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- August 2012 (Revised February 2021)
- Case
Hub and Spoke, HealthCare Global and Additional Focused Factory Models for Cancer Care
By: Regina E. Herzlinger, Amit Ghorawat, Meera Krishnan and Naiyya Saggi
This case compares and contrasts four different models for delivering cancer care in India and the US. Students are asked to select the best model in its alignment with the Six Forces in those two countries and Africa, to which one of the models is considering...
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Keywords:
Cancer Care Services;
Focused Factories For Cancer Care;
Hub And Spoke Cancer Care;
Cancer Care In The U.S.;
Cancer Care In Africa;
Cancer Care In India;
Health Care and Treatment;
Business Model;
Six Sigma;
Health Disorders;
Health Industry;
United States;
India;
Africa
Herzlinger, Regina E., Amit Ghorawat, Meera Krishnan, and Naiyya Saggi. "Hub and Spoke, HealthCare Global and Additional Focused Factory Models for Cancer Care." Harvard Business School Case 313-030, August 2012. (Revised February 2021.)
- 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.)
- May 15, 2012
- Article
Ensuring Quality Cancer Care: A Follow-Up Review of the Institute of Medicine’s 10 Recommendations for Improving the Quality of Cancer Care in America
By: Tracy E. Spinks, Heidi W. Albright, Thomas W. Feeley, Ron Walters, Thomas W. Burke, Thomas Aloia, Eduardo Bruera, Aman Buzdar, Lewis Foxhall, David Hui, Barbara Summers, Alma Rodriguez, Raymond DuBois and Kenneth I. Shine
Responding to growing concerns regarding the safety, quality, and efficacy of cancer care in the United States, the Institute of Medicine (IOM) of the National Academy of Sciences commissioned a comprehensive review of cancer care delivery in the US health care system...
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Keywords:
Cancer;
Quality;
Cancer Care In The U.S.;
Quality Improvement;
Health Care and Treatment;
Health Industry;
North and Central America
Spinks, Tracy E., Heidi W. Albright, Thomas W. Feeley, Ron Walters, Thomas W. Burke, Thomas Aloia, Eduardo Bruera, Aman Buzdar, Lewis Foxhall, David Hui, Barbara Summers, Alma Rodriguez, Raymond DuBois, and Kenneth I. Shine. "Ensuring Quality Cancer Care: A Follow-Up Review of the Institute of Medicine’s 10 Recommendations for Improving the Quality of Cancer Care in America." Cancer 118, no. 10 (May 15, 2012): 2571–2582.
- November 2019 (Revised December 2019)
- Case
Martini Klinik: Prostate Cancer Care 2019
By: Michael E. Porter, Jens Deerberg-Wittram and Thomas W. Feeley
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...
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Keywords:
Health Care;
Michael Porter;
Jens Deerberg-Wittram;
Clifford Marks;
Prostate Cancer;
Health Care Policy;
Value Agenda;
Integrated Practice Units;
Outcomes Measurement;
Health Care and Treatment;
Value;
Health Disorders;
Insurance;
Medical Specialties;
Outcome or Result;
Measurement and Metrics;
Business Processes;
Insurance Industry;
Health Industry;
Germany
Porter, Michael E., Jens Deerberg-Wittram, and Thomas W. Feeley. "Martini Klinik: Prostate Cancer Care 2019." Harvard Business School Case 720-359, November 2019. (Revised December 2019.)
- 01 Apr 2015
- Research & Ideas
The Slow, Steady Battle to Fix Cancer Care
with insurance provider UnitedHealthcare to test a fixed-payment structure for a select group of head and neck cancer patients. Rather than receiving separate charges for every...
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- September 2012
- Supplement
Intraoperative Radiotherapy for Breast Cancer (B)
By: Willy Shih
The intraoperative radiotherapy (IORT) business at Carl Zeiss Meditec had struggled with growth since the time of the (A) case. Though the unit had grown revenues in excess of 50% and had exceeded its EBIT target, it faced several key strategic choices. Should it...
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Keywords:
Radiotherapy;
Breast Cancer;
Brachytherapy;
Therapeutic Radiation;
Oncology;
Oncology Treatment Systems;
Elekta AB;
Varian Medical Systems;
Xoft;
Electronic Brachytherapy;
Intraoperative Radiotherapy;
Disruptive Innovation;
Health Care and Treatment;
Entrepreneurship;
Technological Innovation;
Growth and Development Strategy;
Health Industry;
Germany
Shih, Willy. "Intraoperative Radiotherapy for Breast Cancer (B)." Harvard Business School Supplement 613-040, September 2012.
- 15 Nov 2004
- Research & Ideas
Solving the Health Care Conundrum
competition involves competing to deliver the greatest value for patients. Value-based competition will see more innovation as providers will not be all things to all people, but will create focused...
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- August 2014 (Revised February 2021)
- Case
Hospital for Special Surgery (A)
By: Regina E. Herzlinger and Stacy Schwartz
Hospital for Special Surgery, a focused factory for orthopedics and joint disease, is contemplating various growth options: further growth in the United Kingdom's National Health Services, management of hospitals in the United States, and/or hospital consulting....
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Keywords:
Health Care and Treatment;
Nonprofit Organizations;
Growth and Development Strategy;
Cross-Cultural and Cross-Border Issues;
Expansion;
Health Industry;
United Kingdom;
United States
Herzlinger, Regina E., and Stacy Schwartz. "Hospital for Special Surgery (A)." Harvard Business School Case 315-012, August 2014. (Revised February 2021.)
- 04 Jun 2007
- Research & Ideas
Is Health Care Making You Better—or Dead?
for this to happen. Q: There's an interesting phenomenon going on, and that's basically outsourcing fairly complex surgeries to India for much cheaper prices. Does this actually pose a threat to the...
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- 03 Jul 2012
- Research & Ideas
HBS Faculty on Supreme Court Health Care Ruling
experts in the health care field, to provide their views on various facets of one of this country's most important and complex problems. Bill George Professor of Management Practice, former chair and CEO of Medtronic, and author of 7...
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- 21 Nov 2012
- Research & Ideas
What Health Care Managers Need to Know--and How to Teach Them
Natalie Kindred, 2012. Hub and Spoke, Health Care Global, and Additional Focused Factory Models for Cancer Care,...
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- 12 Jul 2006
- Research & Ideas
Competition the Cure for Healthcare
their practices. Today's quality movement in healthcare is a welcomed step in the right direction, but it is not really focused on results; it is focused on methods, or processes of care. Q: What about pay...
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- 10 Sep 2020
- Research & Ideas
The COVID Two-Step for Leaders: Protect and Pivot
care workers. These responses may be focused on the immediate emergency of the pandemic with the idea of returning to business-as-usual at some point. Other companies are making deeper changes that are...
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- 07 Jun 2016
- First Look
June 7, 2016
strategic, financial, and operational objectives. Publisher's link: https://pubwww.hbs.edu/faculty/Pages/item.aspx?num=51110 May 2016 Oncology How the Affordable Care Act Has Affected Cancer View Details
Keywords:
Sean Silverthorne
- June 2006 (Revised June 2007)
- Background Note
The Challenge Facing the U.S. Healthcare Delivery System
By: Richard M.J. Bohmer and Carin-Isabel Knoop
Discusses the challenges currently facing the U.S. health care delivery system. These challenges frame the problems managers of delivery organizations are currently facing. They include a burgeoning gap between demand and supply. Demand for health care services is...
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Bohmer, Richard M.J., and Carin-Isabel Knoop. "The Challenge Facing the U.S. Healthcare Delivery System." Harvard Business School Background Note 606-096, June 2006. (Revised June 2007.)
- 30 Aug 2016
- First Look
August 30, 2016
Rapidly Developed Patient-Centered Outcome Measures By: Shah, Kevin P., Tracy E. Spinks, and Thomas W. Feeley Abstract—In 2014, The University of Texas MD Anderson Cancer Center created a streamlined process View Details
Keywords:
Carmen Nobel
- 28 May 2012
- Research & Ideas
A Pragmatic Alternative for Creating a Corporate Social Responsibility Strategy
various directions within different departments. For example, human resources might initiate a United Way gift program that involves a company match; operations might work on waste reduction; and marketing might collect an extra dime from...
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Keywords:
by Dina Gerdeman
- April 2021
- Article
Utilizing Time-driven Activity-based Costing to Determine Open Radical Cystectomy and Ileal Conduit Surgical Episode Cost Drivers
By: Janet Baack Kukreja, Mohamed A. Seif, Marissa W. Merry, James R. Incalcaterra, Ashish M. Kamat, Colin P. Dinney, Jay B. Shah, Thomas W. Feeley and Neema Navai
Objectives
Patients undergoing radical cystectomy represent a particularly resource-intensive patient population. Time-driven activity based costing (TDABC) assigns time to events and then costs are based on the people involved in providing care for specific... View Details
Patients undergoing radical cystectomy represent a particularly resource-intensive patient population. Time-driven activity based costing (TDABC) assigns time to events and then costs are based on the people involved in providing care for specific... View Details
Keywords:
Time-Driven Activity-Based Costing;
Value-based Healthcare;
Health Care and Treatment;
Cost;
Cost vs Benefits;
Analysis
Kukreja, Janet Baack, Mohamed A. Seif, Marissa W. Merry, James R. Incalcaterra, Ashish M. Kamat, Colin P. Dinney, Jay B. Shah, Thomas W. Feeley, and Neema Navai. "Utilizing Time-driven Activity-based Costing to Determine Open Radical Cystectomy and Ileal Conduit Surgical Episode Cost Drivers." Urologic Oncology: Seminars and Original Investigations 39, no. 4 (April 2021).
- 22 Aug 2005
- Research & Ideas
Balancing the Future Against Today’s Needs
wagon wheel factory after the car has been invented.—Alex Urquhart, GE Commercial Finance This has been a critical motivational point for Phanstiel at PacifiCare. When the company unveiled its growth plans...
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Keywords:
by Paul Michelman
- 16 Aug 2011
- Working Paper Summaries