Problems Unsolved and a Nation Divided

Michael E. Porter; Jan   Rivkin; Mihir   Desai; Manjari  Raman

Report | 2016

Problems Unsolved and a Nation Divided: The State of U.S. Competitiveness 2016

by Michael E. Porter, Jan Rivkin, Mihir Desai and Manjari Raman

Abstract

In this report, the authors synthesize their views on U.S. competitiveness and unveil the findings of the 2016 HBS surveys on U.S. competitiveness. Specifically, the report documents the faltering performance of the U.S. economy and the erosion of America’s business environment; makes a case for a national economic strategy that encompasses action by leaders in government, business, education, and other sectors; proposes a set of economic priorities for federal policy and assesses (the lack of) progress on those priorities; discusses in depth the prospects for federal tax reform; and argues that dysfunction in America's political system, especially in Washington, is the single largest threat to U.S. competitiveness.

Keywords: U.S. competitiveness; Competitive Strategy; Macroeconomics; Government and Politics; United States;

Language: English

Format: Print

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Citation:

Porter, Michael E., Jan Rivkin, Mihir Desai, and Manjari Raman. "Problems Unsolved and a Nation Divided: The State of U.S. Competitiveness 2016." Report, U.S. Competitiveness Project, Harvard Business School, September 2016.

As the diffusion of value-based health care efforts accelerates globally, the need for interoperable information technology systems that support value-based care is essential. Such systems are needed to facilitate dramatic improvements in patient outcomes and efficiency and, importantly, to end an era in which health IT has entrenched the status quo, perpetuated silos, and blocked reimbursement reform. A value-enabling IT platform must organize data around conditions and must enable integrated practice units to integrate care both within and across health systems. In addition, the electronic health record should be the sole source of costing information so that accurate costs for every encounter can be tracked, aggregated, shared, and used for improvement. This is the next generation of health care IT.

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 “hospital in a hospital” in close proximity to other medical departments and services. By 2019, Martini Klinik had become the largest prostate cancer treatment program in the world with 8,000 outpatient cases and more than 2,500 surgical cases annually. Patients came from all over Germany and from around the world. A new and expanded facility was under construction to have the capacity to manage more patients with prostate cancer.

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Problems Unsolved and a Nation Divided: The State of U.S. Competitiveness 2016

Abstract

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