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• Case | HBS Case Collection | 2013 (Revised from original 2012 version)

  Schön Klinik: Eating Disorder Care

  Michael E. Porter, Emma Stanton, Jessica A. Hohman and Caleb Stowell

  The Schön Klinik is a private, for-profit German hospital group trying to establish itself as a premium health care provider in a competitive German market. The case details Schön Klinik's founding, its early focus on measurement and improvement, and the design and implementation of a system-wide structure for measuring and reporting actual health outcomes. The case details the care cycle for eating disorder patients and highlights the role outcomes measurement has played in improving eating disorder care over time. It ends with a discussion of Schön's innovative bundled reimbursement models and challenges the reader to explore how to develop new pricing and care delivery models that encourage integration of care around patient medical conditions. The case also discusses the German health care system, its regulatory constraints, and Schön's attempts to change the paradigm of competition in the sector.

  Keywords: health care quality; outcomes; quality improvement; strategy and performance measurement; Integration; Measurement and Metrics; Competition; Health Disorders; Health Care and Treatment; Outcome or Result; Business Processes; Health Industry; Germany;

  Citation:

  Porter, Michael E., Emma Stanton, Jessica A. Hohman, and Caleb Stowell. "Schön Klinik: Eating Disorder Care." Harvard Business School Case 712-475, April 2013. (Revised from original March 2012 version.)

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• Working Paper | HBS Working Paper Series | 2013

  Managing Risks: Towards a Contingency Theory of Enterprise Risk Management

  Anette Mikes and Robert Kaplan

  Enterprise Risk Management (ERM) has become a crucial component of contemporary corporate governance reforms. Now that principles, guidelines, and standards abound, it is time to take stock. Has the idea of ERM reached maturity with proven, unambiguous concepts and tools? Or is it still emerging and unproven? Or can it be simply taken for granted, its value "proven" by the apparent demand?

  This paper portrays ERM as an evolving discipline, and presents empirical findings from academic papers and our own field research on its current state of maturity. The academic studies explore factors that influence the adoption and impact of ERM but have produced few significant results because of an inadequate and insufficiently specified concept of ERM. Based on a ten-year field project, over 250 interviews with senior risk officers, and three detailed case studies in high reliability organizations, we propose a contingency framework for ERM, describing the emerging design parameters that help to explain the observable variation in the "ERM mix" adopted by organizations. We also propose a new contingent variable: the type of risk that the ERM practices address. We outline a "minimum necessary contingency framework" (Otley, 1980) that is sufficiently nuanced, yet observable to empirical researchers so that they may, in due course, hypothesize about "fit" between contingent variables, such as risk types and the ERM mix, as well as outcomes (organizational effectiveness).

  Citation:

  Mikes, Anette, and Robert Kaplan. "Managing Risks: Towards a Contingency Theory of Enterprise Risk Management." Harvard Business School Working Paper, No. 13–063, January 2013. (Revised May 2013.)

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• Case | HBS Case Collection | 2012 (Revised from original 2012 version)

  Boston Children's Hospital: Measuring Patient Costs

  Robert S. Kaplan, Mary L. Witkowski, Jessica A. Hohman, Robert S. Kaplan, Mary L. Witkowski, Jessica A. Hohman, Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman

  Keywords: health care; Time-Driven Activity-Based Costing; Costing; Hospitals; Activity Based Costing and Management;

  Citation:

  Kaplan, Robert S., Mary L. Witkowski, and Jessica A. Hohman. "Boston Children's Hospital: Measuring Patient Costs." Harvard Business School Case 112-086, September 2012. (Revised from original March 2012 version.)

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