Publications

Article

Patterns of Failure after Involved Field Radiation Therapy for Pediatric and Young Adult Hodgkin Lymphoma

By: Minh-Phuong Huynh-Le, Amanda J. Walker, Scott Duke Kominers, Ido Paz-Priel, Moody D. Wharam and Stephanie A. Terezakis

Involved field radiation therapy (IFRT) is integral in curative therapy for Hodgkin lymphoma (HL), although primarily used in patients with intermediate/high‐risk HL. We present failure patterns and clinical outcomes in a cohort of pediatric and young adult patients... View Details

Keywords: Hematology/oncology; Hodgkin Lymphoma; Involved Field Radiation Therapy; Health Disorders; Health Care and Treatment

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16 Oct 2013
Op-Ed

Response to Readers: Combating Climate Change with Nuclear Power and Fracking

With more than 7,500 views and 180-plus tweets, I want to thank everyone for taking the time to read the original HBS Working Knowledge piece, The Case for Combating Climate Change with Nuclear Power and Fracking, and, in particular, for sharing your thoughts with one... View Details

Keywords: by Joe Lassiter; Energy; Utilities

June 2008
Case

Gordon Williams: Clinical Research at Brigham and Women's Hospital

By: H. Kent Bowen and Courtney Purrington

Clinical research is a critical element of biomedical research and development. This case describes the challenges of clinical research, and its role in bringing breakthroughs to patients. Dr. Williams leads through his own research and special programs to train... View Details

Keywords: Training; Health Care and Treatment; Success; Programs; Research and Development; Health Industry; Health Industry

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Research Summary

Overview

Chu's research is focused on business and low income sectors, particularly in the use of commercial platforms to deliver what has traditionally been considered public responsibilities. In the last three decades, business models have emerged to meet the underserved... View Details

Keywords: Impact Investing; Microfinance; Base Of The Pyramid; Role Of Profit And Social Impact; Private Sector Development; Emerging Markets; Business Ventures; Health Care and Treatment; Management; Social Enterprise; Strategy; Health Industry; Health Industry; Health Industry; Latin America; North and Central America; Asia; Africa

July 2002 (Revised August 2002)
Case

Washington Hospital Center (D): Emergency Medicine After September 11

By: Rosabeth M. Kanter and Michelle Heskett

The all-risks-ready emergency room prototype project becomes widely accepted as a need after September 11, 2001. The already operational medical informatics system, Insight, comes under heavy demand after its strong performance during crises and is noticed by various... View Details

Keywords: Change Management; Health Care and Treatment; Nonprofit Organizations; Medical Specialties; Organizational Culture; Crisis Management; Technological Innovation; Higher Education; Performance Productivity; Health Industry; District of Columbia

September 1983 (Revised July 1991)
Case

Orthoteks USA (A)

By: Joseph L. Badaracco Jr. and Richard G. Hamermesh

A series on implementing strategy as the head of the U.S. subsidiary of a successful Swiss medical products firm. Traces the actions of the CEO over a four year period and highlights his negotiations with the Swiss parent and the way functional components of the... View Details

Keywords: Business Subsidiaries; Trade; Health Care and Treatment; Leadership Style; Agreements and Arrangements; Strategy; Health Industry; Switzerland; United States

March 2015 (Revised February 2022)
Supplement

CV Ingenuity (B): Epilogue

By: Regina E. Herzlinger and Andrew Otazo

Duke Rohlen used a lea-nfunding, iconoclastic strategy for his start up for a drug eluding balloon for peripheral artery disease. His giant competitors were first movers. Did Duke obtain the funding he sought? How did his DEB fare versus that of his competitors? The... View Details

December 2006 (Revised August 2008)
Case

Pervasis Therapeutics, Inc.

By: Robert F. Higgins and Virginia Fuller

In May 2005, Steve Bollinger was about to become president and chief operating officer of Pervasis Therapeutics, a small cell therapy start-up in Cambridge, Mass. If proven successful, Pervasis' product, Vascugel, could change the way vascular disease is treated and... View Details

Keywords: Business Startups; Venture Capital; Financial Strategy; Governing Rules, Regulations, and Reforms; Health Care and Treatment; Health Testing and Trials; Health Industry; Cambridge

July 2002 (Revised August 2002)
Case

Washington Hospital Center (C): Progress and Prospects, 1995-2001

By: Rosabeth M. Kanter and Michelle Heskett

Dr. Craig Feied and Dr. Mark Smith have already transformed a "worst-in-area" emergency medicine department into the best in the area. Industry-wide and hospital system-specific challenges remain, including their newest project of national importance--creating an... View Details

Keywords: History; Higher Education; Organizational Culture; Medical Specialties; Technological Innovation; Change Management; Nonprofit Organizations; Expansion; Crisis Management; Health Care and Treatment; Health Industry; District of Columbia

09 May 2018
Research & Ideas

A Simple Way for Restaurant Inspectors to Improve Food Safety

new research about how scheduling affects worker behavior. The potential result: Americans could avoid 19 million foodborne illnesses, nearly 51,000 hospitalizations, and billions of dollars of related medical costs. Government health... View Details

Keywords: by Carmen Nobel; Food & Beverage; Service

August 1983 (Revised June 1986)
Case

Johnson & Johnson (B): Hospital Services

By: Francis Aguilar

The main issue has to do with the lack of fit or incompatibility between the early environmental requirements for strategy and the cultural constraints on the organization. Describes the internal resistance to the proposed changes and top management's efforts to... View Details

Keywords: Business or Company Management; Change Management; Organizational Change and Adaptation; Organizational Culture; Health Care and Treatment; Growth and Development Strategy; Health Industry

September–October 2013
Article

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: Job Cuts and Outsourcing; Medical Specialties; Health Care and Treatment; Customer Focus and Relationships; Learning; Customer Satisfaction; Health Industry

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Read Now

October 2021 (Revised February 2022)
Case

Hospital 57357: Aligning Performance Towards a Vision of a Cancer-Free Childhood

By: Susanna Gallani and Youssef Abdel Aal

The case follows the Children Cancer Hospital in Egypt, also known as Hospital 57357, as it goes through the roll-out of a new performance management system, which Dr. Sherif Abouel Naga, founder and CEO of the hospital, had championed. This was a critical juncture as... View Details

Keywords: Healthcare; Performance Management; Performance Incentives; Strategic Alignment; Health Care and Treatment; Nonprofit Organizations; Strategy; Alignment; Performance Evaluation; Mission and Purpose; Change Management; Health Industry; Egypt; Middle East

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

03 Nov 2003
What Do You Think?

Can Investors Have Too Much Accounting Transparency?

who wrote, "... legislative and regulatory response treats the symptoms (means) rather than the disease (motivation). Transparency is only as successful as the least creative obscurantist." He recommends, among other things, prohibiting "by View Details

Keywords: by James Heskett

12 Jul 2016
First Look

July 12, 2016

gaining information. Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=51329 July–August 2016 Harvard Business Review How to Pay for Health Care By: Porter, Michael E., and Robert S. Kaplan... View Details

Keywords: Sean Silverthorne

November 2010
Case

Children's Hospital Boston (A)

By: Scott A. Snook and Jeffrey C. Connor

Five year old Matty died at Children's Hospital Boston as a result of elective neurosurgery to "cure" his epilepsy. The organizational system, not the surgery, had failed. During post-operative recovery, he experienced a prolonged seizure that resulted in his death.... View Details

Keywords: Health Care and Treatment; Leadership; Managerial Roles; Organizational Structure; Management Systems; Management Teams; Health Industry

24 Oct 2024
Research & Ideas

With Millions of Workers Juggling Caregiving, Employers Need to Rethink Support

Millions of Americans, from hourly retail staffers to corporate vice presidents, wrestle with the demands of work while parenting young children, caring for a sick spouse or aging parent—or both. That juggling act is made even tougher by... View Details

Keywords: by Christine Pazzanese, Harvard Gazette

March 2019
Article

A Time-Driven Activity-Based Costing Analysis of Emergency Department Scribes

By: Robert S. Kaplan, Heather A. Heaton, David M. Nestler, William J. Barry, Richard A. Helmers, Mustafa Y. Sir, Deepi G. Goyal, Derek A. Haas and Annie T. Sadosty

Objectives: To apply time-driven activity-based costing (TDABC) methodology to determine emergency medicine physician documentation costs with and without scribes.

Methods: Two research assistants shadowed attending physicians for a total of 64 hours in the... View Details

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