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  • September 2009
  • Article

A Detailed Analysis of the Reduction Mammaplasty Learning Curve: A Statistical Process Model for Approaching Surgical Performance Improvement

By: Matthew Carty MD, Rodney Chan, Robert S. Huckman, Daniel C. Snow and Dennis Orgill

Background: The increased focus on quality and efficiency improvement within academic surgery has met with variable success among plastic surgeons. Traditional surgical performance metrics, such as morbidity and mortality, are insufficient to improve the... View Details

Keywords: Experience and Expertise; Health Care and Treatment; Medical Specialties; Outcome or Result; Performance Efficiency; Performance Improvement
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  • October 2022
  • Article

A Structural Model of Organizational Buying for Business-to-Business Markets: Innovation Adoption with Share-of-Wallet Contracts

By: Navid Mojir and K. Sudhir
The paper develops the first structural model of organizational buying to study innovation diffusion in a B2B market. Our model is particularly applicable for routinized exchange relationships, whereby centralized buyers periodically evaluate and choose contracts,... View Details
Keywords: Organizational Buying Behavior; Healthcare Marketing; B2B Markets; B2B Innovation; New Product Diffusion; New Product Adoption; Organizations; Acquisition; Behavior; Health Care and Treatment; Marketing; Innovation and Invention
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  • 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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  • 09 Feb 2024
  • HBS Case

Slim Chance: Drugs Will Reshape the Weight Loss Industry, But Habit Change Might Be Elusive

Watchers, Jenny Craig, the Atkins Diet, and Noom. “The weight loss industry was not a terribly significant part of the health care system until we got two technological innovations: Bariatric surgery to the gastrointestinal system became... View Details
Keywords: by Lane Lambert; Health; Pharmaceutical
  • August 2003 (Revised August 2024)
  • Case

Fighting the Battle of the Bulge—Evaluating Do Good/Do Well Innovations in Morbid Obesity Treatment

By: Regina E. Herzlinger and John McDonough
Many health care innovations appear successful; but fail. This is the first case in the Innovating Health Care course that investigates how to create successful health care innovations. It is part of the first module in the course. This module focuses on how to... View Details
Keywords: Three Pillars; Industry Analysis; Health Care and Treatment; Innovation and Invention; Innovation and Management; Medical Specialties; Health Industry
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  • December 5, 2024
  • Article

A Consensus Definition of Creativity in Surgery: A Delphi Study Protocol

By: Alex Thabane, Tyler McKechnie, Phillip Staibano, Vikram Arora, Goran Calic, Jason W. Busse, Sameer Parpia and Mohit Bhandari
Introduction
Clear definitions are essential in science, particularly in the study of abstract phenomena like creativity. Due to its inherent complexity and domain-specific nature, the study of creativity has been complicated, as evidenced by the various... View Details
Keywords: Creativity; Health Care and Treatment; Outcome or Result; Measurement and Metrics
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  • April 2021
  • Article

Utilizing Time-driven Activity-based Costing to Determine Open Radical Cystectomy and Ileal Conduit Surgical Episode Cost Drivers

By: Janet Baack Kukreja, Mohamed A. Seif, Marissa W. Merry, James R. Incalcaterra, Ashish M. Kamat, Colin P. Dinney, Jay B. Shah, Thomas W. Feeley and Neema Navai
Objectives
Patients undergoing radical cystectomy represent a particularly resource-intensive patient population. Time-driven activity based costing (TDABC) assigns time to events and then costs are based on the people involved in providing care for specific... View Details
Keywords: Time-Driven Activity-Based Costing; Value-based Healthcare; Health Care and Treatment; Cost; Cost vs Benefits; Analysis
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  • 21 Aug 2000
  • Research & Ideas

Inside the OR: Disrupted Routines and New Technologies

Why did a group of Harvard Business School professors become interested in an innovative new heart surgery technique? It turns out that a hospital's operating room provides an excellent controlled arena from which to explore the role that... View Details
Keywords: by Hilah Geer
  • 29 Mar 2022
  • Book

5 Qualities That Help Companies Thrive for Decades—Even Centuries

Shetty, a cardiac surgeon and founder of Narayana Health, built a financially viable enterprise at scale by pioneering low-cost heart surgery for tens of thousands of low-income patients. Shetty was motivated by the widespread... View Details
Keywords: by Sean Silverthorne
  • 30 Jul 2018
  • Research & Ideas

Why Ethical People Become Unethical Negotiators

believe that surgery is the proper course of action, but her perception is biased: She has an incentive and makes money off the decision to operate. Another surgeon might just as easily come to the conclusion that if it’s not bothering... View Details
Keywords: by Dina Gerdeman
  • 06 Jan 2020
  • Research & Ideas

Motivate Your High Performers to Share Their Knowledge

Sometimes a little push like that is all employees need to get out of a rut. About the Author Michael Blanding is a writer based in Boston. [Image: Mark Kostich] Related Reading Ignore This Advice at Your Own Peril Knowledge Transfer: You Can't Learn View Details
Keywords: by Michael Blanding
  • 10 Aug 2015
  • Research & Ideas

New Medical Devices Get To Patients Too Slowly

tubes to treat patients with emphysema and other lung ailments; many prosthetic limbs, joints, and digits; intraocular implants to correct seeing impairments; and breast implants for reconstructive surgery for patients after undergoing... View Details
Keywords: by Michael Blanding; Health; Technology
  • 17 Dec 2007
  • Research & Ideas

The Rise of Medical Tourism

What used to be rare is now commonplace: traveling abroad to receive medical treatment, and to a developing country at that. So-called medical tourism is on the rise for everything from cardiac care to plastic surgery to hip and knee... View Details
Keywords: by Martha Lagace; Health; Medical Devices & Supplies
  • 08 Jun 2021
  • Research & Ideas

Tell Me What to Do: When Bad News Is a Big Relief

Imagine you are experiencing pain in your shoulder, and your doctor says you have torn a tendon. If the tear is big, she says, you will need surgery, whereas, if it’s slightly smaller, surgery is optional. Which size tear would you... View Details
Keywords: by Michael Blanding
  • 01 Mar 2017
  • Research & Ideas

A Good Thing Happens When Doctors Start Talking to Their Patients

prevent high-cost incidents that could occur later,” says Kaplan. Incentives are misplaced In one study, for example, Kaplan and Haas looked at the cost of joint-replacement surgery at 30 large orthopedic hospitals across the United... View Details
Keywords: by Michael Blanding; Health
  • 19 Jan 2016
  • First Look

January 19, 2016

Black’s original conjectures, and the author highlights refinements and additions to the original list. Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=50338 November 2015 Journal of Thoracic and Cardiovascular Surgery... View Details
Keywords: Sean Silverthorne
  • 16 Aug 2016
  • First Look

August 16, 2016

Among those who pursued residency training, the most common specialties were internal medicine (39.3%), emergency medicine (10.4%), orthopedic surgery (9.2%), and general surgery (8.6%). Physician-MBAs... View Details
Keywords: Sean Silverthorne
  • 04 Jun 2007
  • Research & Ideas

Is Health Care Making You Better—or Dead?

for this to happen. Q: There's an interesting phenomenon going on, and that's basically outsourcing fairly complex surgeries to India for much cheaper prices. Does this actually pose a threat to the institutionalized health care system at... View Details
Keywords: by Sean Silverthorne; Health
  • 15 Sep 2008
  • Research & Ideas

The Coming Transformation of Social Enterprise

only one thing, eye surgery or heart surgery or orthopedic surgery and so on. But to think that an environmental organization could sustain itself by selling mugs and T-shirts... View Details
Keywords: by Roger Thompson
  • 07 Mar 2000
  • Research & Ideas

Putting Health Care Consumers in the Driver’s Seat

against heart disease—such as exercise and diet programs—in the same way that angioplasties and bypass surgeries are funded. Despite compelling statistics that show preventive measures are far more effective and would cost much less than... View Details
Keywords: by Staff; Health

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