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12 Jul 2004
Research & Ideas

Michael Porter’s Prescription For the High Cost of Health Care

right kind of competition working. The health care system can achieve stunning gains in quality and efficiency. And employers, the major purchasers of health care services, could lead the transformation. [ ] Positive-sum Competition In a... View Details

Keywords: by Michael E. Porter; Health

December 1980 (Revised June 2006)
Case

University Health Services: Walk-In Clinic

The walk-in clinic for general outpatient care at a major university experiences complaints about excessive waiting times. The system is changed to provide for initial screening of arriving patients in order to route them to appropriate health care providers. The... View Details

Keywords: Organizational Change and Adaptation; Service Delivery; Health Care and Treatment; Performance Evaluation; Health Industry

April 2024 (Revised July 2024)
Case

Market Dynamics and Moral Dilemmas: Novo Nordisk’s Weight-Loss Drugs

By: Joseph L. Badaracco, Tom Quinn and John Schultz

Danish pharmaceutical company Novo Nordisk was owned by a charitable foundation, and since its founding in the 1920s had focused on producing insulin to treat diabetes. In 2017, however, it released Ozempic, a diabetes treatment with the revolutionary side effect of... View Details

2016
Case

Advanced Leadership Pathways: Alberto Mora and the Costs and Consequences of Torture

By: Rosabeth M. Kanter and Benjamin Summers

Alberto Mora's time as General Counsel of the Navy from 2001–2006 greatly influenced his mission to illuminate the policy consequences of torture. Mora's drive to restore the nation's awareness and conscience against torture was gaining traction. Prominent... View Details

Keywords: Leadership Skills; Torture; Costs And Consequences; Humane; Restraint; Human Dignity; Treatment Of Prisoners; Prison; Repression; Opposition; Revolution; Democracy; Communism; International Affairs; Public Service; September 11; War On Terror; Operation Enduring Freedom; Guantanamo; Cuba; Coalition; Working Group; Cruelty; Interrogation; Memorandum; American Law; Authority; Authoritative; Quadrennial Defense Review; National Defense Authorization Act; Public Engagement; Advocacy; Law; Accountability; Center For The Victims Of Torture; Human Rights; Public Policy; Legality; Morality; Legal System; Tactical Military Operations; West Point; NGO; Human Rights First; American Civil Liberties Union; Human Rights Watch; Amnesty International; Constitution Project; Center For Constitutional Rights; Strategic Military Effect; National Security; Weapon; Terrorism; Prisoners Of War; Abu Ghraib; Pentagon; Ethics; Moral Sensibility; Leadership; Rights; Policy; Public Opinion; United States

2021
Working Paper

Capitalism, Slavery, and the Legacy of Cesare Beccaria

By: Sophus A. Reinert

The Milanese Marquis Cesare Beccaria (1738-1794) dedicated his life first to theorizing a more just and equal society grounded in individual rights, anchored in secular political economy rather than in religious dogma, then to realizing this bold vision... View Details

Keywords: Slavery; Racism; Capitalism; History; Society

October 2009
Case

Medisys Corp.: The IntensCare Product Development Team

By: Anne Donnellon and Joshua D. Margolis

Key topics include designing teams, managing teams, managing conflict, group dynamics, project management, product development, interdepartmental relations, and organizational change. MediSys, a U.S.-based medical equipment maker, has been developing IntensCare, a new... View Details

Keywords: Project Management; Interdepartmental Relations; Organizational Change; Leadership; Conflict Management; Interpersonal Communication; Groups and Teams; Product Design; Product Development; Organizational Change and Adaptation; Health Care and Treatment; Power and Influence; Medical Devices and Supplies Industry; United States

January 2010
Case

Ledina Lushko: Navigating Health Care Delivery

By: Sachin H Jain, Michael E. Porter, Fatima Akrouh and Carolyn Daly

Ledina Lushko was diagnosed with Adrenal Cortical Carcinoma in 2008 and sought care at a highly regarded medical institution in the United States. This case lays out her journey through the health care system in detail and all of the effort involved in finding... View Details

Keywords: Health; Health Care and Treatment; Health Disorders; Service Delivery; Health Industry; United States

12 Oct 2011
First Look

First Look: October 12

mainly involves a more rapid reallocation of jobs across establishments within target firms. Download the paper: http://papers.nber.org/papers/w17399 Free to Punish? The American Dream and the Harsh Treatment of Criminals Authors:Rafael... View Details

Keywords: Sean Silverthorne

2018
Working Paper

Show or Tell? Improving Agent Decision Making in a Tanzanian Mobile Money Field Experiment

By: Jason Acimovic, Chris Parker, David F. Drake and Karthik Balasubramanian

When workers make operational decisions, the firm's global knowledge and the workers’ domain-specific knowledge complement each other. Oftentimes workers have the final decision-making power. Two key decisions a firm makes when designing systems to support these... View Details

Keywords: Employees; Decision Making; Training; Performance Improvement; Money; Mobile Technology; Developing Countries and Economies; Financial Services Industry

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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January–February 2013
Article

Fairness, Efficiency and Flexibility in Organ Allocation for Kidney Transplantation

By: Dimitris Bertsimas, Vivek F. Farias and Nikolaos Trichakis

We propose a scalable, data-driven method for designing national policies for the allocation of deceased donor kidneys to patients on a waiting list, in a fair and efficient way. We focus on policies that have the same form as the one currently used in the United... View Details

Keywords: Health Care Policy; Healthcare; Fairness; Resource Allocation; Policy; Health Care and Treatment; Medical Specialties; Health Industry; United States

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October 2003 (Revised February 2010)
Case

The Duke Heart Failure Program

By: Richard M.J. Bohmer and Laura Feldman

Duke University Health System has for the past five years operated a specialized clinic for the management of congestive heart failure, a very common and costly condition in the surrounding community. Nurse practitioners, whose work is guided by highly specified... View Details

Keywords: Health Care and Treatment; Health Disorders; Medical Specialties; Time Management; Service Delivery; Service Operations; Outcome or Result; Health Industry

28 Nov 2011
Research & Ideas

Rethinking the Fairness of Organ Transplants

A proposal out of Harvard and MIT to rethink how kidney transplants are allocated could result in a fairer system giving patients longer lives. The new empirical model, which is intensely data driven, would provide a flexible framework to... View Details

Keywords: by Dennis Fisher; Health

April 2009
Case

Performance Management at Intermountain Healthcare

By: Richard M.J. Bohmer and Alexander Romney

Intermountain Healthcare is a 21-hospital integrated delivery system serving Utah and southern Idaho that is nationally recognized for its highly structured approach to managing the quality of clinical care. This case describes Intermountain's system for improving... View Details

Keywords: Financial Strategy; Health Care and Treatment; Standards; Service Delivery; Outcome or Result; Motivation and Incentives; Health Industry; Idaho; Utah

Article

Do We Spend Too Much on Health Care?

By: Katherine Baicker and Amitabh Chandra

Health system reforms—such as changes in insurance design, patient cost sharing, payment reform, or price regulation—should be judged by whether they move us toward higher-value use of resources, rather than by whether they reduce spending. View Details

Keywords: Health Care and Treatment; Cost; Governing Rules, Regulations, and Reforms; Value Creation

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February 2024 (Revised December 2024)
Case

Best Buy Health: Enabling Care at Home

By: Robert S. Huckman, Rosabeth Moss Kanter, Antonio Moreno, Bradley Staats and Sarah Mehta

This case explores retailer Best Buy’s decision to enter health care. Best Buy Health aims to enable care at home across three prongs: consumer health, active aging, and virtual care. A key pillar of Best Buy Health's strategy is leveraging the Geek Squad—the company's... View Details

Keywords: Business Ventures; Health Care and Treatment; Innovation and Invention; Business Strategy; Market Entry and Exit; Service Delivery; Service Operations; Electronics Industry; Health Industry; Retail Industry; United States; Minnesota

14 Nov 2017
First Look

New Research and Ideas: November 14, 2017

through three examples: the design of medical residency matching programs, a scrip system to allocate food donations to food banks, and the recent "Incentive Auction" that reallocated wireless spectrum from television broadcasters to... View Details

Keywords: Carmen Nobel

September 2002 (Revised April 2006)
Case

Istituto Clinico Humanitas (A)

By: Richard M.J. Bohmer, Gary P. Pisano and Ning Tang

Istituto Clinico Humanitas is a newly built private hospital, south of Milan, Italy, that has attained unusual profitability while treating public system patients. The hospital was built and is managed by Techosp, a subsidiary of Techint, a global engineering and... View Details

Keywords: Health Care and Treatment; Management Analysis, Tools, and Techniques; Management Systems; Infrastructure; Managerial Roles; Integration; Performance; Health Industry; Milan

August 2006 (Revised September 2007)
Supplement

Istituto Clinico Humanitas (C): Pronto Soccorso

By: Richard M.J. Bohmer

Follows on from the cases Istituto Clinico Humanitas (A) and (B). Describes the design and running of the new Humanitas Emergency Department. Istituto Clinico Humanitas has developed a very efficient operating system for dealing with elective (largely surgical)... View Details

Keywords: Health Care and Treatment; Organizational Change and Adaptation; Service Operations; Service Delivery; Customer Focus and Relationships; Health Industry; Italy

2019
Working Paper

‘Organizing’, ‘Innovating’ and ‘Managing’ in Complexity Space

By: Michael C. Moldoveanu

We two-dimensional measure of organizational complexity that distinguishes between the informational and computational dimensions of complexity and aims to function as a maximally context-invariant environment for posing fundamental questions about organizational... View Details

Keywords: Organizational Dynamics; Organizations; Complexity; Adaptation; Innovation and Invention

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