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This article describes the challenges and solutions in determining whether a patient’s treatment has been successful. Such an assessment depends on...
Currently, few health care providers measure and report their patient outcomes, which leads to several problems. Attempts to introduce price...
- July 9, 2021
- Article
Mobilizing the U.S. Military’s TRICARE Program for Value-Based Care: A Report From the Defense Health Board
By: Robert S. Kaplan, Paul R. Schaettle, Vivian S. Lee, Michael D. Parkinson, Gregory H. Gorman and Michael-Anne Browne
The U.S. Military Health System spends about $50 billion annually to provide care to 9.6 million active duty service members, retirees, and their families through its TRICARE health plans. TRICARE follows the predominant payment model in the...
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- July 2021
- Article
Medical Debt in the U.S., 2009–2020
By: Ray Kluender, Neale Mahoney, Francis Wong and Wesley Yin
Importance: Medical debt is an increasing concern in the US, yet there is limited understanding of the amount and distribution of medical debt, and its association with health care policies.
Objective: To measure the amount of medical debt nationally and by... View Details
Objective: To measure the amount of medical debt nationally and by... View Details
- June 2021
- Teaching Note
Michael Phelps: 'It’s Okay to Not Be Okay'
By: Boris Groysberg, Carin-Isabel Knoop and Michael Norris
Teaching Note for HBS Case No. 421-044. In 2020, Michael Phelps, the most decorated Olympian of all time, with 28 medals in various swimming events, was now retired. As he looked back on his 20+ year athletic career, he considered what had gone into making him the...
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- 2021
- Working Paper
Who Closed the Schools?
By: Joshua D. Coval
This paper examines the differences in characteristics between U.S. public schools that opted for virtual instruction because of COVID-19, and schools that did not. Much of the variation can be explained by measures of the degree to which districts favored teachers...
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- June 2021
- Article
Developing a Value Framework: Utilizing Administrative Data to Assess an Enhanced Care Initiative
By: Casey J. Allen, Jarrod S. Eska, Nikhil G. Thaker, Thomas W. Feeley, Robert S. Kaplan, Ryan W. Huey, Ching-Wei D. Tzeng, Jeffrey E. Lee, Steven J. Frank, Thomas A. Aloia, Vijaya Gottumukkala and Matthew H.G. Katz
We used national administrative data to assess multiple domains of value associated with enhanced recovery pathways for patients undergoing pancreatic surgery. Value metrics included in-hospital mortality, complication rates, length of stay (LOS), 30-day readmission...
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- 2021
- Article
Use of Connected Digital Products in Clinical Research Following the COVID-19 Pandemic: A Comprehensive Analysis of Clinical Trials
By: Caroline Marra, William J. Gordon and Ariel Dora Stern
Objectives: In an effort to mitigate COVID-19 related challenges for clinical research, the U.S. Food and Drug Administration (FDA) issued new guidance for the conduct of ‘virtual’ clinical trials in late March 2020. This study documents trends in the use of...
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- May 2021
- Article
Choice Architecture in Physician–patient Communication: A Mixed-methods Assessments of Physicians’ Competency
By: J. Hart, Yadav, K., Szymanski, S., Summer, A., Tannenbaum, A., Zlatev, J., Daniels, D. and Halpern, S.D.
Background: Clinicians’ use of choice architecture, or how they present options, systematically influences the choices made by patients and their surrogate decision makers. However, clinicians may incompletely understand this influence....
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- May 2021
- Article
Value-Based Healthcare in Urology: A Collaborative Review
By: Chanan Reitblat, Paul A. Bain, Michael E. Porter, David N. Bernstein, Thomas W. Feeley, Markus Graefen, Santosh Iyer, Matthew J. Resnick, C.J. Stimson, Quoc-Dien Trinh and Boris Gershman
Context:
In response to growing concerns over rising costs and major variation in quality, improving value for patients has been proposed as a fundamentally new strategy for how healthcare should be delivered, measured, and... View Details
In response to growing concerns over rising costs and major variation in quality, improving value for patients has been proposed as a fundamentally new strategy for how healthcare should be delivered, measured, and... View Details
- February 2021
- Article
Assessment of Electronic Health Record Use Between U.S. and Non-U.S. Health Systems
By: A Jay Holmgren, Lance Downing, David W. Bates, Tait D. Shanafelt, Arnold Milstein, Christopher Sharp, David Cutler, Robert S. Huckman and Kevin A. Schulman
Importance: Understanding how the electronic health record (EHR) system changes clinician work, productivity, and well-being is critical. Little is known regarding global variation in patterns of use.
Objective: To provide insights into which EHR... View Details
Objective: To provide insights into which EHR... View Details
- February 2021
- Article
Health Care Measurements That Improve Patient Outcomes
By: Robert S. Kaplan, Lara Jehi, Clifford Y. Ko, Andrea Pusic and Mary Witkowski
This article describes the challenges and solutions in determining whether a patient’s treatment has been successful. Such an assessment depends on multiple factors, including the patient’s pretreatment status; the qualifications of personnel performing the treatment;...
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- 2021
- Working Paper
The World Management Survey at 18: Lessons and the Way Forward
By: Daniela Scur, Raffaella Sadun, John Van Reenen, Renata Lemos and Nicholas Bloom
Understanding how differences in management “best practices” affect organizational outcomes has been a focus of both theoretical and empirical work in the fields of management, sociology, economics and public policy. The World Management Survey (WMS) project was born...
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- January 2021
- Case
Pearson: Efficacy 2.0
By: Elie Ofek, Marco Bertini, Oded Koenigsberg and James Weber
Pearson, which billed itself as the "world's learning company," faced a host of critical decisions in mid-2020. Several years prior, it had embarked on a new path that put the learner at the heart of the business and committed to a new strategic orientation. The new...
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- Article
Value of New Performance Information in Healthcare: Evidence from Japan
By: Susanna Gallani, Takehisa Kajiwara and Ranjani Krishnan
Mandatory measurement and disclosure of outcome measures are commonly used policy tools in
healthcare. The effectiveness of such disclosures relies on the extent to which the new information produced by the mandatory system is internalized by the healthcare...
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- October 2020
- Case
Michael Phelps: 'It's Okay to Not Be Okay'
By: Boris Groysberg, Carin-Isabel Knoop and Michael Norris
In 2020, Michael Phelps, the most decorated Olympian of all time, with 28 medals in various swimming events, was now retired. As he looked back on his 20+ year athletic career, he considered what had gone into making him the greatest of all time—the highs and lows,...
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- October 2020 (Revised November 2020)
- Case
Wilderness Safaris: Impact Investing and Ecotourism Conservation in Africa
By: James E. Austin, Megan Epler Wood and Herman B. "Dutch" Leonard
In 2018 the majority ownership of publicly owned Wilderness Safaris, the leading high-end ecotourism company in Africa with safari operations in eight countries, was acquired by The Rise Fund, one of the world’s largest private social impact investing funds, and by FS...
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Keywords:
Investing;
Investing For Impact;
Ecotourism;
COVID-19;
Equity Financing;
Strategy Formulation;
Profitability;
Environmental And Social Sustainability;
Sustainability;
Conservation Planning;
Corporate Social Responsibility;
Investment;
Social Enterprise;
Social Entrepreneurship;
Environmental Sustainability;
Strategy;
Financing and Loans;
Corporate Social Responsibility and Impact;
Health Pandemics;
Tourism Industry;
Africa;
Rwanda;
Angola
- September 2020 (Revised November 2020)
- Case
Student Success at Georgia State University (A)
By: Michael W. Toffel, Robin Mendelson and Julia Kelley
Georgia State University had developed a reputation for driving student success by nearly doubling its graduation rate for students of all racial, ethnic, and socioeconomic backgrounds. It did so while growing its student body and the proportion of Black/African...
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Keywords:
Education;
Higher Education;
Learning;
Curriculum and Courses;
Demographics;
Diversity;
Ethnicity;
Income;
Race;
Leadership;
Goals and Objectives;
Measurement and Metrics;
Operations;
Organizations;
Mission and Purpose;
Organizational Culture;
Outcome or Result;
Performance;
Performance Effectiveness;
Performance Evaluation;
Service Operations;
Performance Improvement;
Planning;
Strategic Planning;
Social Enterprise;
Nonprofit Organizations;
Social Issues;
Wealth and Poverty;
Equality and Inequality;
Technology;
Technology Platform;
Education Industry;
Atlanta
- September 2020 (Revised November 2020)
- Supplement
Student Success at Georgia State University (B)
By: Michael W. Toffel, Robin Mendelson and Julia Kelley
This is a supplement to the Student Success at Georgia State University (A) case. The (B) case includes the results of a randomized control trial that Georgia State conducted to test education technology start-up AdmitHub’s chatbot solution as a strategy for improving...
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Keywords:
Education;
Higher Education;
Learning;
Curriculum and Courses;
Demographics;
Diversity;
Ethnicity;
Income;
Race;
Values and Beliefs;
Leadership;
Goals and Objectives;
Measurement and Metrics;
Operations;
Organizations;
Mission and Purpose;
Organizational Culture;
Outcome or Result;
Performance;
Performance Effectiveness;
Performance Evaluation;
Performance Improvement;
Planning;
Strategic Planning;
Social Enterprise;
Nonprofit Organizations;
Social Issues;
Wealth and Poverty;
Equality and Inequality;
Technology;
Technology Platform;
Education Industry;
Atlanta
- 2020
- Working Paper
Entrepreneurs (Co-) Working in Close Proximity: Impacts on Technology Adoption and Startup Performance Outcomes
By: Maria P. Roche, Alexander Oettl and Christian Catalini
Entrepreneurs learn from a variety of sources. One particularly important channel is learning from fellow entrepreneurs. In this paper, we examine the influence of physical proximity on technology adoption decisions and subsequent startup performance outcomes at one of...
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- Article
Assessing the Value of Pediatric Aerodigestive Care
By: Robert S. Kaplan, Chris Hartnick, Mahek Shah, Steven M. Coppess, Alisa Yamasaki, Kaalan E. Johnson, Jeremy Prager, Christopher T. Wootten, Thomas Gallagher and Evan Propst
Leaders at six hospitals conducted a research study to assess and compare the health outcomes and costs of pediatric aerodigestive care. Four of the hospitals delivered care with an integrated practice unit (IPU) while two delivered care traditionally, with isolated...
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- 2020
- Working Paper
Panel Experiments and Dynamic Causal Effects: A Finite Population Perspective
By: Iavor Bojinov, Ashesh Rambachan and Neil Shephard
In panel experiments, we randomly expose multiple units to different treatments and measure their subsequent outcomes, sequentially repeating the procedure numerous times. Using the potential outcomes framework, we define finite population dynamic causal effects that...
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