Publications

23 Nov 2009
Research & Ideas

Management’s Role in Reforming Health Care

between the above two operating systems. Because each of the four components of a system for delivering health care continues to change, ongoing redesign—that both reacts to, and creates, new knowledge and... View Details

Keywords: by Martha Lagace; Health

February 2014
Article

Developing a System to Track Meaningful Outcome Measures in Head and Neck Cancer Treatment

By: Ronald S. Walters, Heidi W. Albright, Randal S. Weber, Thomas W. Feeley, Ehab Y. Hanna, Scott B. Cantor, Carol M. Lewis and Thomas W. Burke

The health care industry, including consumers, providers, and payers of health care, recognize the importance of developing meaningful, patient-centered measures. This article describes our experience using an existing electronic medical record largely based on free... View Details

Keywords: Cancer Treatment; Cancer Care In The U.S.; Outcomes Measurement; Health Care and Treatment; Measurement and Metrics; Health Industry; North and Central America

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05 Sep 2012
What Do You Think?

Will Business Management Save US Health Care?

Wittenberg put it, " management will never fix the health care system (it) can promote standardization and mass production (but) the actions of individual managers will have no effect on the overall... View Details

Keywords: by Jim Heskett; Health

15 Jul 2013
Research & Ideas

Five Imperatives for Improving Health Care

anything we do to improve quality becomes almost irrelevant if we can't finance the system to deliver it." Hence the imperative to focus on value, the quality of outcome achieved per unit of cost spent by the system. "There's a... View Details

Keywords: by Carmen Nobel; Health

Forthcoming
Article

The Anatomy of a Hospital System Merger: The Patient Did Not Respond Well to Treatment

By: Raffaella Sadun, Martin Gaynor, Adam Sacarny, Chad Syverson and Shruthi Venkatesh

Despite the continuing US hospital merger wave, it remains unclear how mergers change, or fail to change, hospital behavior and performance. We open the “black box” of hospital practices through a mega-merger between two for-profit chains. Benchmarking the merger's... View Details

Keywords: Performance Improvement; Mergers and Acquisitions; Health Industry

08 Apr 2009
Research & Ideas

Clayton Christensen on Disrupting Health Care

new disruptive technology in the works, personal electronic health records (PEHRs), an open-source tool that collects data from all providers and gives patients access over the... View Details

Keywords: by Deborah Blagg; Health

August 23, 2018
Article

Using a New EHR System to Increase Patient Engagement, Improve Efficiency, and Decrease Cost

By: Katy French, Barbra Bryce Speer, Alexis B. Guzman, Tayab Andrabi, Iris Recinos, Keith A. Shook, James R. Incalcaterra, John C. Frenzel and Thomas W. Feeley

Patients and providers are frustrated with seemingly endless data entry. We used our patients’ vested interest in their own health care by actively engaging them in the entry of their own medical information into the EHR. Prior to the implementation of the new EHR we... View Details

Keywords: Health Care and Treatment; Analytics and Data Science; Performance Efficiency; Cost Management

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25 May 2016
Research & Ideas

How Consumers and Businesses are Reshaping Public Health

private treatment that they and their families can afford. In poor countries, consumers are best advised to keep their own medical records since nothing approaching an electronic record-keeping View Details

Keywords: by John A. Quelch; Health

03 Jul 2012
Research & Ideas

HBS Faculty on Supreme Court Health Care Ruling

trillion mandate and no assurance of reversing the inexorable rise in health care costs. Paradoxically, although America has the most technologically advanced and expensive health care View Details

Keywords: Re: Multiple Faculty; Health

27 Feb 2020
Sharpening Your Skills

How Following Best Business Practices Can Improve Health Care

health care landscape through a lens of disruptive innovation. How Electronic Patient Records Can Slow Doctor Productivity Instead of making View Details

Keywords: by Sean Silverthorne; Health; Health

2023
Article

Digital Health Reimbursement Strategies of 8 European Countries and Israel: Scoping Review and Policy Mapping

By: Robin van Kessel, Divya Srivastava, Ilias Kyriopoulos, Giovanni Monti, David Novillo-Ortiz, Ran Milman, Wojciech Wilhelm Zhang-Czabanowski, Greta Nasi, Ariel Dora Stern, George Wharton and Elias Mossialos

Background: The adoption of digital health care within health systems is determined by various factors, including pricing and reimbursement. The reimbursement landscape for digital health in Europe remains underresearched. Although various emergency reimbursement... View Details

Keywords: Technology Adoption; Health Care and Treatment; Cross-Cultural and Cross-Border Issues; Price; Health Industry; Europe; Israel

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April 2015
Case

Carolinas HealthCare System: Consumer Analytics

By: John A. Quelch and Margaret L. Rodriguez

In 2014, Dr. Michael Dulin, chief clinical officer for analytics and outcomes research and head of the Dickson Advanced Analytics (DA2) group at Carolinas HealthCare System (CHS), successfully unified all analytics talent and resources into one group over a three year... View Details

Keywords: Consumer Segmentation; Big Data; Management Information Systems; Hospital Management; Health Care and Treatment; Marketing; Segmentation; Analytics and Data Science; Information Management; Information Technology; Health; Health Industry; United States

Article

Applying Human-Centered Design Principles to Digital Syndromic Surveillance at a Mass Gathering in India: Viewpoint

By: Ahmed Shaikh, Abhishek Bhatia, Ghanshyam Yadav, Shashwat Hora, Chung Won, Mark Shankar, Aaron Heerboth, Prakash Vemulapalli, Paresh Navalkar, Kunal Oswal, Clay Heaton, Sujata Saunik, Tarun Khanna and Satchit Balsari

In the wake of the COVID-19 pandemic, digital health tools have been deployed by governments around the world to advance clinical and population health objectives. Few interventions have been successful or have achieved sustainability or scale. In India, government... View Details

Keywords: Digital Health Tools; Human-centered Design; Health Care and Treatment; Mobile and Wireless Technology; Design; Technology Adoption

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January 2016
Case

Savannah Informatics

By: Kevin Schulman

John Muthee and Justus Paul are recent graduates of medical school and a unique program in clinical informatics. They return to Nairobi, Kenya with a passion to make a difference in their community. They have a team they know well, but need to find a project concept... View Details

Keywords: Information Systems; Entrepreneurship; Strategy; Kenya; Africa

April 2021
Case

ClearChoice Dental Implant Centers

By: Robert S. Kaplan, Ashiana Jivraj and Jane Barrow

The case illustrates the application of value-based health care to dental medicine. ClearChoice Dental Implant Centers was a rapidly-growing network of dentist-owned independent implant clinics. The targeted market included 23 million people, 15% of the US adult... View Details

Keywords: Value-based Health Care; Dental Medicine; Growth and Development Strategy; Expansion; Business Strategy; Customer Value and Value Chain; Customer Focus and Relationships; Health Industry; United States

November 2020 (Revised February 2022)
Case

CommonSpirit Health: Integrating a Merger of Equals

By: Robert S. Huckman, Hise Gibson and Nicole Gilmore

Soon after closing the 2019 merger of Catholic Health Initiatives (CHI) and Dignity Health to create CommonSpirit Health, Lloyd Dean and Kevin Lofton-–jointly appointed to the role of CEO—must make several operational and strategic decisions related to the integration... View Details

Keywords: Health Care Delivery; Hospital; Merger; Merger Integration; Hospital Mergers; Health Information Technology; CEOs; Health Care and Treatment; Mergers and Acquisitions; Integration; Leadership; Customer Value and Value Chain; Decision Choices and Conditions; Governance; Information Technology; Health Industry; United States

August 2020
Article

A History of Prescription Drug Monitoring Programs in the United States: Political Appeal and Public Health Efficacy

By: A Jay Holmgren, Alyssa Botelho and Allan M Brandt

Prescription drug monitoring programs (PDMPs) have become a widely embraced policy to address the US opioid crisis. Despite mixed scientific evidence on their effectiveness at improving health and reducing overdose deaths, 49 states and Washington, DC have adopted... View Details

Keywords: Health Disorders; Information Technology; Programs; Technology Adoption; History; Government and Politics; Policy; United States

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July 2024
Article

Mass General Brigham’s Patient-Reported Outcomes Measurement System: A Decade of Learnings

By: Jason B. Liu, Robert S. Kaplan, David W. Bates, Mario O. Edelen, Rachel C. Sisodia and Andrea L. Pusic

This article describes the strategies that leaders at the Mass General Brigham (MGB) health system have used in launching a standardized patient-reported outcome measure (PROM) collection program in 2012, a major step in the value-based transformation of health care.... View Details

Keywords: Patient-reported Outcomes; Value Based Health Care; Health Care and Treatment; Transformation; Outcome or Result; Organizational Change and Adaptation; Performance Improvement; Health Industry

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September 2012
Supplement

Intraoperative Radiotherapy for Breast Cancer (B)

By: Willy Shih

The intraoperative radiotherapy (IORT) business at Carl Zeiss Meditec had struggled with growth since the time of the (A) case. Though the unit had grown revenues in excess of 50% and had exceeded its EBIT target, it faced several key strategic choices. Should it... View Details

Keywords: Radiotherapy; Breast Cancer; Brachytherapy; Therapeutic Radiation; Oncology; Oncology Treatment Systems; Elekta AB; Varian Medical Systems; Xoft; Electronic Brachytherapy; Intraoperative Radiotherapy; Disruptive Innovation; Health Care and Treatment; Entrepreneurship; Technological Innovation; Growth and Development Strategy; Health Industry; Germany