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  • All HBS Web  (895)
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    • News  (213)
    • Research  (518)
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  • Summer 2014
  • Article

Designed for Workarounds: A Qualitative Study of the Causes of Operational Failures in Hospitals

By: Anita L. Tucker, W. Scott Heisler and Laura D. Janisse
Frontline care providers in hospitals spend at least 10% of their time working around operational failures, which are situations where information, supplies, or equipment needed for patient care are insufficient. However, little is known about underlying causes of... View Details
Keywords: Supply Chain; Health Care and Treatment; Failure; Business Processes; Health Industry
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Tucker, Anita L., W. Scott Heisler, and Laura D. Janisse. "Designed for Workarounds: A Qualitative Study of the Causes of Operational Failures in Hospitals." Permanente Journal 18, no. 3 (Summer 2014): 33–41.
  • February 2013
  • Supplement

Cincinnati Children's Hospital Medical Center, Video Supplement 2012

By: Anita Tucker and Amy Edmondson
Keywords: Process Improvement; Leadership Succession; Healthcare; Quality And Safety; Transparency; Organizational Change and Adaptation; Management Succession; Health Care and Treatment; Performance Improvement; Business Processes; Health Industry; Ohio
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Tucker, Anita, and Amy Edmondson. "Cincinnati Children's Hospital Medical Center, Video Supplement 2012." Harvard Business School Video Supplement 613-710, February 2013.
  • September 2019
  • Case

Alex Atala: Bringing Brazil to the World

By: Boris Groysberg, Priscilla Zogbi and Ruth Costas
Brazilian Michelin-star chef Alex Atala managed four restaurants, a foundation advocating for the environment, and a seminar focused on food and sustainability. His new initiative was opening a hotel. View Details
Keywords: Hospitality Industry; Environment; Sustainability; Management; Innovation; Entrepreneurship; Innovation and Management; Creativity; Leadership Style; Situation or Environment; Food and Beverage Industry; Tourism Industry; Latin America; Brazil
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Groysberg, Boris, Priscilla Zogbi, and Ruth Costas. "Alex Atala: Bringing Brazil to the World." Harvard Business School Case 420-042, September 2019.
  • July 2002 (Revised August 2002)
  • Case

Washington Hospital Center (D): Emergency Medicine After September 11

By: Rosabeth M. Kanter and Michelle Heskett
The all-risks-ready emergency room prototype project becomes widely accepted as a need after September 11, 2001. The already operational medical informatics system, Insight, comes under heavy demand after its strong performance during crises and is noticed by various... View Details
Keywords: Change Management; Health Care and Treatment; Nonprofit Organizations; Medical Specialties; Organizational Culture; Crisis Management; Technological Innovation; Higher Education; Performance Productivity; Health Industry; District of Columbia
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Kanter, Rosabeth M., and Michelle Heskett. "Washington Hospital Center (D): Emergency Medicine After September 11." Harvard Business School Case 303-022, July 2002. (Revised August 2002.)
  • Article

Front-line Staff Perspectives on Opportunities for Improving the Safety and Efficiency of Hospital Work Systems

By: Anita L. Tucker, Sara J. Singer, Jennifer E. Hayes and Alyson Falwell

Objective To link safety-related concerns raised by frontline staff about hospital work systems (operational failures) to the safety and efficiency of hospitals, and to contrast these concerns with national patient safety initiatives.

Data... View Details

Keywords: Perspective; Opportunities; Safety; Performance Efficiency; System; Failure; Conferences; Employees; Management Analysis, Tools, and Techniques; Experience and Expertise; Health Care and Treatment; Health Industry; United States
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Tucker, Anita L., Sara J. Singer, Jennifer E. Hayes, and Alyson Falwell. "Front-line Staff Perspectives on Opportunities for Improving the Safety and Efficiency of Hospital Work Systems." Health Services Research 43, nos. 5, pt.2 (October 2008).
  • May 2021
  • Supplement

Paul Levy: Confronting a 'Corporate Campaign' (B)

By: James K. Sebenius and Isaac Silberberg
Paul Levy, CEO of the Beth Israel Deaconess Medical Center hospital is faced with a formidable negotiation campaign to unionize staff at BIDMC. Armed only with his personal blog, does Paul stand a chance against the union's multi-million dollar organizing budget? View Details
Keywords: Healthcare; Healthcare Industry; Hospital Management; Unions; Negotiation Campaign; Blog; Health Care and Treatment; Labor; Labor Unions; Labor and Management Relations; Negotiation; Strategy; Social Media; Health Industry; Massachusetts; United States
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Sebenius, James K., and Isaac Silberberg. "Paul Levy: Confronting a 'Corporate Campaign' (B)." Harvard Business School Supplement 921-011, May 2021.
  • 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
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Quelch, John A., and Margaret L. Rodriguez. "Carolinas HealthCare System: Consumer Analytics." Harvard Business School Case 515-060, April 2015.
  • September 2009
  • Case

The Risk Management Foundation of the Harvard Medical Institutions, Inc.

By: Richard M.J. Bohmer, Stephen P. Bradley and Natalie Kindred
Through its uniquely proactive approach to medical malpractice risk management, the Risk Management Foundation (RMF) has decreased claims—and premiums—for the Harvard hospitals it insures. The RMF is the captive medico-legal insurer of the Harvard medical institutions... View Details
Keywords: Cost Management; Insurance; Health Care and Treatment; Risk Management; Performance Improvement; Safety; Health Industry; Insurance Industry; Boston
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Bohmer, Richard M.J., Stephen P. Bradley, and Natalie Kindred. "The Risk Management Foundation of the Harvard Medical Institutions, Inc." Harvard Business School Case 610-014, September 2009.
  • 13 Jun 2005
  • Research & Ideas

From Turf Wars to Learning Curves: How Hospitals Adopt New Technology

Harvard Business School professors are more likely to be found in the pages of the Academy of Management Review than the New England Journal of Medicine, but recently Gary Pisano and Robert Huckman used the latter to discuss their... View Details
Keywords: by Sara Grant; Health
  • February 2012
  • Article

Management Practices across Firms and Countries

By: Nicholas Bloom, Christos Genakos, Raffaella Sadun and John Van Reenen
For the last decade we have been using double-blind survey techniques and randomized sampling to construct management data on over 10,000 organizations across 20 countries. On average, we find that in manufacturing American, Japanese, and German firms are the best... View Details
Keywords: Management Practices and Processes; Competency and Skills; Governing Rules, Regulations, and Reforms; Organizations; Developing Countries and Economies; Economic Sectors; Performance; Business and Shareholder Relations; Private Equity; Multinational Firms and Management; United States; Germany; Japan; China; India
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Bloom, Nicholas, Christos Genakos, Raffaella Sadun, and John Van Reenen. "Management Practices across Firms and Countries." Academy of Management Perspectives 26, no. 1 (February 2012): 12–33.
  • 2011
  • Working Paper

Management Practices Across Firms and Countries

By: Nicholas Bloom, Christos Genakos, Raffaella Sadun and John Van Reenen
For the last decade we have been using double-blind survey techniques and randomized sampling to construct management data on over 10,000 organizations across 20 countries. On average, we find that in manufacturing, American, Japanese, and German firms are the best... View Details
Keywords: Management Practices and Processes; Business Ventures; Public Sector; Private Sector; Country; Performance; Motivation and Incentives
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Bloom, Nicholas, Christos Genakos, Raffaella Sadun, and John Van Reenen. "Management Practices Across Firms and Countries." Harvard Business School Working Paper, No. 12-052, December 2011.
  • June 2012
  • Case

Aman Resorts (Abridged)

By: Eugene Soltes and Aldo Sesia
This case describes the operating model and philosophy of this high-end set of global properties. Aman relies on employees taking considerable initiative to deliver the highest quality personalized service in the hospitality industry. The case also highlights Aman's... View Details
Keywords: Global Business; Management Skills; Performance Appraisals; Customer Service; Incentives; Hospitality; Globalized Firms and Management; Business Model; Employees; Service Delivery; Customer Focus and Relationships; Business Strategy; Accommodations Industry
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Soltes, Eugene, and Aldo Sesia. "Aman Resorts (Abridged)." Harvard Business School Case 112-100, June 2012.
  • Article

Améliorer la coordination des soins: Enjeux et stratégies États-Unis/France [Improving Care Coordination: Challenges and Strategies in the U.S. and in France]

By: Maryaline Catillon
Keywords: Health Policy; Hospital Management; Care Coordination; Health; Health Care and Treatment; Health Industry
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Catillon, Maryaline. "Améliorer la coordination des soins: Enjeux et stratégies États-Unis/France [Improving Care Coordination: Challenges and Strategies in the U.S. and in France]." Gestions hospitalières 540 (November 2014).
  • 06 Apr 2021
  • Working Paper Summaries

The World Management Survey at 18: Lessons and the Way Forward

Keywords: by Daniela Scur, Raffaella Sadun, John Van Reenen, Renata Lemos, and Nicholas Bloom
  • November 1, 2022
  • Article

To Prepare for Future Surges, U.S. Hospitals Must Start Planning—& Sharing Resources—Now!

By: Regina E. Herzlinger
Keywords: COVID-19; Crisis Management; Health Pandemics; Disruption; Planning; Health Industry; United States
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Herzlinger, Regina E. "To Prepare for Future Surges, U.S. Hospitals Must Start Planning—& Sharing Resources—Now!" Medical Device News Magazine (November 1, 2022).
  • March 1994 (Revised December 2014)
  • Case

Humana, Inc.: Managing in a Changing Industry

By: Stuart Gilson
Intensifying competition and change in the U.S. health care industry force a large integrated health-care provider to reassess its strategy of operating both hospitals and health insurance plans (HMOs). In an attempt to increase its stock price and operating... View Details
Keywords: Business Strategy; Restructuring; Change Management; Financial Management; Health Industry
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Gilson, Stuart. "Humana, Inc.: Managing in a Changing Industry." Harvard Business School Case 294-062, March 1994. (Revised December 2014.)
  • January 2018 (Revised April 2021)
  • Case

Capital Allocation at HCA

By: W. Carl Kester and Emily R. McComb
In early 2017, HCA Holdings, an investor-owned hospital management company, faced a strategically important capital allocation decision. After the exit of its private equity sponsors in 2016, HCA had to determine how best to allocate its substantial annual free cash... View Details
Keywords: Capital Allocation; Cash Distribution Policy; Dividends; Share Repurchases; Growth Strategy And Execution; Growth Investing; Capital Expenditures; Debt Management; Debt Reduction; Debt Policy; Hospital Management; Investor-owned Hospital Chains; Capital Budgeting; Capital Structure; Cash Flow; Corporate Finance; Decision Choices and Conditions; Health Industry; United States
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Kester, W. Carl, and Emily R. McComb. "Capital Allocation at HCA." Harvard Business School Case 218-039, January 2018. (Revised April 2021.)
  • August 2017
  • Article

Relationship Between Labor and Delivery Unit Management Practices and Maternal Outcomes

By: Avery C. Plough, Grace Galwin, Zhonghe Li, Stuart R. Lipsitz, Shehnaz Alidina, Natalie J. Henrich, Lisa R. Hirschhorn, William R. Berry, Atul A. Gawande, Doris Peter, Rory McDonald, Donna L. Caldwell, Janet H. Muri, Debra Bingham, Aaron B. Caughey, Eugene R. Declercq and Neel T. Shah
OBJECTIVE: To define, measure, and characterize key competencies of managing labor and delivery units in the United States and assess the associations between unit management and maternal outcomes. METHODS: We developed and administered a management measurement... View Details
Keywords: Health Care and Treatment; Management Practices and Processes; Performance Evaluation; Outcome or Result; United States
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Plough, Avery C., Grace Galwin, Zhonghe Li, Stuart R. Lipsitz, Shehnaz Alidina, Natalie J. Henrich, Lisa R. Hirschhorn, William R. Berry, Atul A. Gawande, Doris Peter, Rory McDonald, Donna L. Caldwell, Janet H. Muri, Debra Bingham, Aaron B. Caughey, Eugene R. Declercq, and Neel T. Shah. "Relationship Between Labor and Delivery Unit Management Practices and Maternal Outcomes." Obstetrics & Gynecology 130, no. 2 (August 2017): 358–365.
  • January 2013
  • Supplement

The Great East Japan Earthquake (C): Ishinomaki Kouwan Hospital's Response

By: Hirotaka Takeuchi, Yukiko Sakai, Rebecca Agonafir, Peter Cholewinski, Allison Kean and Emily Kloeblen
On the evening of March 11, 2011, Mayama Fumihiro, the Managing Director of Ishinomaki Kouwan Hospital knew that it would be a long, cold night. The 103 staff members and 162 patients and families were huddled on the top two floors of the four-story hospital, where... View Details
Keywords: East Japan; Earthquake; Ishinomaki Kouwan Hospital; Natural Disasters; Crisis Management; Health Care and Treatment; Health Industry; Japan
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Takeuchi, Hirotaka, Yukiko Sakai, Rebecca Agonafir, Peter Cholewinski, Allison Kean, and Emily Kloeblen. "The Great East Japan Earthquake (C): Ishinomaki Kouwan Hospital's Response." Harvard Business School Supplement 713-440, January 2013.
  • November 2016 (Revised April 2017)
  • Case

Hygeia Group: Delivering Quality Care in Nigeria

By: Robert F. Higgins and Ifedayo O. Kuye
Fola Laoye is the Group Managing Director of Hygeia Group, a Nigerian healthcare insurer and provider, and she is deciding on the optimal strategy to grow the provider arm of her business. Hygeia Group was founded in the 1980s by her physician parents, and although... View Details
Keywords: Healthcare; Healthcare Industry; Hospitals; Nigeria; Health Care and Treatment; Growth and Development Strategy; Health Industry; Nigeria
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Higgins, Robert F., and Ifedayo O. Kuye. "Hygeia Group: Delivering Quality Care in Nigeria." Harvard Business School Case 817-088, November 2016. (Revised April 2017.)
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