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- April 2015
- Article
Measuring Teamwork in Health Care Settings: A Review of Survey Instruments
By: Melissa Valentine, Ingrid M. Nembhard and Amy C. Edmondson
Background: Teamwork in health care settings is widely recognized as an important factor in providing high quality patient care. However, the behaviors that comprise effective teamwork, the organizational factors that support teamwork, and the relationship... View Details
Keywords:
Teamwork;
Psychometric Properties;
Survey Instruments:;
Measurement and Metrics;
Surveys;
Groups and Teams;
Health Care and Treatment;
Health Industry
Valentine, Melissa, Ingrid M. Nembhard, and Amy C. Edmondson. "Measuring Teamwork in Health Care Settings: A Review of Survey Instruments." Medical Care 53, no. 4 (April 2015): e16–e30.
- Article
Better Accounting Transforms Health Care Delivery
By: Robert S. Kaplan and Mary L. Witkowski
The paper describes the theory and preliminary results for an action research program that explores the implications from better measurements of health care outcomes and costs. After summarizing Porter's outcome taxonomy (Porter 2010), we illustrate how to use process...
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Keywords:
Activity Based Costing and Management;
Research;
Health Care and Treatment;
Health Industry
Kaplan, Robert S., and Mary L. Witkowski. "Better Accounting Transforms Health Care Delivery." Accounting Horizons 28, no. 2 (June 2014): 365–383.
- May 2014
- Case
Health Care Accountability: Examples in Cancer Treatment
By: Regina E. Herzlinger and Natalie Kindred
This case is designed to support a discussion of the importance of outcomes evidence in empowering the public to make better health care decisions, the desired level of transparency and accountability for health care providers, and the issues with current measuring and...
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Keywords:
Accountability;
Health Care;
Cancer;
Cancer Treatment;
Memorial Sloan Kettering Cancer Center;
Cancer Treatment Centers Of America;
Vantage Oncology;
Radiology;
Risk Adjustment;
Treatment Outcomes;
Health Care Outcomes;
Prostate Cancer;
Transparency;
Health Care and Treatment;
Risk Management;
Outcome or Result;
Health Industry;
United States
- April 2014 (Revised March 2018)
- Case
Texas Children's Hospital: Congenital Heart Disease Care
By: Michael E. Porter, Justin M. Bachmann and Zachary C. Landman
In 2014, Dr. Charles D. Fraser Jr., Surgeon-in-Chief of Texas Children's Hospital in Houston, was contemplating the future direction of the congenital heart disease program. The nation's largest pediatric hospital, Texas Children's was ranked by U.S. News & World...
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Keywords:
Health Care;
Congenital Heart Disease;
Integrated Practice Units;
Health Care and Treatment;
Outcome or Result;
Measurement and Metrics;
Performance Improvement;
Health Industry;
United States;
Texas
Porter, Michael E., Justin M. Bachmann, and Zachary C. Landman. "Texas Children's Hospital: Congenital Heart Disease Care." Harvard Business School Case 714-507, April 2014. (Revised March 2018.)
- March 2014 (Revised September 2014)
- Supplement
Cancer Treatment Centers of America® (B)
By: Regina E. Herzlinger and Natalie Kindred
This case, a follow-up to Cancer Treatment Centers of America (A), HBS No. 313-012, begins with the debate over New Hampshire's certificate-of-need (CON) law, which restricts hospital expansion. This debate ignited significant public criticism of Cancer Treatment...
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Keywords:
Cancer;
Cancer Treatment;
Accountability;
Outcomes;
Outcomes Reporting;
Outcomes Measurement;
Survival;
For-profit Hospitals;
Health Care;
Healthcare;
Hospital;
Certificate Of Need;
Health Care and Treatment;
Outcome or Result;
Corporate Accountability;
Policy;
Health Industry;
United States
Herzlinger, Regina E., and Natalie Kindred. "Cancer Treatment Centers of America® (B)." Harvard Business School Supplement 314-003, March 2014. (Revised September 2014.)
- October 2013
- Article
The Strategy That Will Fix Health Care
By: Michael E. Porter and Thomas H. Lee
In health care, the days of business as usual are over. Around the world, every health care system is struggling with rising costs and uneven quality, despite the hard work of well-intentioned, well-trained clinicians. Health care leaders and policy makers have tried...
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Keywords:
Organizational Change and Adaptation;
Strategy;
Value;
Customer Focus and Relationships;
Health Care and Treatment;
Health Industry
Porter, Michael E., and Thomas H. Lee. "The Strategy That Will Fix Health Care." Harvard Business Review 91, no. 10 (October 2013): 50–70.
- September 21, 2013
- Other Article
Redefining Global Health-care Delivery
By: Jim Yong Kim, Paul E. Farmer and Michael E. Porter
Initiatives to address the unmet needs of those facing both poverty and serious illness have expanded significantly over the past decade. But many of them are designed in an ad-hoc manner to address one health problem among many; they are too rarely assessed; best...
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Keywords:
Health
Kim, Jim Yong, Paul E. Farmer, and Michael E. Porter. "Redefining Global Health-care Delivery." Lancet 382, no. 9897 (September 21, 2013).
- March 2013
- Other Article
Redesigning Primary Care: A Strategic Vision to Improve Value by Organizing Around Patients' Needs
By: Michael E. Porter, Erika A. Pabo and Thomas H. Lee
Primary care in the United States currently struggles to attract new physicians and to garner investments in infrastructure required to meet patients' needs. We believe that the absence of a robust overall strategy for the entire spectrum of primary care is a...
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Keywords:
Health
Porter, Michael E., Erika A. Pabo, and Thomas H. Lee. "Redesigning Primary Care: A Strategic Vision to Improve Value by Organizing Around Patients' Needs." Health Affairs 32, no. 3 (March 2013): 516–525.
- 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...
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Keywords:
Cancer;
Cancer Treatment;
Health Care;
Healthcare;
Accountability;
Outcomes;
Outcomes Measurement;
Outcomes Reporting;
Hub And Spoke Cancer Care;
Hub And Spoke;
Hub-and-spoke;
Focused Factory;
Mission and Purpose;
Private Ownership;
For-Profit Firms;
Health Disorders;
Medical Specialties;
Policy;
Business Model;
Expansion;
Decision Choices and Conditions;
Advertising;
Health Care and Treatment;
Innovation and Invention;
Health Industry;
United States
Herzlinger, Regina E., and Natalie Kindred. "Cancer Treatment Centers of America® (A)." Harvard Business School Case 313-012, August 2012. (Revised August 2014.)
- March 2012 (Revised April 2013)
- Case
Schön Klinik: Eating Disorder Care
By: 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...
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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;
Performance Evaluation;
Business Processes;
Health Industry;
Germany
Porter, Michael E., Emma Stanton, Jessica A. Hohman, and Caleb Stowell. "Schön Klinik: Eating Disorder Care." Harvard Business School Case 712-475, March 2012. (Revised April 2013.)
- September 2011
- Article
How to Solve the Cost Crisis in Health Care
By: Robert S. Kaplan and Michael E. Porter
Existing health care costing systems have serious flaws that make it impossible to measure costs accurately at the individual patient and medical condition level. This gap has severely limited meaningful cost reduction throughout the system. The paper describes a new...
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Keywords:
Cost;
Health Care and Treatment;
Measurement and Metrics;
Service Delivery;
Outcome or Result;
Quality;
Health Industry
Kaplan, Robert S., and Michael E. Porter. "How to Solve the Cost Crisis in Health Care." Harvard Business Review 89, no. 9 (September 2011): 47–64.
- August 2010 (Revised March 2012)
- Case
The UCLA Medical Center: Kidney Transplantation
By: Michael E. Porter, Jennifer F Baron, Jacob Mathew Chacko and Robin Jian Tang
In 2010, organ transplantation remained among the few sets of medical conditions in the U.S. for which bundled payments were a dominant reimbursement model, and for which patient health outcomes were universally measured and reported. In 1986, UCLA Medical Center was...
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Keywords:
Insurance;
Health Care and Treatment;
Health Disorders;
Measurement and Metrics;
Outcome or Result;
Competitive Strategy;
Integration;
Health Industry;
California
Porter, Michael E., Jennifer F Baron, Jacob Mathew Chacko, and Robin Jian Tang. "The UCLA Medical Center: Kidney Transplantation." Harvard Business School Case 711-410, August 2010. (Revised March 2012.)
- December 2009 (Revised May 2012)
- Case
Koo Foundation Sun Yat-Sen Cancer Center: Breast Cancer Care in Taiwan
By: Michael E. Porter, Jennifer F Baron and C. Jason Wang
Taiwan's Koo Foundation Sun Yat-Sen Cancer Center has developed an integrated, team-based care delivery model for breast cancer care that is being expanded to other cancer types in 2009. A decade earlier, President and CEO Dr. Andrew Huang and the Center had worked...
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Keywords:
Health Care and Treatment;
Medical Specialties;
Service Delivery;
Outcome or Result;
Performance Effectiveness;
Quality;
Integration;
Health Industry;
Insurance Industry;
Taiwan
Porter, Michael E., Jennifer F Baron, and C. Jason Wang. "Koo Foundation Sun Yat-Sen Cancer Center: Breast Cancer Care in Taiwan." Harvard Business School Case 710-425, December 2009. (Revised May 2012.)
- February 2009 (Revised June 2019)
- Case
Cleveland Clinic: Transformation and Growth 2015
By: Michael E. Porter and Elizabeth O. Teisberg
The Cleveland Clinic's health care services are internationally renowned for quality. In 2008, The Clinic began to restructure the organization into teams defined around patient needs, rather than traditional medical specialties. "Patients First!" takes shape as the...
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Keywords:
Health;
Health Care Operations;
Health Care Quality;
Health Care;
Strategy And Leadership;
Strategy Development;
Health Care and Treatment;
Leading Change;
Goals and Objectives;
Growth and Development Strategy;
Measurement and Metrics;
Service Delivery;
Organizational Change and Adaptation;
Outcome or Result;
Health Industry;
Cleveland
Porter, Michael E., and Elizabeth O. Teisberg. "Cleveland Clinic: Transformation and Growth 2015." Harvard Business School Case 709-473, February 2009. (Revised June 2019.)
- Article
A Blueprint for Pharmacy Benefits Managers to Increase Value
By: William Shrank, Michael E. Porter, Sachin H. Jain and Niteesh K. Choudhary
Pharmacy benefits managers (PBMs) have a unique opportunity to promote public health and generate value in the healthcare system. However, PBMs are largely evaluated on their ability to control costs rather than improve health. PBMs should be evaluated along three...
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Keywords:
Opportunities;
Health;
System;
Cost Management;
Partners and Partnerships;
Motivation and Incentives;
Value;
Innovation and Invention;
Performance Effectiveness;
Health Industry;
Pharmaceutical Industry
Shrank, William, Michael E. Porter, Sachin H. Jain, and Niteesh K. Choudhary. "A Blueprint for Pharmacy Benefits Managers to Increase Value." American Journal of Managed Care 15, no. 2 (February 2009).
- July 2008 (Revised August 2008)
- Case
In-Vitro Fertilization: Outcomes Measurement
By: Michael E. Porter, Saquib Rahim and Benjamin Chung-Shi Tsai
As of 2007, there were very few examples of widespread measurement and reporting of health outcomes, a critical quality measure. In-vitro fertilization clinics have been required to report their patient's health outcomes since 1995. The protagonist of the case, Dr....
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Keywords:
Health Care and Treatment;
Medical Specialties;
Measurement and Metrics;
Operations;
Outcome or Result;
Health Industry;
Cleveland
Porter, Michael E., Saquib Rahim, and Benjamin Chung-Shi Tsai. "In-Vitro Fertilization: Outcomes Measurement." Harvard Business School Case 709-403, July 2008. (Revised August 2008.)
- March 2001 (Revised April 2001)
- Case
Montefiore Medical Center
By: Robert S. Kaplan and Syeda Noorein Inamdar
A large urban medical center implements the Balanced Scorecard management tool. Elaine Brennan, senior VP of operations, has reorganized a highly functional health care organization into decentralized patient care centers and support units. Having recently endured the...
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Keywords:
Balanced Scorecard;
Health Care and Treatment;
Management Systems;
Organizational Structure;
Corporate Strategy;
Leadership Development;
Growth and Development Strategy;
Financial Reporting;
Budgets and Budgeting;
Cost Accounting;
Corporate Accountability;
Communication;
Health Industry
Kaplan, Robert S., and Syeda Noorein Inamdar. "Montefiore Medical Center." Harvard Business School Case 101-067, March 2001. (Revised April 2001.)
- Research Summary
Overview
By: Robert S. Kaplan
Kaplan introduced time-driven activity-based costing (TDABC) to provide the cost component in Michael Porter's Value Based Health Care framework of delivering superior patient outcomes at lower societal cost. TDABC is becoming the global standard for health care...
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