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      • Faculty Publications  (59)

      Healthcare SystemsRemove Healthcare Systems →

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      • December 2014 (Revised February 2020)
      • Case

      Compass Group: The Ascension Health Decision

      By: Ryan W. Buell
      In 2012, Compass Group (Compass) was on the verge of closing a $2 billion deal with Ascension Health (Ascension), one of the largest healthcare systems in the United States. Under the deal, Compass would provide foodservice management and cleaning services for 86 of... View Details
      Keywords: Operations Strategy; Sectorization; Operational Focus; Customer Compatibility; Service Operations; Service Delivery; Operations; Strategy; Customer Focus and Relationships; Service Industry; Health Industry; United States
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      Buell, Ryan W. "Compass Group: The Ascension Health Decision." Harvard Business School Case 615-026, December 2014. (Revised February 2020.)
      • 2014
      • Other Teaching and Training Material

      Marketing Reading: Segmentation and Targeting

      By: Sunil Gupta
      This Reading introduces two of the integral parts of any marketing strategy: segmentation and targeting. It covers, first, all of the methods, techniques, and variables with which a business first uncovers the full range of its potential customers and then... View Details
      Keywords: Behavioral Segmentation; Conjoint Analysis; Demographic Segmentation; Geographic Segmentation; Market Opportunities; Market Segmentation; Marketing; Marketing Strategy; Psychographic Segmentation; Unethical Marketing Practices; United States
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      Gupta, Sunil. "Marketing Reading: Segmentation and Targeting." Core Curriculum Readings Series. Boston: Harvard Business Publishing 8219, 2014.
      • May 2014 (Revised March 2016)
      • Case

      Health City Cayman Islands

      By: Tarun Khanna and Budhaditya Gupta
      Narayana Health (NH) had been successfully delivering affordable high quality tertiary care to the masses in India through its chain of hospitals for over a decade. To encourage the adoption of the NH affordable care delivery model worldwide, Dr. Shetty, Chairman of... View Details
      Keywords: Healthcare; Emerging Economies; Innovation; India; Institutions; Pricing; Replication; Strategy; Narayana Health; Ascension; Health City Cayman Islands; Dr. Devi Shetty; International Business; Health Care and Treatment; Innovation Strategy; Innovation and Management; Disruptive Innovation; Cross-Cultural and Cross-Border Issues; Global Strategy; Knowledge Use and Leverage; Management Practices and Processes; Growth Management; Growth and Development Strategy; Market Entry and Exit; Adaptation; Adoption; India; Cayman Islands
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      Khanna, Tarun, and Budhaditya Gupta. "Health City Cayman Islands." Harvard Business School Case 714-510, May 2014. (Revised March 2016.)
      • 2013
      • Article

      The Impact of Electronic Health Record Use on Physician Productivity

      By: Julia Adler-Milstein and Robert S. Huckman
      To examine the impact of the degree of electronic health record (EHR) use and delegation of EHR tasks on clinician productivity in ambulatory settings.
      Study Design: We examined EHR use in primary care practices that implemented a web-based EHR from athenahealth... View Details
      Keywords: Electronic Health Records; Health Care; Productivity; Healthcare IT; Information Technology; Performance Productivity; Health Care and Treatment; Health Industry
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      Adler-Milstein, Julia, and Robert S. Huckman. "The Impact of Electronic Health Record Use on Physician Productivity." Special Issue on Health Information Technology. American Journal of Managed Care 19, no. SP10 (2013): SP345–SP352.
      • August 2013
      • Case

      Contempo Technologies, Inc. and Betty Sievers: A Clash of Interests in an Uncertain Time

      By: Srikant M. Datar, Michael R. Jaff D.O. and Caitlin N. Bowler
      In an era of rapidly evolving systems of health care delivery, the impact on patients, physicians, hospitals, medical device manufacturers and small business owners are often conflicting. This case highlights these conflicts and stressors from all perspectives,... View Details
      Keywords: Health Care Industry; Healthcare; Health Care and Treatment; Health Industry
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      Datar, Srikant M., Michael R. Jaff D.O., and Caitlin N. Bowler. "Contempo Technologies, Inc. and Betty Sievers: A Clash of Interests in an Uncertain Time." Harvard Business School Case 114-009, August 2013.
      • November 2012 (Revised January 2013)
      • Case

      Companion Diagnostics: Uncertainties for Approval and Reimbursement

      By: Richard G. Hamermesh, Norman C. Selby and Phillip Andrews
      The FDA approvals of novel therapeutics were seen as signs in the personalized medicine community of real progress in the growth of personalized medicine. The FDA's approval of such drugs, along with companion diagnostics, suggested a shift in thinking and regulatory... View Details
      Keywords: Models Of Reimbursement; Personalized Medicine; Regulation; Healthcare Reform; Health Care and Treatment; Health Industry; United States
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      Hamermesh, Richard G., Norman C. Selby, and Phillip Andrews. "Companion Diagnostics: Uncertainties for Approval and Reimbursement." Harvard Business School Case 813-037, November 2012. (Revised January 2013.)
      • September 2012
      • Case

      SCMS: Battling HIV/AIDS in Africa

      By: Ananth Raman, Noel Watson, Santiago Kraiselburd and Emmanuel Akili
      In 2005, USAID and the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), created the Supply Chain Management System (SCMS) to procure and distribute essential medicines and supplies; provide technical assistance to transform existing supply chains; and... View Details
      Keywords: HIV; AIDS; Procurement Coordination; Developing Countries; Healthcare; Public Health; Ethiopia; Supply Systems For Healthcare Delivery In Developing Countries; Healthcare Logistics Industry; Health Disorders; Health Care and Treatment; Service Delivery; Supply Chain Management; Logistics; Developing Countries and Economies; Programs; Transition; Strategy; Pharmaceutical Industry; Health Industry; Ethiopia; Africa
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      Raman, Ananth, Noel Watson, Santiago Kraiselburd, and Emmanuel Akili. "SCMS: Battling HIV/AIDS in Africa." Harvard Business School Case 613-023, September 2012.
      • November 2011 (Revised August 2012)
      • Case

      Healthymagination at GE Healthcare Systems

      By: Vineet Kumar and V. Kasturi Rangan
      Jeff Immelt, the CEO of GE, introduced a new innovation strategy named "healthymagination" in 2009. With cost, quality, and access as its three pillars, healthymagination ensures a strong focus for new product introduction efforts all around GE. But will this focus... View Details
      Keywords: Innovation and Invention; Product Marketing; Marketing Strategy; Medical Devices and Supplies Industry; Health Industry
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      Kumar, Vineet, and V. Kasturi Rangan. "Healthymagination at GE Healthcare Systems." Harvard Business School Case 512-039, November 2011. (Revised August 2012.)
      • 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; Technology Industry
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      McFarlan, F. Warren, Mark Keil, and Mala Kaul. "Telemonitoring at Visiting Nurse Health System." Harvard Business School Case 112-030, September 2011. (Revised January 2012.)
      • 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
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      Hamermesh, Richard G., F. Warren McFarlan, Mark Keil, Andrew Katz, Michael Morgan, and David LaBorde. "Computerized Provider Order Entry at Emory Healthcare." Harvard Business School Case 311-061, November 2010. (Revised January 2011.)
      • 2011
      • Working Paper

      Managerial Practices That Promote Voice and Taking Charge among Frontline Workers

      By: Julia Adler-Milstein, Sara J. Singer and Michael W. Toffel
      Process-improvement ideas often come from frontline workers who speak up by voicing concerns about problems and by taking charge to resolve them. We hypothesize that organization-wide process-improvement campaigns encourage both forms of speaking up, especially voicing... View Details
      Keywords: Communication; Employees; Knowledge Sharing; Knowledge Use and Leverage; Management Practices and Processes; Operations; Business Processes; Performance Improvement
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      Adler-Milstein, Julia, Sara J. Singer, and Michael W. Toffel. "Managerial Practices That Promote Voice and Taking Charge among Frontline Workers." Harvard Business School Working Paper, No. 11-005, July 2010. (Revised Sept. 2011. Best Theory-to-Practice Paper Award by Academy of Management's Health Care Management Division. Selected for Best Paper Proceedings of the 2011 Academy of Management Meeting.)
      • January 2010 (Revised December 2011)
      • Case

      Jiamei Dental: Private Health Care in China

      By: William C. Kirby and G.A. Donovan
      With the recent announcement from the Chinese government that the country's healthcare system was going to undergo reform, Jiamei Dental Chairman Liu Jia wondered what that meant for his 15 year-old dental clinic business. Founded in 1993, Jiamei Dental Medical... View Details
      Keywords: Private Sector; Economic Slowdown and Stagnation; Entrepreneurship; Governing Rules, Regulations, and Reforms; Policy; Health Care and Treatment; Private Ownership; Partners and Partnerships; Competition; Expansion; Health Industry; China
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      Kirby, William C., and G.A. Donovan. "Jiamei Dental: Private Health Care in China." Harvard Business School Case 910-404, January 2010. (Revised December 2011.)
      • Article

      A Blueprint for Pharmacy Benefits Managers to Increase Value

      By: William Shrank, Michael E. Porter, Sachin H. Jain and Niteesh K. Choudhary
      Pharmacy benefits managers (PBMs) have a unique opportunity to promote public health and generate value in the healthcare system. However, PBMs are largely evaluated on their ability to control costs rather than improve health. PBMs should be evaluated along three... View Details
      Keywords: Opportunities; Health; System; Cost Management; Partners and Partnerships; Motivation and Incentives; Value; Innovation and Invention; Performance Effectiveness; Health Industry; Pharmaceutical Industry
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      Shrank, William, Michael E. Porter, Sachin H. Jain, and Niteesh K. Choudhary. "A Blueprint for Pharmacy Benefits Managers to Increase Value." American Journal of Managed Care 15, no. 2 (February 2009).
      • January 2006 (Revised April 2007)
      • Case

      General Electric Healthcare, 2006

      By: Tarun Khanna and Elizabeth Raabe
      In January 2006, Joe Hogan, head of General Electric (GE) Healthcare Technologies, prepared to step into William Castell's shoes as CEO of GE Healthcare, the world's leading manufacturer of diagnostic imaging equipment. In 2004, former CEO Jeff Immelt acquired Amersham... View Details
      Keywords: Corporate Entrepreneurship; Cost vs Benefits; Growth and Development Strategy; Mergers and Acquisitions; Machinery and Machining; Global Range; Multinational Firms and Management; Product Design; Technological Innovation; Expansion; Value Creation; Business Subsidiaries; Health Industry; Medical Devices and Supplies Industry
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      Khanna, Tarun, and Elizabeth Raabe. "General Electric Healthcare, 2006." Harvard Business School Case 706-478, January 2006. (Revised April 2007.)
      • May 25, 2004
      • Article

      Specialization and Its Discontents: The Pernicious Impact of Regulations Against Specialization and Physician Ownership on the U.S. Healthcare System

      By: Regina E. Herzlinger
      Keywords: Health Care and Treatment; Ownership; Governing Rules, Regulations, and Reforms; Health Industry; United States
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      Herzlinger, Regina E. "Specialization and Its Discontents: The Pernicious Impact of Regulations Against Specialization and Physician Ownership on the U.S. Healthcare System." Circulation 109, no. 20 (May 25, 2004): 2376–2378.
      • Forthcoming
      • Article

      Achieving Epilepsy Care for All: Ecosystem-Based Transformation

      By: Susanna Gallani, Bernice Martin Lee and Lidia M. V. R. Moura
      Epilepsy exemplifies many of the systemic challenges of modern health care— fragmented care delivery, inequitable access, financial strain, and so on. The current “system of systems” (SoS) structure of U.S. health care fosters siloed operations among its member systems... View Details
      Keywords: Healthcare Delivery; Epilepsy; Seizures; Health Care and Treatment; Health Disorders; Equality and Inequality; Framework; Service Delivery
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      Gallani, Susanna, Bernice Martin Lee, and Lidia M. V. R. Moura. "Achieving Epilepsy Care for All: Ecosystem-Based Transformation." Epilepsia (forthcoming). (Pre-published online April 4, 2025.)
      • Forthcoming
      • Article

      From Bupkis to Sechel in Health Care

      By: Regina E. Herzlinger and Richard Boxer
      Fifty years ago, famed economist Milton Friedman declared that “The social responsibility of business is to increase its profits.” This free market manifesto was adopted by the healthcare industry as well. But transactional has evolved into transformational with the... View Details
      Keywords: Corporate Accountability; Customer Focus and Relationships; Corporate Social Responsibility and Impact; Health Industry
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      Herzlinger, Regina E., and Richard Boxer. "From Bupkis to Sechel in Health Care." JAMA, the Journal of the American Medical Association (forthcoming).
      • Research Summary

      Performance Management Systems in Healthcare

      By: Susanna Gallani
      Performance management in healthcare provider organizations presents particular challehges, motivate by historical industry practices, market structures and dynamics, and cultural peculiarities. Through her research studies and case studies, Prof. Gallani explores... View Details
      Keywords: Performance Management; Compensation; Incentive Systems; Burnout; Health Industry
      • Research Summary

      Social Determinants of Health

      By: Susanna Gallani
      Healthcare provider organizations are becoming progressively more involved in ways to improve health equity and address social determinants of health (SDOH). In this line of work, Prof. Gallani studies organizational factors interacting with the implementation of SODH... View Details
      Keywords: Healthcare Organizations; Performance Management; Accountability; Health Industry
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