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  • All HBS Web  (895)
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    • News  (213)
    • Research  (518)
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  • November 2011
  • Case

Lowell General Physician Hospital Organization

By: Richard M.J. Bohmer and Natalie Kindred
This case focuses on the Alternative Quality Contract (AQC), a novel payment program designed to incentivize providers to deliver less costly, high quality health care. Under the AQC, offered by Blue Cross Blue Shield of Massachusetts, providers received a fixed-dollar... View Details
Keywords: Cost Management; Service Delivery; Health Care and Treatment; Health Industry; Massachusetts
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Bohmer, Richard M.J., and Natalie Kindred. "Lowell General Physician Hospital Organization." Harvard Business School Case 612-016, November 2011.
  • April 1992 (Revised March 1993)
  • Case

Brigham and Women's Hospital in 1992, The

Brigham and Women's Hospital is a highly successful teaching hospital in 1992. However, the hospital sector is undergoing a major transition and the hospital faces uncertainty about changing demographic trends, new types of competitors, and technological and scientific... View Details
Keywords: Risk and Uncertainty; Change Management; Social Entrepreneurship; Decision Making; Health Care and Treatment; Business Strategy; Education Industry; Health Industry; Massachusetts
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Teisberg, Elizabeth O. "Brigham and Women's Hospital in 1992, The ." Harvard Business School Case 792-095, April 1992. (Revised March 1993.)
  • November 2005 (Revised December 2006)
  • Case

Jeanette Clough at Mount Auburn Hospital

Jeanette Clough, the CEO of Mt. Auburn Hospital, successfully leads a turnaround for the struggling local hospital. When she assumed leadership of Mt. Auburn in 1998, the hospital had recently suffered a $10 million loss. During her first six months, several members of... View Details
Keywords: Organizational Change and Adaptation; Change Management; Leading Change; Expansion; Health Care and Treatment; Business and Community Relations; Health Industry; Cambridge
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Roberts, Laura Morgan, and Ayesha Kanji. "Jeanette Clough at Mount Auburn Hospital." Harvard Business School Case 406-068, November 2005. (Revised December 2006.)
  • June 2024 (Revised August 2024)
  • Case

Hospital for Special Surgery: Returning to a New Normal? (A)

By: Robert S. Huckman, Michael Lingzhi Li and Camille Gregory
Early on the morning of April 27, 2020, Justin Oppenheimer stood outside the entrance to the lobby of the Hospital for Special Surgery (HSS) Pavilion Building with mixed emotions. On one hand, Oppenheimer, HSS’ Enterprise Chief Operating Officer and Chief Strategy... View Details
Keywords: Operations Management; Scheduling; Optimization; COVID-19; Health Care and Treatment; Operations; Customer Focus and Relationships; Disruption; Health Industry; United States
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Huckman, Robert S., Michael Lingzhi Li, and Camille Gregory. "Hospital for Special Surgery: Returning to a New Normal? (A)." Harvard Business School Case 624-092, June 2024. (Revised August 2024.)
  • May 2017
  • Supplement

Boston Children's Hospital Process Map Video

By: Robert S. Kaplan and Mary Witkowski
The 13 minute video simulates a discussion among orthopedic surgeons and cast room technicians about the processes and resources used when applying long leg casts for patients. The video should be used when teaching Boston Children’s Hospital (Abridged) case, #914-407,... View Details
Keywords: Activity Based Costing; Healthcare Costing; Process Maps; Activity Based Costing and Management; Health Care and Treatment
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Kaplan, Robert S., and Mary Witkowski. "Boston Children's Hospital Process Map Video." Harvard Business School Multimedia/Video Supplement 117-703, May 2017.
  • 2023
  • Article

Comparison of COVID-19 Hospitalization Costs across Care Pathways: A Patient-level Time-driven Activity-based Costing Analysis in a Brazilian Hospital

By: Ricardo Bertoglio Cardoso, Miriam Allein Zago Marcolino, Milena Soriano Marcolino, Camila Felix Fortis, Leila Beltrami Moreira, Ana Paula Coutinho, Nadine Oliveira Clausell, Junaid Nabi, Robert S. Kaplan, Ana Paula Beck da Silva Etges and Carisi Anne Polanczyk
The COVID-19 pandemic raised awareness of the need to better understand where and how patient-level costs are incurred in health care organizations. This study used time-driven activity-based costing to estimate COVID-19 patient-level hospital costs in a Brazilian... View Details
Keywords: Health Care and Treatment; Cost; Health Industry; Brazil
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Cardoso, Ricardo Bertoglio, Miriam Allein Zago Marcolino, Milena Soriano Marcolino, Camila Felix Fortis, Leila Beltrami Moreira, Ana Paula Coutinho, Nadine Oliveira Clausell, Junaid Nabi, Robert S. Kaplan, Ana Paula Beck da Silva Etges, and Carisi Anne Polanczyk. "Comparison of COVID-19 Hospitalization Costs across Care Pathways: A Patient-level Time-driven Activity-based Costing Analysis in a Brazilian Hospital." BMC Health Services Research 23, no. 198 (2023).
  • July 2002 (Revised August 2002)
  • Case

Washington Hospital Center (B): The Power of Insight

By: Rosabeth M. Kanter and Michelle Heskett
Dr. Craig Feied considers how to take a major technical innovation beyond his own department into a large hospital system. Reviews how proprietary information systems became indispensable in the department of emergency medicine and what it took to introduce the change... View Details
Keywords: Change Management; Health Care and Treatment; Nonprofit Organizations; Medical Specialties; Organizational Culture; Crisis Management; Technological Innovation; Higher Education; Adoption; Health Industry; District of Columbia
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Kanter, Rosabeth M., and Michelle Heskett. "Washington Hospital Center (B): The Power of Insight." Harvard Business School Case 303-020, July 2002. (Revised August 2002.)
  • May 2, 2024
  • Article

Require Hospitals to Disclose Their Pandemic Plans Now

By: Regina E. Herzlinger, Richard J. Boxer and Ben Creo
The COVID-19 pandemic demonstrated that U.S. hospital and health care systems were ill-prepared for the surge of patients who overwhelmed available health care resources. An overlooked resource deserves more attention: the availability of intensive care unit (ICU)... View Details
Keywords: COVID-19 Pandemic; Crisis Management; Knowledge Sharing; Governance Compliance; Planning; Health Industry; United States
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Herzlinger, Regina E., Richard J. Boxer, and Ben Creo. "Require Hospitals to Disclose Their Pandemic Plans Now." Health Affairs Forefront (May 2, 2024).
  • January 1992
  • Case

Johnson & Johnson: Hospital Services

The main issue has to do with the lack of fit or incompatibility between the early environmental requirements for strategy and the cultural constraints on the organization. Describes the internal resistance to the proposed changes and top management's efforts to... View Details
Keywords: Organizational Structure; Organizational Culture; Management Systems; Environmental Sustainability; Conflict and Resolution
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Pearson, Andrall E. "Johnson & Johnson: Hospital Services." Harvard Business School Case 392-050, January 1992.
  • July 2002 (Revised August 2002)
  • Case

Washington Hospital Center (A): Rescuing Emergency Medicine

By: Rosabeth M. Kanter and Michelle Heskett
Dr. Craig Feied and Dr. Mark Smith, recruited to turn around the Washington Hospital Center Emergency Department, prepare to roll out their most revolutionary change yet--an information system that could radically improve the practice of emergency medicine. A review of... View Details
Keywords: Change Management; Health Care and Treatment; Nonprofit Organizations; Medical Specialties; Organizational Culture; Crisis Management; Technological Innovation; Higher Education; Health Industry; District of Columbia
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Kanter, Rosabeth M., and Michelle Heskett. "Washington Hospital Center (A): Rescuing Emergency Medicine." Harvard Business School Case 303-019, July 2002. (Revised August 2002.)
  • December 2023
  • Article

Association of Hospital System Affiliation with COVID-19 Capacity Burden

By: Zachary Levin, Pinar Karaca-Mandic, Richard J. Boxer and Regina E. Herzlinger
What is the message? The COVID-19 pandemic exposed the highly variable and uncoordinated responses by hospitals. The authors found that while the non-top ten system affiliated hospitals had a larger COVID-19 share index relative to independent hospitals, top-ten system... View Details
Keywords: COVID-19 Pandemic; Resource Allocation; Health Pandemics; Demographics; Health Care and Treatment; Health Industry
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Levin, Zachary, Pinar Karaca-Mandic, Richard J. Boxer, and Regina E. Herzlinger. "Association of Hospital System Affiliation with COVID-19 Capacity Burden." Health Management, Policy and Innovation 8, no. 3 (December 2023).
  • August 1983 (Revised June 1986)
  • Case

Johnson & Johnson (B): Hospital Services

By: Francis Aguilar
The main issue has to do with the lack of fit or incompatibility between the early environmental requirements for strategy and the cultural constraints on the organization. Describes the internal resistance to the proposed changes and top management's efforts to... View Details
Keywords: Business or Company Management; Change Management; Organizational Change and Adaptation; Organizational Culture; Health Care and Treatment; Growth and Development Strategy; Health Industry
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Aguilar, Francis. "Johnson & Johnson (B): Hospital Services." Harvard Business School Case 384-054, August 1983. (Revised June 1986.)
  • 24 Feb 2022
  • Op-Ed

Want to Prevent the Next Hospital Bed Crisis? Enlist the SEC

During the initial phases of the COVID-19 pandemic, many US hospitals could not provide enough beds to meet demand. Solving the problem of inadequate capacity is of utmost importance in the “new normal,” which requires recognizing the... View Details
Keywords: by Regina Herzlinger and Richard Boxer; Health
  • December 2023 (Revised February 2024)
  • Case

Transforming Healthcare Delivery at Karolinska University Hospital

By: Susanna Gallani, Mary Witkowski, Elena Corsi and Nikolina Jonsson
The case study examines the journey toward value-based healthcare at Karolinska University Hospital. The hospital's ambitious shift to a patient-centered care delivery model, accompanied by the construction of a new facility, encountered challenges such as high costs,... View Details
Keywords: Change Management; Transformation; Transition; Business Organization; Communication Strategy; Information Infrastructure; Service Delivery; Organizational Change and Adaptation; Organizational Structure; Health Industry; Sweden; Europe
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Gallani, Susanna, Mary Witkowski, Elena Corsi, and Nikolina Jonsson. "Transforming Healthcare Delivery at Karolinska University Hospital." Harvard Business School Case 124-070, December 2023. (Revised February 2024.)
  • April 2012 (Revised February 2013)
  • Case

Learning About Reducing Hospital Mortality at Kaiser Permanente

By: Anita Tucker
In 2011, Kaiser Permanente Northern California (KPNC) region's efforts to reduce mortality in their 21 hospitals is showing promise. They developed and launched a region-wide initiative to improve the treatment of sepsis, a serious and often deadly medical condition.... View Details
Keywords: Change Management; Health Care and Treatment; Performance Improvement; Health Industry; California
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Tucker, Anita. "Learning About Reducing Hospital Mortality at Kaiser Permanente ." Harvard Business School Case 612-093, April 2012. (Revised February 2013.)
  • June 2009 (Revised April 2011)
  • Case

Cincinnati Children's Hospital Medical Center

By: Anita L. Tucker and Amy C. Edmondson
The case describes an organization's use of the science of improvement to transform their process quality from below average to the top 10% in their industry. The case outlines the protagonist's strategy of developing internal experts who are trained in a common... View Details
Keywords: Change Management; Experience and Expertise; Leading Change; Measurement and Metrics; Service Delivery; Performance Improvement; Health Industry; Ohio
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Tucker, Anita L., and Amy C. Edmondson. "Cincinnati Children's Hospital Medical Center." Harvard Business School Case 609-109, June 2009. (Revised April 2011.)
  • June 2008 (Revised October 2010)
  • Case

Patient Flow at Brigham and Women's Hospital (A)

By: Anita L. Tucker and Jillian Alexandra Berry
Brigham and Women's Hospital challenged a team of physicians to improve patient flow from the Emergency Department to Intensive Care Units (ICUs). One of the team members, Selwyn Rogers, Director of the Surgical Intensive Care Unit (SICU) at Brigham and Women's... View Details
Keywords: Change Management; Health Care and Treatment; Service Operations; Business Processes; Performance Productivity; Conflict and Resolution; Health Industry; Massachusetts
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Tucker, Anita L., and Jillian Alexandra Berry. "Patient Flow at Brigham and Women's Hospital (A)." Harvard Business School Case 608-171, June 2008. (Revised October 2010.)
  • July 2002 (Revised August 2002)
  • Case

Washington Hospital Center (C): Progress and Prospects, 1995-2001

By: Rosabeth M. Kanter and Michelle Heskett
Dr. Craig Feied and Dr. Mark Smith have already transformed a "worst-in-area" emergency medicine department into the best in the area. Industry-wide and hospital system-specific challenges remain, including their newest project of national importance--creating an... View Details
Keywords: History; Higher Education; Organizational Culture; Medical Specialties; Technological Innovation; Change Management; Nonprofit Organizations; Expansion; Crisis Management; Health Care and Treatment; Health Industry; District of Columbia
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Kanter, Rosabeth M., and Michelle Heskett. "Washington Hospital Center (C): Progress and Prospects, 1995-2001." Harvard Business School Case 303-021, July 2002. (Revised August 2002.)
  • June 2010
  • Teaching Note

Cincinnati Children's Hospital Medical Center (TN)

By: Anita L. Tucker
Teaching Note for 609109. View Details
Keywords: Quality; Performance Improvement; Management Practices and Processes; Strategy; Business Units; Science; Health Industry
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Tucker, Anita L. "Cincinnati Children's Hospital Medical Center (TN)." Harvard Business School Teaching Note 610-106, June 2010.
  • January 2010 (Revised August 2012)
  • Supplement

Hospital for Special Surgery (B): Continuing Challenges of Growth

By: Regina E. Herzlinger and Laura Low Ah Kee
After its successful new U.K. venture, the Hospital for Special Surgery wants to do more of the same, without decimating its core New York City facility. The case provides considerable details about the different options it is exploring. View Details
Keywords: Growth Management; Health Industry; United Kingdom
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Herzlinger, Regina E., and Laura Low Ah Kee. "Hospital for Special Surgery (B): Continuing Challenges of Growth." Harvard Business School Supplement 310-077, January 2010. (Revised August 2012.)
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