Publications

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

May 15, 2012
Article

Ensuring Quality Cancer Care: A Follow-Up Review of the Institute of Medicine’s 10 Recommendations for Improving the Quality of Cancer Care in America

By: Tracy E. Spinks, Heidi W. Albright, Thomas W. Feeley, Ron Walters, Thomas W. Burke, Thomas Aloia, Eduardo Bruera, Aman Buzdar, Lewis Foxhall, David Hui, Barbara Summers, Alma Rodriguez, Raymond DuBois and Kenneth I. Shine

Responding to growing concerns regarding the safety, quality, and efficacy of cancer care in the United States, the Institute of Medicine (IOM) of the National Academy of Sciences commissioned a comprehensive review of cancer care delivery in the US health care system... View Details

Keywords: Cancer; Quality; Cancer Care In The U.S.; Quality Improvement; Health Care and Treatment; Health Industry; North and Central America

Find at Harvard

November 2019 (Revised December 2019)
Case

Martini Klinik: Prostate Cancer Care 2019

By: Michael E. Porter, Jens Deerberg-Wittram and Thomas W. Feeley

Since its establishment in 2005, Hamburg’s Martini Klinik had single mindedly focused on prostate cancer care with a commitment to measure long-term health outcomes for every patient. A wholly owned subsidiary of the University Hospital Hamburg, Martini Klinik was a... View Details

01 Apr 2015
Research & Ideas

The Slow, Steady Battle to Fix Cancer Care

with insurance provider UnitedHealthcare to test a fixed-payment structure for a select group of head and neck cancer patients. Rather than receiving separate charges for every... View Details

Keywords: by Carmen Nobel; Health

September 2012
Supplement

Intraoperative Radiotherapy for Breast Cancer (B)

By: Willy Shih

The intraoperative radiotherapy (IORT) business at Carl Zeiss Meditec had struggled with growth since the time of the (A) case. Though the unit had grown revenues in excess of 50% and had exceeded its EBIT target, it faced several key strategic choices. Should it... View Details

Keywords: Radiotherapy; Breast Cancer; Brachytherapy; Therapeutic Radiation; Oncology; Oncology Treatment Systems; Elekta AB; Varian Medical Systems; Xoft; Electronic Brachytherapy; Intraoperative Radiotherapy; Disruptive Innovation; Health Care and Treatment; Entrepreneurship; Technological Innovation; Growth and Development Strategy; Health Industry; Germany

15 Nov 2004
Research & Ideas

Solving the Health Care Conundrum

competition involves competing to deliver the greatest value for patients. Value-based competition will see more innovation as providers will not be all things to all people, but will create focused... View Details

Keywords: by Michael E. Porter; Health

August 2014 (Revised February 2021)
Case

Hospital for Special Surgery (A)

By: Regina E. Herzlinger and Stacy Schwartz

Hospital for Special Surgery, a focused factory for orthopedics and joint disease, is contemplating various growth options: further growth in the United Kingdom's National Health Services, management of hospitals in the United States, and/or hospital consulting.... View Details

Keywords: Health Care and Treatment; Nonprofit Organizations; Growth and Development Strategy; Cross-Cultural and Cross-Border Issues; Expansion; Health Industry; United Kingdom; United States

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... View Details

Keywords: by Sean Silverthorne; Health

03 Jul 2012
Research & Ideas

HBS Faculty on Supreme Court Health Care Ruling

experts in the health care field, to provide their views on various facets of one of this country's most important and complex problems. Bill George Professor of Management Practice, former chair and CEO of Medtronic, and author of 7... View Details

Keywords: Re: Multiple Faculty; Health

21 Nov 2012
Research & Ideas

What Health Care Managers Need to Know--and How to Teach Them

Natalie Kindred, 2012. Hub and Spoke, Health Care Global, and Additional Focused Factory Models for Cancer Care,... View Details

Keywords: by Paul Guttry; Health; Education

12 Jul 2006
Research & Ideas

Competition the Cure for Healthcare

their practices. Today's quality movement in healthcare is a welcomed step in the right direction, but it is not really focused on results; it is focused on methods, or processes of care. Q: What about pay... View Details

Keywords: by Roger Thompson; Health

07 Jun 2016
First Look

June 7, 2016

strategic, financial, and operational objectives. Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=51110 May 2016 Oncology How the Affordable Care Act Has Affected Cancer View Details

Keywords: Sean Silverthorne

June 2006 (Revised June 2007)
Background Note

The Challenge Facing the U.S. Healthcare Delivery System

By: Richard M.J. Bohmer and Carin-Isabel Knoop

Discusses the challenges currently facing the U.S. health care delivery system. These challenges frame the problems managers of delivery organizations are currently facing. They include a burgeoning gap between demand and supply. Demand for health care services is... View Details

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

10 Sep 2020
Research & Ideas

The COVID Two-Step for Leaders: Protect and Pivot

care workers. These responses may be focused on the immediate emergency of the pandemic with the idea of returning to business-as-usual at some point. Other companies are making deeper changes that are... View Details

Keywords: by Boris Groysberg and Katherine Connolly Baden

30 Aug 2016
First Look

August 30, 2016

Rapidly Developed Patient-Centered Outcome Measures By: Shah, Kevin P., Tracy E. Spinks, and Thomas W. Feeley Abstract—In 2014, The University of Texas MD Anderson Cancer Center created a streamlined process View Details

Keywords: Carmen Nobel

28 May 2012
Research & Ideas

A Pragmatic Alternative for Creating a Corporate Social Responsibility Strategy

various directions within different departments. For example, human resources might initiate a United Way gift program that involves a company match; operations might work on waste reduction; and marketing might collect an extra dime from... View Details

Keywords: by Dina Gerdeman

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