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      • Faculty Publications  (230)

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      • September 2012 (Revised May 2015)
      • Case

      Philips-Visicu

      By: Regina E. Herzlinger, Natalie Kindred and Sara M. McKinley
      Would the advent of global payment models and ACOs create sufficient demand for a telemedicine offering covering the care continuum, from hospitals to the home? This was the decision facing Royal Philips Electronics (Philips), the Netherlands-based producer of... View Details
      Keywords: Health Care; Philips; Visicu; Telemedicine; eICU; Accountable Care Organization; ACO; Bundled Payment; Hospital To Home; Patient Monitoring Devices; Home Health Care; Health Care and Treatment; Communication Technology; Quality; Safety; Performance Productivity; Performance Capacity; Performance Efficiency; Consumer Behavior; Emerging Markets; Health Industry; Telecommunications Industry; Netherlands
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      Herzlinger, Regina E., Natalie Kindred, and Sara M. McKinley. "Philips-Visicu." Harvard Business School Case 313-015, September 2012. (Revised May 2015.) (As companion reading for this case, see Regina E. Herzlinger and Charles Huang, "Note on Bundled Payment in Health Care," HBS No. 312-032 (Boston: Harvard Business Publishing, 2012).)
      • August 2012 (Revised August 2014)
      • Case

      Cancer Treatment Centers of America® (A)

      By: Regina E. Herzlinger and Natalie Kindred
      Cancer Treatment Centers of America (CTCA), a U.S. network of four privately owned oncology focused factory hospitals, was weighing options for growth. CTCA was entirely cancer focused and specialized in treating patients with complex and advanced-stage cancers, who... View Details
      Keywords: Cancer; Cancer Treatment; Health Care; Healthcare; Accountability; Outcomes; Outcomes Measurement; Outcomes Reporting; Hub And Spoke Cancer Care; Hub And Spoke; Hub-and-spoke; Focused Factory; Mission and Purpose; Private Ownership; For-Profit Firms; Health Disorders; Medical Specialties; Policy; Business Model; Expansion; Decision Choices and Conditions; Advertising; Health Care and Treatment; Innovation and Invention; Health Industry; United States
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      Herzlinger, Regina E., and Natalie Kindred. "Cancer Treatment Centers of America® (A)." Harvard Business School Case 313-012, August 2012. (Revised August 2014.)
      • June 2012 (Revised January 2013)
      • Case

      Great Western Hospital: High-risk Pregnancy Care

      By: Michael E. Porter, Emma Stanton and Samuel Takvorian
      Great Western Hospital (GWH) is a community hospital in Wiltshire, South West England and one of England's largest maternity providers; responsible for delivering over 9,000 babies per year. The case discusses the efforts of Dr. Harini Narayan, consultant obstetrician... View Details
      Keywords: Health Care; Health Care and Treatment; Medical Specialties; Service Delivery; Risk Management
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      Porter, Michael E., Emma Stanton, and Samuel Takvorian. "Great Western Hospital: High-risk Pregnancy Care ." Harvard Business School Case 712-495, June 2012. (Revised January 2013.)
      • June 2012
      • Case

      Reconfiguring Stroke Care in North Central London

      By: Michael E. Porter, James Mountford, Kamalini Ramdas and Samuel Takvorian
      In 2006, surgeon Ara Darzi identified several key areas, including acute stroke care, for improving health care across London. In response to his seminal call to action, stroke care was reorganized around eight hyper-acute stroke units covering London's five sectors,... View Details
      Keywords: Health Care; Health Care and Treatment; Performance Improvement; Performance Efficiency; Integration; Health Industry; London
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      Porter, Michael E., James Mountford, Kamalini Ramdas, and Samuel Takvorian. "Reconfiguring Stroke Care in North Central London ." Harvard Business School Case 712-496, June 2012.
      • April 2012
      • Article

      Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry

      By: Jonathan R. Clark and Robert S. Huckman
      The long-standing argument that focused operations outperform others stands in contrast to claims about the benefits of broader operational scope. The performance benefits of focus are typically attributed to reduced complexity, lower uncertainty, and the development... View Details
      Keywords: Performance Capacity; Operations; Advertising; Production; Corporate Strategy; Relationships; Medical Specialties; Complexity; Risk and Uncertainty; Experience and Expertise; Diversification; Quality; Health Industry
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      Clark, Jonathan R., and Robert S. Huckman. "Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry." Management Science 58, no. 4 (April 2012): 708–722.
      • March 2012 (Revised January 2013)
      • Case

      Boston Children's Hospital: Measuring Patient Costs

      By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman
      The case describes two pilot projects on applying activity-based costing to measuring the cost of treating patients. It presents process maps and financial data relating to the processes used during (1) an office visit to a plastic surgeon for three different diagnoses... View Details
      Keywords: Health Care; Time-Driven Activity-Based Costing; Costing; Hospitals; Activity Based Costing and Management; Mathematical Methods; Health Industry
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      Kaplan, Robert S., Mary L. Witkowski, and Jessica A. Hohman. "Boston Children's Hospital: Measuring Patient Costs." Harvard Business School Case 112-086, March 2012. (Revised January 2013.)
      • March 2012 (Revised April 2013)
      • Case

      Schön Klinik: Eating Disorder Care

      By: Michael E. Porter, Emma Stanton, Jessica A. Hohman and Caleb Stowell
      The Schön Klinik is a private, for-profit German hospital group trying to establish itself as a premium health care provider in a competitive German market. The case details Schön Klinik's founding, its early focus on measurement and improvement, and the design and... View Details
      Keywords: Health Care Quality; Outcomes; Quality Improvement; Strategy And Performance Measurement; Integration; Measurement and Metrics; Competition; Health Disorders; Health Care and Treatment; Outcome or Result; Performance Evaluation; Business Processes; Health Industry; Germany
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      Porter, Michael E., Emma Stanton, Jessica A. Hohman, and Caleb Stowell. "Schön Klinik: Eating Disorder Care." Harvard Business School Case 712-475, March 2012. (Revised April 2013.)
      • March 2012 (Revised December 2014)
      • Case

      Schön Klinik: Measuring Cost and Value

      By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman
      The case illustrates how a leading German hospital group has invested deeply in the measurement of patient-level outcomes and costs, the foundations of a health care value framework. The company launches a pilot project to use time-driven activity-based costing (TDABC)... View Details
      Keywords: Health Care; Costing; Activity-Based Costing; Hospitals; Activity Based Costing and Management; Value; Health Care and Treatment; Outcome or Result; Health Industry; Germany
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      Kaplan, Robert S., Mary L. Witkowski, and Jessica A. Hohman. "Schön Klinik: Measuring Cost and Value." Harvard Business School Case 112-085, March 2012. (Revised December 2014.)
      • 2014
      • Working Paper

      Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups

      By: Melissa A. Valentine and Amy C. Edmondson
      This paper shows how meso-level structures support effective coordination in temporary groups. Prior research on coordination in temporary groups describes how roles encode individual responsibilities so that coordination between relative strangers is possible. We... View Details
      Keywords: Fluid Personnel; Team Scaffolds; Team Effectiveness; Role-based Coordination; Multi-method; Health Care and Treatment; Analytics and Data Science; Knowledge Use and Leverage; Organizational Structure; Outcome or Result; Performance Effectiveness; Groups and Teams; Networks; Behavior; Balance and Stability; Health Industry
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      Valentine, Melissa A., and Amy C. Edmondson. "Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups." Harvard Business School Working Paper, No. 12-062, January 2012. (Revised June 2014.)
      • December 2011 (Revised December 2011)
      • Case

      Cancer Treatment Centers of America: Scaling the Mother Standard of Care

      By: Rosabeth Moss Kanter and Matthew Bird
      The CEO of a private and growing national network of specialty care hospitals focusing on advanced-stage and complex cancer treatments reflected on the firm's past phase of growth before meeting with the company's Chairman and founder to discuss how to further scale... View Details
      Keywords: Health Care and Treatment; Business Growth and Maturation; Medical Specialties; Service Delivery; Innovation and Invention; Health Industry
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      Kanter, Rosabeth Moss, and Matthew Bird. "Cancer Treatment Centers of America: Scaling the Mother Standard of Care." Harvard Business School Case 312-073, December 2011. (Revised December 2011.)
      • November 2011 (Revised December 2013)
      • Case

      Accretive Health

      By: William A. Sahlman and Evan Richardson
      Mary Tolan, CEO Accretive Health, examines whether to expand the company's operations in hospital revenue cycle management into the field of Total Cost of Care management. View Details
      Keywords: Cost vs Benefits; Expansion; Service Operations; Health Industry
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      Sahlman, William A., and Evan Richardson. "Accretive Health." Harvard Business School Case 812-061, November 2011. (Revised December 2013.)
      • September 2011
      • Supplement

      Expansion at Narayana Hrudayalaya

      By: Tarun Khanna and Tanya Bijlani
      Narayana Hrudayalaya has expanded into a multi-specialty health city in Bangalore, with a 25-acre campus that offers complex tertiary care procedures ranging from orthopedics to cancer care. In 2008, NH raised private equity from JP Morgan and Pinebridge Investments to... View Details
      Keywords: Investment; Price; Health Care and Treatment; Emerging Markets; Social Enterprise; Expansion; Health Industry; Bangalore; Cayman Islands; Miami
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      Khanna, Tarun, and Tanya Bijlani. "Expansion at Narayana Hrudayalaya." Harvard Business School Video Supplement 712-801, September 2011.
      • September 2011
      • Supplement

      Narayana Hrudayalaya Heart Hospital

      By: Tarun Khanna and Tanya Bijlani
      Narayana Hrudayalaya (NH) is one of the world's busiest heart hospitals, where surgeons perform 30-35 complex cardiac surgeries daily. With an average cost of $1,800 per surgery, the hospital treats patients at affordable prices, and does not turn away even the poorest... View Details
      Keywords: Buildings and Facilities; Experience and Expertise; Cost Management; Insurance; Health Care and Treatment; Resource Allocation; Time Management; Emerging Markets; Infrastructure; Cooperative Ownership; Quality; Social Enterprise; Health Industry; Karnataka
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      Khanna, Tarun, and Tanya Bijlani. "Narayana Hrudayalaya Heart Hospital." Harvard Business School Multimedia/Video Supplement 712-802, September 2011.
      • 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.)
      • August 2011 (Revised May 2012)
      • Supplement

      Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (B)

      By: Tarun Khanna and Tanya Bijlani
      Narayana Hrudayalaya (NH) has expanded into a multi-specialty health city in Bangalore and has grown to twelve locations across India. The hospital plans to build 300-bed secondary-care hospitals in smaller cities across India, with a goal to operate 30,000 beds in... View Details
      Keywords: Emerging Markets; Growth and Development Strategy; Goals and Objectives; Social Enterprise; Health Care and Treatment; Poverty; Welfare; Health Industry; Bangalore; Cayman Islands; Africa
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      Khanna, Tarun, and Tanya Bijlani. "Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (B)." Harvard Business School Supplement 712-402, August 2011. (Revised May 2012.)
      • January 2011 (Revised January 2012)
      • Supplement

      The Case of the Unidentified Healthcare Companies2010 (CW)

      By: Richard M.J. Bohmer, Ethan S Bernstein, Margarita Krivitski and Srinidhi Reddy
      This case presents financial statements and selected rations for 14 unidentified healthcare organizations and asks that each set of financial information be matched with one of the following healthcare companies: a biotechnology firm, a community nursing company, a... View Details
      Keywords: Financial Statements; Financial Management; Health Care and Treatment; Biotechnology Industry; Health Industry
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      Bohmer, Richard M.J., Ethan S. Bernstein, Margarita Krivitski, and Srinidhi Reddy. "The Case of the Unidentified Healthcare Companies2010 (CW)." Harvard Business School Spreadsheet Supplement 611-701, January 2011. (Revised January 2012.)
      • January 2011 (Revised January 2012)
      • Case

      The Case of the Unidentified Healthcare Companies2010

      By: Richard Bohmer, Ethan Bernstein, Margarita Krivitski and Srinidhi Reddy
      This case presents financial statements and selected ratios for 14 unidentified healthcare organizations and asks that each set of financial information be matched with one of the following healthcare companies: a biotechnology firm, a community nursing company, a... View Details
      Keywords: Financial Reporting; Financial Statements; Health Care and Treatment; Health Industry
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      Bohmer, Richard, Ethan Bernstein, Margarita Krivitski, and Srinidhi Reddy. "The Case of the Unidentified Healthcare Companies2010." Harvard Business School Case 611-043, January 2011. (Revised January 2012.)
      • 2011
      • Working Paper

      Individual Rationality and Participation in Large Scale, Multi-Hospital Kidney Exchange

      By: Itai Ashlagi and Alvin E. Roth
      As multi-hospital kidney exchange clearinghouses have grown, the set of players has grown from patients and surgeons to include hospitals. Hospitals have the option of enrolling only their hard-to-match patient-donor pairs, while conducting easily arranged exchanges... View Details
      Keywords: Health Care and Treatment; Resource Allocation; Market Participation; Marketplace Matching; Organizations; Networks; Motivation and Incentives; Health Industry
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      Ashlagi, Itai, and Alvin E. Roth. "Individual Rationality and Participation in Large Scale, Multi-Hospital Kidney Exchange." NBER Working Paper Series, No. 16720, January 2011.
      • 2012
      • Working Paper

      Learning from Customers: Individual and Organizational Effects in Outsourced Radiological Services

      By: Jonathan R. Clark, Robert S. Huckman and Bradley R. Staats
      The ongoing fragmentation of work has resulted in a narrowing of tasks into smaller pieces that can be sent outside the organization and, in many instances, around the world. This trend is shifting the boundaries of organizations and leading to increased outsourcing.... View Details
      Keywords: Experience and Expertise; Learning; Health Care and Treatment; Job Cuts and Outsourcing; Knowledge Acquisition; Volume; Performance Productivity; Health Industry
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      Clark, Jonathan R., Robert S. Huckman, and Bradley R. Staats. "Learning from Customers: Individual and Organizational Effects in Outsourced Radiological Services." Harvard Business School Working Paper, No. 11-057, December 2010. (Revised September 2011, January 2013. NBER Working Paper Series, No. w18723, January 2013)
      • 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.)
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