Publications

Educators

Article

The IT Transformation Health Care Needs

By: Nikhil R. Sahni, Robert S. Huckman, Anuraag Chigurupati and David M. Cutler

In recent years, health care organizations have made sizable investments in information technology. They’ve used their IT systems to replace paper records with electronic ones and to improve billing processes, thereby boosting revenue. But so far, IT has been of little... View Details

Keywords: Health Care and Treatment; Information Technology; Performance Improvement; Business Model

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20 Jul 2020
News

Measure Costs Correctly for Better Patient Outcomes

01 Apr 2015
News

The Slow, Steady Battle to Fix Cancer Care

Web

Increasing Value in Care Delivery - Health Care

Impact Increasing Value in Care Delivery Why an MD/MBA from HBS and HMS? Tobi Ogbechie Health Minute: Measure Costs Correctly for Better Patient Outcomes Health Minute: The Impact of Gender on Clinical... View Details

2020
Working Paper

Hospital Allocation and Racial Disparities in Health Care

By: Amitabh Chandra, Pragya Kakani and Adam Sacarny

We develop a simple framework to measure the role of hospital allocation in racial disparities in health care and use it to study Black and white Medicare patients who are treated for heart attacks—a condition where virtually everyone receives care, hospital care is... View Details

Keywords: Health Care and Treatment; Equality and Inequality; Race; Analysis

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15 Jul 2013
Research & Ideas

Five Imperatives for Improving Health Care

oft-fragmented nature of the American health care system makes it hard to turn patients into active consumers. “A lot of hospitals have been running the same way for the last 30 years” At the conference,... View Details

Keywords: by Carmen Nobel; Health

January 1998 (Revised March 2000)
Case

Reading Rehabilitation Hospital: Implementing Patient-Focused Care

Reading Rehab Hospital has experimented with a popular new concept in health care--patient-focused care--intended to increase quality and reduce costs by organizing care delivery around particular diagnoses or "service lines," rather than around the functions or... View Details

Keywords: Demand and Consumers; Production; Service Operations; Health Care and Treatment; Health Industry

Educators

15 Mar 2016
News

Health Care Delivery Innovations That Integrate Care? Yes!

Article

Navy Medicine Introduces Value-Based Health Care

By: Alee Hernandez, Robert S. Kaplan, Mary L. Witkowski, C. Forrest Faison III and Michael E. Porter

In 2016 the newly appointed surgeon general of the Navy launched a value-based health care pilot project at Naval Hospital Jacksonville to explore whether multidisciplinary care teams (known as integrated practice units, or IPUs) and measurement of outcomes could... View Details

Keywords: Military Health System; Health Care and Treatment; Cost Management; Projects

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22 May 2014
News

New Highmark CEO Pushes to Put Patients First

Keywords: Ambulatory Health Care Services; Ambulatory Health Care Services

September 2011
Article

How to Solve the Cost Crisis in Health Care

By: Robert S. Kaplan and Michael E. Porter

Existing health care costing systems have serious flaws that make it impossible to measure costs accurately at the individual patient and medical condition level. This gap has severely limited meaningful cost reduction throughout the system. The paper describes a new... View Details

Keywords: Cost; Health Care and Treatment; Measurement and Metrics; Service Delivery; Outcome or Result; Quality; Health Industry

Other Article

My Favorite Slide: The Entrepreneurial Gap Applied to Health Care

By: Robert S. Kaplan and Robert Simons

Value-based health care increases physicians’ accountability for patient outcomes. Many have resisted, claiming that patient outcomes are influenced by many forces outside their control, such as patient’s compliance with post-acute and rehab care. The difference... View Details

Keywords: Health Care and Treatment; Outcome or Result; Motivation and Incentives

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July–August 2016
Article

How to Pay for Health Care

By: Michael E. Porter and Robert S. Kaplan

The United States stands at a crossroads in how to pay for health care. Fee for service, the dominant model in the United States and many other countries, is now widely recognized as perhaps the biggest obstacle to improving health care delivery. A battle is currently... View Details

Keywords: Health Care and Treatment; Finance; Health Industry; United States

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02 Aug 2004
Research & Ideas

Health Care Research and Prospects

clinical technologies, are good for the patient take off. But this shows, from an organizational side, that these are complex organizations that have their own biases. Rob's been doing more work looking at the issue of focus in health... View Details

Keywords: by Wendy Guild Swearingen; Health

June 2008 (Revised November 2010)
Supplement

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

By: Anita L. Tucker and Jillian Alexandra Berry

The B Case is an email from the ED Director. He clarifies where the process deviations occurred. View Details

Keywords: Change Management; Health Care and Treatment; Service Operations; Business Processes; Performance Productivity; Conflict and Resolution; Health Industry; Massachusetts

15 Nov 2004
Research & Ideas

Solving the Health Care Conundrum

seek the best health care value regardless of location. (Some consumers will continue to choose local care because of greater convenience even if the quality is not as good.) Value-based competition will be... View Details

Keywords: by Michael E. Porter; Health

Article

Time-Driven Activity-Based Costing in Breast Cancer Care Delivery

By: Navraj S. Nagra, Elena Tsangaris, Jessica Means, Michael J. Hassett, Laura S. Dominici, Jennifer R. Bellon, Justin Broyles, Robert S. Kaplan, Thomas W. Feeley and Andrea L. Pusic

We used time-driven activity-based costing (TDABC) to calculate the complete cost of breast cancer care—initial treatment planning, chemotherapy, radiation therapy, surgical resection and reconstruction, and ancillary services (psychosocial oncology, physical therapy.... View Details

Keywords: Healthcare; Time-Driven Activity-Based Costing; Health Care and Treatment; Cost