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  • All HBS Web  (4,841)
    • People  (12)
    • News  (1,624)
    • Research  (1,858)
    • Events  (13)
    • Multimedia  (75)
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  • August 2015
  • Article

Hospital Board and Management Practices Are Strongly Related to Hospital Performance on Clinical Quality Metrics

By: Thomas C Tsai, Ashish K. Jha, Atul A. Gawande, Robert S. Huckman, Nicholas Bloom and Raffaella Sadun
National policies to improve health care quality have largely focused on clinical provider outcomes and, more recently, payment reform. Yet the association between hospital leadership and quality, although crucial to driving quality improvement, has not been explored... View Details
Keywords: Hospitals; Quality; Governing and Advisory Boards; Management Practices and Processes; Service Delivery; Health Care and Treatment; Health Industry
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Tsai, Thomas C., Ashish K. Jha, Atul A. Gawande, Robert S. Huckman, Nicholas Bloom, and Raffaella Sadun. "Hospital Board and Management Practices Are Strongly Related to Hospital Performance on Clinical Quality Metrics." Health Affairs 34, no. 8 (August 2015): 1304–1311.
  • April 15, 2020
  • Other Article

Designating Certain Post-Acute Care Facilities As COVID-19 Skilled Care Centers Can Increase Hospital Capacity And Keep Nursing Home Patients Safer

By: Leemore S. Dafny and Steven S. Lee
As the number of COVID-19 cases nationwide continues to grow, many hospitals will need to convert acute care beds into intensive care beds and discharge stable patients to post-acute care settings such as nursing homes. In addition, nursing homes unable to care for... View Details
Keywords: COVID-19; Nursing Homes; Health Pandemics; Health Care and Treatment; Safety; Quality
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Dafny, Leemore S., and Steven S. Lee. "Designating Certain Post-Acute Care Facilities As COVID-19 Skilled Care Centers Can Increase Hospital Capacity And Keep Nursing Home Patients Safer." Health Affairs Blog (April 15, 2020).
  • March 5, 2022
  • Article

Hospital Capacity Shortages: An SEC-Backed Transparency “PULL” Will Open Beds Faster Than a “PUSH” by HHS

By: Regina E. Herzlinger
In the new normal of ongoing pandemics, hospital bed shortages will continue. Healthcare innovation expert and author of the upcoming book Innovating in Healthcare: Creating Breakthrough Services, Products, and Business Models (Wiley, 2023, 978-1119543008), HBS... View Details
Keywords: Hospital Capacity; Access To Care; Health Pandemics; Health Care and Treatment; Performance Capacity; Planning
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Herzlinger, Regina E. "Hospital Capacity Shortages: An SEC-Backed Transparency “PULL” Will Open Beds Faster Than a “PUSH” by HHS." Healthcare Business Today (March 5, 2022).
  • Article

Regulating Hospital Prices Based on Market Concentration Is Likely to Leave High-Price Hospitals Unaffected

By: Maximilian J. Pany, Michael E. Chernew and Leemore S. Dafny
Concern about high hospital prices for commercially insured patients has motivated several proposals to regulate these prices. Such proposals often limit regulations to highly concentrated hospital markets. Using a large sample of 2017 US commercial insurance claims,... View Details
Keywords: Health Care Providers; Hospitals; Insurance Market Regulation; Price Regulation; Markets; Health Care and Treatment; Cost; Quality; Insurance; Price; Governing Rules, Regulations, and Reforms
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Pany, Maximilian J., Michael E. Chernew, and Leemore S. Dafny. "Regulating Hospital Prices Based on Market Concentration Is Likely to Leave High-Price Hospitals Unaffected." Health Affairs 40, no. 9 (September 2021): 1386–1394.
  • July 2020
  • Case

King's College Hospital in Crisis

By: John R. Wells and Benjamin Weinstock
On December 11, 2017, King’s College Hospital NHS Foundation Trust (King’s), one of London’s leading teaching hospital groups, was put into “special measures” by NHS Improvement (NHSI), the financial regulator of England’s National Health Service (NHS). The future of... View Details
Keywords: Hospitals; Financing; Health Care and Treatment; Financial Condition; Crisis Management; Organizational Structure; Transformation; Strategic Planning; United Kingdom
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Wells, John R., and Benjamin Weinstock. "King's College Hospital in Crisis." Harvard Business School Case 721-356, July 2020.
  • Article

Decreases In Readmissions Credited to Medicare's Program to Reduce Hospital Readmissions Have Been Overstated

By: Christopher Ody, Lucy Msall, Leemore S. Dafny, David Grabowski and David Cutler
Medicare’s Hospital Readmissions Reduction Program (HRRP) has been credited with lowering risk-adjusted readmission rates for targeted conditions at general acute care hospitals. However, these reductions appear to be illusory or overstated. This is because a... View Details
Keywords: Readmission Rates; Hospitals; Acute Care Hospitals; Medicare; Myocardial Infarction; Heart Failure; Health Care and Treatment
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Ody, Christopher, Lucy Msall, Leemore S. Dafny, David Grabowski, and David Cutler. "Decreases In Readmissions Credited to Medicare's Program to Reduce Hospital Readmissions Have Been Overstated." Health Affairs 38, no. 1 (January 2019): 36–43.
  • February 24, 2022
  • Article

Want to Prevent the Next Hospital Bed Crisis? Enlist the SEC

By: Regina E. Herzlinger and Richard Boxer
During the initial phases of the COVID-19 pandemic, many U.S. hospitals could not provide enough beds to meet demand. Solving the problem of inadequate capacity is of utmost importance in the “new normal,” which requires recognizing the ongoing need for hospital-based... View Details
Keywords: COVID; COVID-19 Pandemic; Hospital Capacity; SEC Regulation; Health Pandemics; Crisis Management; Performance Capacity; Planning
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Herzlinger, Regina E., and Richard Boxer. "Want to Prevent the Next Hospital Bed Crisis? Enlist the SEC." Harvard Business School Working Knowledge (February 24, 2022).
  • January 2, 2020
  • Article

Changes in Quality of Care After Hospital Mergers and Acquisitions

By: Nancy Dean Beaulieu, Leemore S. Dafny, B. E. Landon, Jesse Dalton, Ifedayo Kuye and J. Michael McWilliams
Background: The hospital industry has consolidated substantially during the past two decades and at an accelerated pace since 2010. Multiple studies have shown that hospital mergers have led to higher prices for commercially insured patients, but research about effects... View Details
Keywords: Hospitals; Mergers and Acquisitions; Health Care and Treatment; Quality
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Beaulieu, Nancy Dean, Leemore S. Dafny, B. E. Landon, Jesse Dalton, Ifedayo Kuye, and J. Michael McWilliams. "Changes in Quality of Care After Hospital Mergers and Acquisitions." New England Journal of Medicine 382, no. 1 (January 2, 2020): 51–59.
  • Article

Transparency as a Solution for the Hospital Capacity Problem

By: Regina E. Herzlinger
COVID dramatically clarified a shortcoming in our great healthcare system, but like everything in the world, it has its shortcomings. What we see through the apex of COVID is that many hospitals in hotspot areas cannot provide an adequate supply of beds. Although the... View Details
Keywords: Hospital Capacity; Health Care and Treatment; Performance Capacity; Planning; Cooperation
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Herzlinger, Regina E. "Transparency as a Solution for the Hospital Capacity Problem." Ohio State Law Journal 82, no. 5 (December 2021): 787–794.
  • June 10, 2021
  • Article

Preparing Hospitals for the Next Pandemic

By: Regina E. Herzlinger and Barak D. Richman
The COVID-19 epidemic response has shown that the U.S. is blessed with heroic physicians and other health care providers, researchers, and facilities. But it has also revealed a health care system that was woefully unprepared for the surge of pandemic patients. In the... View Details
Keywords: Hospital; Hospital Management; Hospitals—administration; Health Care; Health Care Industry; Health Care Investment; Health Care Operations; Health Pandemics; Health Care and Treatment; Operations; Performance Improvement; Investment; Health Industry; United States
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Herzlinger, Regina E., and Barak D. Richman. "Preparing Hospitals for the Next Pandemic." Harvard Business Review Digital Articles (June 10, 2021).
  • Article

Moving Forward from COVID-19: Organizational Dimensions of Effective Hospital Emergency Management

By: Mariam Krikorian Atkinson, Nicholas Cagliuso, John Hick, Sara Singer, Elizabeth Bambury, Tuna Cem Hayirli, Masha Kuznetsova and Paul Biddinger
Federal investment in emergency preparedness has increased notably since the 9/11 attacks, yet it is unclear if and how U.S. hospital readiness has changed in the 20 years since then. In particular, understanding effective aspects of hospital emergency management... View Details
Keywords: COVID-19; Hospital Preparedness/response; Urban/rural Hospitals; Emergency Management; National Strategy; Health Pandemics; Crisis Management; Performance Effectiveness; Governance; Policy; United States
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Atkinson, Mariam Krikorian, Nicholas Cagliuso, John Hick, Sara Singer, Elizabeth Bambury, Tuna Cem Hayirli, Masha Kuznetsova, and Paul Biddinger. "Moving Forward from COVID-19: Organizational Dimensions of Effective Hospital Emergency Management." Health Security 19, no. 5 (September–October 2021): 508–520.
  • Article

Financing Constraints, Home Equity and Selection into Entrepreneurship

By: Thais Laerkholm Jensen, Søren Leth-Petersen and Ramana Nanda
We exploit a mortgage reform that differentially unlocked home equity across the Danish population and study how this impacted selection into entrepreneurship. We find that increased entry was concentrated among entrepreneurs whose firms were founded in industries... View Details
Keywords: Mortgage Reform; Home Equity; Financing Constraints; Entrepreneurs; Entrepreneurship; Mortgages; Denmark
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Jensen, Thais Laerkholm, Søren Leth-Petersen, and Ramana Nanda. "Financing Constraints, Home Equity and Selection into Entrepreneurship." Journal of Financial Economics 145, no. 2A (August 2022): 318–337.
  • October 10, 2010
  • Article

Coming Home to Minnesota

By: Bill George
Keywords: Minnesota
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George, Bill. "Coming Home to Minnesota." Star Tribune (Minneapolis) (October 10, 2010).
  • April 3, 2020
  • Article

How Hospitals Can Manage Supply Chain Shortages as Demand Surges

By: Richard M.J. Bohmer, Gary P. Pisano, Raffaella Sadun and Thomas C. Tsai
The best practices in supply chain and operations management can help health care providers cope with the surge in patients and the supply shortages. They will help them create a comprehensive strategy aimed at both the demand- and supply-side roots of the problem. The... View Details
Keywords: Hospitals; Health Pandemics; Health Care and Treatment; Supply Chain Management; Operations; Management; Strategy
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Bohmer, Richard M.J., Gary P. Pisano, Raffaella Sadun, and Thomas C. Tsai. "How Hospitals Can Manage Supply Chain Shortages as Demand Surges." Harvard Business Review (website) (April 3, 2020).
  • May 2015
  • Article

Admitting Mistakes: Home Country Effect on the Reliability of Restatement Reporting

By: Suraj Srinivasan, Aida Sijamic Wahid and Gwen Yu
We study the frequency of restatements by foreign firms listed on U.S. exchanges. We find that the restatement rate of U.S. listed foreign firms is significantly lower than that of comparable U.S. firms and that the difference depends on the firm's home country... View Details
Keywords: Accounting Restatements; Home Country Enforcement; Earnings Management; Globalized Firms and Management; Law; Financial Reporting; Financial Markets; Cross-Cultural and Cross-Border Issues
Citation
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Srinivasan, Suraj, Aida Sijamic Wahid, and Gwen Yu. "Admitting Mistakes: Home Country Effect on the Reliability of Restatement Reporting." Accounting Review 90, no. 3 (May 2015): 1201–1240.
  • February 18, 2022
  • Article

Transparency as a Solution for COVID-19 Related Hospital Capacity Issues

By: Regina E. Herzlinger and Richard Boxer
In the initial phases of the COVID-19 pandemic, many U.S. hospitals could not provide an adequate supply of beds to meet demand. Solving the problem of hospital bed capacity is of great importance in the “new normal,” which requires recognizing that SARS-CoV-2 is but... View Details
Keywords: COVID; COVID-19 Pandemic; Health Care; Health Care Demand; Health Care Delivery; Health Care Industry; Health Care Operations; Health Care Policy; Transparency; Hospital; Hospital Management; Hospitals; Health Pandemics; Health Care and Treatment; Service Delivery; Operations; Performance Capacity; Policy; Health Industry
Citation
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Herzlinger, Regina E., and Richard Boxer. "Transparency as a Solution for COVID-19 Related Hospital Capacity Issues." Health Affairs Forefront (February 18, 2022).
  • 2011
  • Chapter

Health Care Applications: From Hospitals to Physicians, from Productive Efficiency to Quality Frontiers

By: Jon Chilingerian and H. David Sherman
This chapter focuses on health-care applications of DEA. The paper begins with a brief history of health applications and discusses some of the models and the motivation behind the applications. Using DEA to develop quality frontiers in health services is offered as a... View Details
Keywords: Data Envelopment Analysis; Physicians; Hospitals; HMOs; Frontier Analysis; Efficiency; Health Care and Treatment; Performance; Quality
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Chilingerian, Jon, and H. David Sherman. "Health Care Applications: From Hospitals to Physicians, from Productive Efficiency to Quality Frontiers." Chap. 16 in Handbook on Data Envelopment Analysis. 2nd edition Vol. 164, edited by William W. Cooper, Lawrence M. Seiford, and Joe Zhu, 445–493. International Series in Operations Research & Management Science. New York, NY: Springer, 2011.
  • July 1989 (Revised May 2004)
  • Case

Colonial Homes

By: David E. Bell
Colonial Homes supplies a complete raw materials package to build entire homes. The price of the package is guaranteed at the signing of the sales contract, while delivery (and payment) are not effected for up to six months. In an effort to reduce its exposure to... View Details
Keywords: Customer Value and Value Chain; Contracts; Price; Price Bubble; Fluctuation; Monopoly; Problems and Challenges; Sales; Accommodations Industry; Real Estate Industry
Citation
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Bell, David E. "Colonial Homes." Harvard Business School Case 190-008, July 1989. (Revised May 2004.)
  • October 2020 (Revised August 2022)
  • Case

Union Square Hospitality Group: Hospitality Included

By: Peter Boumgarden, Ryan W. Buell, Lamar Pierce and Richard Ryffel
In 2015, Union Square Hospitality Group (USHG), helmed by famous restauranteur Danny Meyer, sent shockwaves through the restaurant industry by announcing the end of tipping in its restaurants. Under its new policy, Hospitality Included (HI), USHG would charge higher... View Details
Keywords: Restaurants; Tipping; Revenue Sharing; Service Operations; Policy; Change; Human Resources; Management; Food and Beverage Industry
Citation
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Boumgarden, Peter, Ryan W. Buell, Lamar Pierce, and Richard Ryffel. "Union Square Hospitality Group: Hospitality Included." Harvard Business School Case 621-047, October 2020. (Revised August 2022.)
  • June 2015 (Revised January 2016)
  • Case

To Buy or What to Buy: Your First Home

By: Charles F. Wu, Steven Hirsch, Beatrice Liem, Kevin Ryan and Derrick Snyder
Peter and Kate Rose are a young couple looking to buy their first home in the Boston area. They have narrowed down a target list to three homes, but are also considering whether it makes sense to buy a home in the first place. They must make decisions regarding which... View Details
Keywords: Real Estate; Real Assets; Investing; Personal Investing; Brokerage; Housing; Property; Private Ownership; Investment; Real Estate Industry; United States; Boston; New England; Massachusetts; North America
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Wu, Charles F., Steven Hirsch, Beatrice Liem, Kevin Ryan, and Derrick Snyder. "To Buy or What to Buy: Your First Home." Harvard Business School Case 215-080, June 2015. (Revised January 2016.)
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