Publications

April 2009 (Revised May 2010)
Case

Partners In Health: HIV Care in Rwanda

By: Michael E. Porter, Scott S. Lee, Joseph Rhatigan and Jim Yong Kim

In 2005, Partners in Health (PIH) was invited by the Rwandan Ministry of Health to assume responsibility for the management of public health care in two rural districts in Eastern Rwanda and create an HIV treatment program at these sites. PIH successfully implemented a... View Details

Keywords: Developing Countries and Economies; Health Care and Treatment; Health Testing and Trials; Medical Specialties; Service Delivery; Nonprofit Organizations; Expansion; Health Industry; Rwanda

Educators

Purchase

March 2017
Article

Variation in the Cost of Care for Primary Total Knee Arthroplasties

By: Derek A. Haas and Robert S. Kaplan

The study examined the cost variation across 29 high-volume U.S. hospitals for delivering a primary total knee arthroplasty without major complicating conditions. Hospital and physician personnel costs were calculated using time-driven activity-based costing.... View Details

Keywords: Cost Management; Performance Productivity; Health Care and Treatment; Health Industry

12 Dec 2022
Research & Ideas

Buy-In from Black Patients Suffers When Drug Trials Don’t Include Them

then could be tested experimentally. Studying doctors and patients The research team devised two experiments, one involving primary care doctors, the other, patients. In the first experiment, the researchers... View Details

Keywords: by Scott Van Voorhis; Pharmaceutical; Health

15 Feb 2000
Research & Ideas

Growing Pains: Prescriptions for U.S. Health Care

Be that as it may, Christensen asserts, market forces will prevail. "If high-quality, more cost-effective patient care is the ultimate goal," Christensen concludes, "medical schools,... View Details

Keywords: by Staff; Health

April 2015
Article

Measuring Teamwork in Health Care Settings: A Review of Survey Instruments

By: Melissa Valentine, Ingrid M. Nembhard and Amy C. Edmondson

Background: Teamwork in health care settings is widely recognized as an important factor in providing high quality patient care. However, the behaviors that comprise effective teamwork, the organizational factors that support teamwork, and the relationship... View Details

Keywords: Teamwork; Psychometric Properties; Survey Instruments:; Measurement and Metrics; Surveys; Groups and Teams; Health Care and Treatment; Health Industry

November 2015
Article

Influence of Experience and the Surgical Learning Curve on Long-term Patient Outcomes in Cardiac Surgery

By: Bryan M. Burt, Andrew W. ElBardissi, Robert S. Huckman, Lawrence H. Cohn, Marisa W. Cevasco, James D. Rawn, Sary F. Aranki and John G. Byrne

OBJECTIVE: We hypothesized that increased post-graduate surgical experience correlates with improved operative efficiency and long-term survival in standard cardiac surgery procedures.

METHODS: Utilizing a prospectively collected retrospective database,... View Details

Keywords: Service Delivery; Value; Health Care and Treatment; Experience and Expertise; Health Industry

14 Aug 2007
Working Paper Summaries

Improving Patient Outcomes: The Effects of Staff Participation and Collaboration in Healthcare Delivery

Keywords: by Ingrid M. Nembhard, Anita L. Tucker, Jeffrey D. Horbar & Joseph H. Carpenter; Health

03 Sep 2020
Op-Ed

Why American Health Care Needs Its Own SEC

care SEC would have many issues to work out. It would have to establish standard definitions for specific quality measurements. Risk-adjusters would need to develop ways to compare providers’ performance at widely varying practices... View Details

Keywords: by Regina E. Herzlinger; Health

October 2023
Article

Clinician Response to Patient Medication Prices Displayed in the Electronic Health Record

By: Anna D Sinaiko, Caroline E Sloan, Mark J Soto, Olivia Zhao, Chen-Tan Lin and Foster R Goss

Keywords: Prescription Drugs; Electronic Health Records; Physicians; Prescription Drug Costs; Health Care and Treatment; Price; Health Industry

Purchase

2024
Working Paper

Does Private Equity Have Any Business Being in the Health Care Business?

By: Nori Gerardo Lietz and Zirui Song

Private Equity (“PE”) has come under increased scrutiny by the press, academics, and policymakers, as well as the public, for its investments in health care delivery. This scrutiny has been exacerbated by recent high profile hospital bankruptcies following PE... View Details

Keywords: Private Equity; Government Administration; Acquisition; Health Industry

SSRN

3 Jun 2023
Talk

Health Care Innovation Opportunities Created by COVID-19 and How to Make Them Happen

By: Regina E. Herzlinger

The crush of patients created by COVID enabled the creation of sites for care outside the traditional hospital, such as retail pharmacies, ambulatory surgery centers, urgent care centers, telemedicine, and wireless sensors. Public policy mirrored these changes by... View Details

Keywords: Policy; Health Pandemics; Health Care and Treatment; Innovation and Invention; Health Industry; Insurance Industry

03 Jul 2012
Research & Ideas

HBS Faculty on Supreme Court Health Care Ruling

hospitals. For example, the law formalized the growing recognition that providers must work together to manage both the cost and quality of care rather than continue to battle with each other for payments based largely on the number of... View Details

Keywords: Re: Multiple Faculty; Health

Article

Integrating: A Managerial Practice that Enables Implementation in Fragmented Health Care Environments

By: Michaela J. Kerrissey, Patricia Satterstrom, Nicholas Leydon, Gordon Schiff and Sara J. Singer

How some organizations improve while others remain stagnant is a key question in health care research. This inductive qualitative study examines primary care clinics implementing improvement efforts in order to identify mechanisms that enable implementation despite... View Details

Keywords: Organization And Management Theory; Quality Improvement; Health Care and Treatment; Performance Improvement; Integration; Cooperation

28 Mar 2023
Research & Ideas

The FDA’s Speedy Drug Approvals Are Safe: A Win-Win for Patients and Pharma Innovation

it through clinical development faster were just as safe as drugs that went through a longer, more costly development process. The study’s findings could have wide-ranging implications for not only drugmakers trying to advance innovation, but View Details

Keywords: by Kasandra Brabaw; Pharmaceutical

Article

Financial Analysis of Pediatric Resident Physician Primary Care Longitudinal Outpatient Experience

By: Robert S. Kaplan, Carole H. Stipelman, Brad Poss, Laura Anne Stetson, Luca Boi, Michael Rogers, Caleb Puzey, Sri Koduri, Vivian S. Lee and Edward B. Clark

Objective
To determine whether residency training represents a net positive or negative cost to academic medical centers, we analyzed the cost of a residency program and clinical productivity of residents and faculty in an outpatient primary care practice with or... View Details

Keywords: Academic Medicine; Cost; Children; Graduate Medical Education

June 2010 (Revised September 2012)
Teaching Note

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

By: Anita L. Tucker

Teaching Note for 608171 and 608172. View Details

Keywords: Business Processes; Change; Employees; Emotions; Health Care and Treatment; Health Industry

Purchase

September 2011
Article

A Cancer Center Puts the New Approach to Work: Pilot

By: Heidi W. Albright and Thomas W. Feeley

The University of Texas MD Anderson Cancer Center is a National Cancer Institute–designated Comprehensive Cancer Center, located in Houston, Texas. Seeing more than 30,000 new patients every year, MD Anderson accounts for approximately 20% of cancer care within the... View Details

Keywords: Health Care; Health Care Quality; Measurement; Costing; Accounting; Health; Quality; Health Industry; North and Central America

27 Feb 2020
Sharpening Your Skills

How Following Best Business Practices Can Improve Health Care

health care landscape through a lens of disruptive innovation. How Electronic Patient Records Can Slow Doctor Productivity Instead of making health care delivery more... View Details

Keywords: by Sean Silverthorne; Health; Medical Devices & Supplies

September 2022
Article

Giving a Buck or Making a Buck? Donations by Pharmaceutical Manufacturers to Independent Patient Assistance Charities

By: Leemore Dafny, Christopher Ody and Teresa Rokos

The federal Anti-Kickback Statute prohibits biopharmaceutical manufacturers from directly covering Medicare enrollees’ out-of-pocket spending for the drugs they manufacture, but manufacturers may donate to independent patient assistance charities and earmark donations... View Details

Keywords: Cost Sharing; Prescription Drugs; Drug Spending; Medicare; Dual Eligibility; Cost; Health Care and Treatment; Philanthropy and Charitable Giving; Pharmaceutical Industry