Publications

Purchase

2012
Working Paper

Learning from Customers: Individual and Organizational Effects in Outsourced Radiological Services

By: Jonathan R. Clark, Robert S. Huckman and Bradley R. Staats

The ongoing fragmentation of work has resulted in a narrowing of tasks into smaller pieces that can be sent outside the organization and, in many instances, around the world. This trend is shifting the boundaries of organizations and leading to increased outsourcing.... View Details

Keywords: Experience and Expertise; Learning; Health Care and Treatment; Job Cuts and Outsourcing; Knowledge Acquisition; Volume; Performance Productivity; Health Industry

SSRN

Article

Resilience vs. Vulnerability: Psychological Safety and Reporting of Near Misses with Varying Proximity to Harm in Radiation Oncology

By: Palak Kundu, Olivia Jung, Amy C. Edmondson, Nzhde Agazaryan, John Hegde, Michael Steinberg and Ann Raldow

Background
Psychological safety, a shared belief that interpersonal risk taking is safe, is an important determinant of incident reporting. However, how psychological safety affects near-miss reporting is unclear, as near misses contain contrasting cues that... View Details

Keywords: Psychological Safety; Near-miss Reporting; Health Care and Treatment; Safety

25 Oct 2010
HBS Case

Tesco’s Stumble into the US Market

eliminated discount coupons, and decorated in a spare style more suited to a hospital than a food retailer. Five years later, Fresh & Easy has not made a dime, and analysts are wondering whether the company should pack up and go home,... View Details

Keywords: by Sean Silverthorne; Retail

Article

Team Scaffolds: How Mesolevel Structures Enable Role-based Coordination in Temporary Groups

By: M. Valentine and A. 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; Service Delivery; Organizational Structure; Groups and Teams; Performance Efficiency

July 2014
Article

Second-Opinion Pathologic Review is a Patient Safety Mechanism That Helps Reduce Error and Decrease Waste

By: Lavinia Middleton, Thomas W. Feeley, Heidi W. Albright, Ronald Walters and Stanley Hamilton

We have a crisis in health care delivery, originating from increasing health care costs and inconsistent quality-of-care measures. During the past several years, value-based health care delivery has gained increasing attention as an approach to control costs and... View Details

Keywords: Pathology; Diagnostic Errors; Health Care and Treatment; Health Industry; North and Central America

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

SSRN

18 Dec 2017
Op-Ed

Why Employers Must Stop Requiring College Degrees For Middle-Skill Jobs

Credit: Pixsooz American companies have a problem. Over the past decade, they have begun to demand a bachelor’s degree in hiring workers for jobs that traditionally haven’t required one. This uptick in credentialing, or “degree inflation,” rested on the belief that... View Details

Keywords: by Joseph Fuller

22 Aug 2012
Working Paper Summaries

Key Drivers of Successful Implementation of an Employee Suggestion-Driven Improvement Program

Keywords: by Anita L. Tucker & Sara J. Singer.; Health

2018
Working Paper

Forecasting Airport Transfer Passenger Flow Using Real-Time Data and Machine Learning

By: Xiaojia Guo, Yael Grushka-Cockayne and Bert De Reyck

Problem definition: In collaboration with Heathrow Airport, we develop a predictive system that generates quantile forecasts of transfer passengers’ connection times. Sampling from the distribution of individual passengers’ connection times, the system also produces... View Details

Keywords: Quantile Forecasts; Regression Tree; Copula; Passenger Flow Management; Data-driven Operations; Forecasting and Prediction; Data and Data Sets

SSRN

01 Oct 2001
Research & Ideas

How To Make Restructuring Work for Your Company

hospital business and a health insurance business, management decided to split the businesses apart through a corporate spin-off because it realized the businesses were strategically incompatible—the customers of one business were... View Details

Keywords: by Stuart C. Gilson

29 Jan 2013
First Look

First Look: Jan. 29

reads for hospital customers. We examine more than 2.7 million cases read by 97 radiologists for 1,431 customers and find evidence supporting the benefits of customer-specific experience accumulated by individual radiologists.... View Details

Keywords: Sean Silverthorne

May 2023 (Revised June 2023)
Supplement

Novartis (B): Reimagining Medicine

By: Ramon Casadesus-Masanell, Claudio Feser, Karolin Frankenberger and David Redaschi

This case unfolds around the first-ever approved personalized cancer treatment, how Novartis wrapped it into a new business model design, and how Novartis scaled it. Novartis — one of the largest pharmaceutical companies in the world — is, among other ventures,... View Details

Keywords: Health Care and Treatment; Business Model; Production; Business Strategy; Pharmaceutical Industry

Article

The Inpatient Discharge Lounge as a Potential Mechanism to Mitigate Emergency Department Boarding and Crowding

By: Brian Franklin, Sharif Vakili, Robert S. Huckman, Sarah Hosein, Nicholas Falk, Katherine Cheng, Maria Murray, Sheila Harris, Charles A. Morris and Eric Goralnick

Delayed access to inpatient beds for admitted patients contributes significantly to emergency department (ED) boarding and crowding, which have been associated with deleterious patient safety effects. To expedite inpatient bed availability, some hospitals have... View Details

Keywords: Health Care Delivery; Emergency Room; Operations Improvement; Operations Management; Health Care and Treatment; Service Delivery; Operations; Management; Performance Improvement; Service Operations

31 Mar 2023
Research & Ideas

Can a ‘Basic Bundle’ of Health Insurance Cure Coverage Gaps and Spur Innovation?

more protection or benefits could purchase. For example, basic insurance pays for shared hospital rooms in Singapore, but only people who pay out of pocket or have private insurance can get private rooms. In many countries, private... View Details

Keywords: by Kasandra Brabaw; Insurance; Health

July–September 2020
Article

Innovation Contest: Effect of Perceived Support for Learning on Participation

By: Olivia Jung, Andrea Blasco and Karim R. Lakhani

Background: Frontline staff are well positioned to conceive improvement opportunities based on first-hand knowledge of what works and does not work. The innovation contest may be a relevant and useful vehicle to elicit staff ideas. However, the success of the... View Details

Keywords: Contest; Innovation; Employee Engagement; Organizational Learning; Health Care; Health Care Delivery; Innovation and Invention; Organizations; Learning; Employees; Perception; Health Care and Treatment

September 2017 (Revised February 2023)
Case

Intermountain Healthcare: Pursuing Precision Medicine

By: Richard G. Hamermesh, Kathy E. Giusti, Robert S. Huckman and Julia Kelley

Headquartered in Salt Lake City, Intermountain Healthcare operates 23 hospitals and hundreds of clinics in Utah and Idaho and provides insurance to approximately 850,000 patients through its insurance arm, SelectHealth. In 2013, Intermountain, known for its commitment... View Details

Keywords: Precision Medicine; Healthcare; Innovation; Cancer; Cancer Research; Health Care; Technology; Health Care and Treatment; Innovation Leadership; Disruptive Innovation; Entrepreneurship; Decision Choices and Conditions; Health Industry; Insurance Industry; Utah; United States; North America