Food Labeling Intervention Increases Consumer Awareness of Health and Healthy Choices at the Point-of-Purchase." Preventive Medicine 57, no. 4 (October 2013): 253–257.
  • 09 Jan 2018
  • Working Paper Summaries

Identifying Sources of Inefficiency in Health Care

Keywords: by Amitabh Chandra and Douglas O. Staiger; Health
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