Harvard Business Review

MARCH 1, 2011

Editor's note: This post is part of a three-week series examining innovation in health care, published in partnership with the Advanced Leadership Initiative at Harvard University. At first blush, it would appear that entrepreneurship is alive and well in health care. Will it come?

Health Care 15

Health Care Biotechnology Mayo Pharmaceuticals 15

Harvard Business Review

MARCH 7, 2018

Voice-powered technologies such as Siri, Alexa, Google Assistant, and Cortana, are changing the way people shop, drive cars, and manage their homes. Health Care’s New Frontier. How technology is changing the design and delivery of care. Research among clinicians is affirming our optimism about voice in health care.

Health Care 8

Health Care Guidelines Technology Content 8

Harvard Business Review

JANUARY 3, 2011

In 1999, the Institute of Medicine reported that American health care was decidedly dangerous for patients. The cause was not malfeasant individuals; it was inadequately designed and operated systems of care delivery. Managing chronic illness, urgent and intensive care, and surgery involve even larger casts.

Health Care 15

Health Care Kaizen McKinsey Operations 15

Harvard Business Review

NOVEMBER 2, 2017

M’s daughter, was aware that he had signed an advance directive — a document detailing his end-of-life preferences — let alone that it was available at his primary care physician’s office, a few miles away. This uncomfortable scenario will sound familiar to most health care professionals.

Health Care 8

Health Care Document System Participative 8

Harvard Business Review

NOVEMBER 30, 2016

Calls for teamwork in health care are as persistent as they are hard to heed. Told to form and act as teams, most clinicians will agree with the spirit of the request but will struggle to make it happen given well-documented challenges of communicating across shifts, expertise areas, or hierarchical levels. Insight Center.

Health Care 8

Health Care Teamwork Operations Team 8

Harvard Business Review

MARCH 5, 2018

An estimated 14% of wasted health care spending — $91 billion — is the result of inefficient administration. Health Care’s New Frontier. How technology is changing the design and delivery of care. Excessive paperwork and red-tape is the sewage of modern medicine. That’s right: faxes.

Health Care 8

Health Care Technology Outsourcing Follow-up 8

Harvard Business Review

NOVEMBER 10, 2016

Innovating for Value in Health Care. From athenahealth’s network data, we know that the average doctor spends just 60% of her time each year seeing patients and documenting their care. They’ve even partnered with H&R Block to streamline tax filing. Insight Center. Sponsored by Medtronic.

Health Care 9

Health Care Power Hotels Transportation 9

Harvard Business Review

OCTOBER 8, 2015

The shift from volume-based to value-based health care is inevitable. Although that trend is happening slowly in some communities, payers are increasingly basing reimbursements on the quality of care provided, not just the number and type of procedures. Tell us what health-care content you’d like to see more of from HBR.

Health Care 8

Health Care Business Model Mayo Short-term 8

Harvard Business Review

AUGUST 8, 2016

It brought the idea of building a safer health system to the forefront of the public’s mind. Since then, improving health care outcomes has become a central goal in everything from clinical training and research studies to government initiatives and political debate. Waves of Innovation in Surgical Quality and Safety.

Innovation 8

Innovation Health Care Operations Compliance 8

Harvard Business Review

MAY 23, 2017

Nearly everyone in health care wants to cut waste and reduce unnecessary costs — until the conversation turns to advanced chronic illness and end-of-life care. Fears about “pulling the plug on granny,” no matter how ill she may be, have slowed progress toward value-based care. Insight Center.

Health Care 9

Health Care Sharpe Document Cost 9

The Horizons Tracker

NOVEMBER 7, 2023

This prompts an inquiry into the prevalence of stigmatizing language in home health care, an increasingly popular form of outpatient care. Furthermore, how does the use of such language impact patient care? Within a cohort of 45,384 patients, the researchers meticulously scrutinized over 260,000 patient notes.

Health Care 117

Health Care Construction Guidelines Proposal 117

Harvard Business Review

MAY 8, 2013

Over the past 20 years, no group has endured greater pain and humiliation within organizations than mid-level managers (MLMs — managers from two levels below the CEO down to the line managers). Nearly 68% of these large-scale change and innovative efforts failed.

Middle Management 9

Middle Management Management Automotive Pharmaceuticals 9

Harvard Business Review

NOVEMBER 5, 2013

health care are Accountable Care Organizations (ACOs) — networks of doctors, hospitals and usually payers banded together to rein in costs by providing higher quality, better coordinated care, with primary care doctors central to the process. Among the current remedies for U.S.

Health Care 8

Health Care Organization Incentives Metrics 8

Harvard Business Review

NOVEMBER 11, 2013

Health care systems are transforming themselves to deliver the “Triple Aim” of providing better care and a better patient experience, improving the health of populations, and lowering the cost of care. Mayo was the first care-delivery group to receive this delegated authority. Authority and Structure.

Quality 8

Quality Mayo System Six Sigma 8

Deming Institute

JANUARY 30, 2017

About ten years ago, somebody sent me a PDF file of Dr. Deming’s “Some Notes on Management in a Hospital.” The SHS journal article starts with a brief introduction, not in the original document, by Dr. Deming that summarizes the key points, all of which are still relevant today. Guest post by Mark Graban. We have to do better.

Deming 28

Deming Kaizen System Quality 28

Harvard Business Review

JULY 27, 2015

Lean production , which includes a vastly expanded role for front-line workers in addressing problems, was brought to the United States by Toyota in its auto plants but has now spread to health care, professional services, and virtually every other industry. Clearly, well-run operations and careful talent management went hand-in-glove.

Lean Production 8

Lean Production Operations Health Care Talent Management 8

Harvard Business Review

OCTOBER 15, 2015

The HERO report is a self-described “consensus” document, representing “countless hours of research and discussions by more than 60 members of both organizations and many outside experts.” It is even possible to see a rise in ER and urgent care services.” HERO calculates gross savings as $0.99

Health Care 8

Health Care ROI Case Study Morale 8

Harvard Business Review

MAY 15, 2012

His basic two litmus tests for a good business theory are something that explains the different circumstances facing managers and the causal connection between an action and a result. Past experience as a consultant and practicing manager ensure Christensen focuses on high-impact issues, and his work manages to be both robust and usable.

Christensen 11

Christensen Succession Storytelling McKinsey 11

Harvard Business Review

OCTOBER 18, 2012

Continuous improvement and quality have become part of the management lexicon. About ten years ago they spread to financial services and, in the past five years, more deeply into health care and services. People and organizations have access to many more vehicles for learning about the latest in management practices.

Operations 15

Operations Six Sigma Supply Chain Webinar 15

Harvard Business Review

DECEMBER 1, 2016

A program we’re involved with at Ariadne Labs , a joint center of innovation between the Brigham and Women’s Hospital (BWH) and the Harvard T.H. Innovating for Value in Health Care. It needn’t go this way. Insight Center. Sponsored by Medtronic.

Document 8

Document Training Analysis Constraint 8

Harvard Business Review

OCTOBER 18, 2013

With these rules in place, 8 cross-functional teams—each composed of middle managers, a consultant guide, and a sponsor from the leadership team—were formed. Leadership created an optimization office reporting to the CFO to facilitate cost reduction projects, train new team members, and document and disseminate results across the system.

Cost 8

Cost Health Care Six Sigma Insourcing 8

Harvard Business Review

MARCH 1, 2018

health care landscape. This problem is likely to get worse as personalized medicine becomes more common, more patients get to choose between competing private health plans, and employers shrink the coverage they offer employees in order to reduce their labor costs. Health Care’s New Frontier. Insight Center.

Cost 8

Cost Insurance Incentives Policies 8

HR Digest

JULY 20, 2020

Have your employees review and update their personal information for tax documents, benefits cards, and other important matters. Documents that contain sensitive/confidential information such as social security numbers, drug test results, or medical data should be stored in confidential employee files with limited access. (Do

Due Diligence 85

Due Diligence Compliance Handbook Performance Review 85

Harvard Business Review

DECEMBER 4, 2015

As health care reform evolves, large public institutions that offer a health safety net have some advantages over privately owned enterprises. Those are all assets in an era of health care reform. I head one of these institutions: Dallas-based Parkland Health and Hospital Systems. A mission-driven payer mix.

Health Care 8

Health Care Innovation Insurance Cost 8

Harvard Business Review

JUNE 13, 2018

As Andrew Spanyi , the author of four books on process management, put it to us by email: “RPA does not redesign anything. At a leading global logistics company, for example, the business rules in a claims process suggested that decisions on tolerances for refunds required the judgment of a manager.

Process 12

Process Six Sigma Company Technology 12

Harvard Business Review

JUNE 19, 2018

Recent studies show that women physicians may provide better clinical care and health care system savings in comparison with their male counterparts, and women may also generally be more collaborative in both research and education pursuits. These disparities are terribly disappointing, to say the least.

Policies 12

Policies Leadership Mentor Career 12

Harvard Business Review

FEBRUARY 14, 2012

But if they were launching today, banks would likely ask themselves how to accomplish the transactions (deposits, withdrawals, financial management) of banking without the physical commitment of banks. This was the case with Netflix, whose well-documented pricing snafus showed a tone that didn't work for the social era.

Banking 16

Banking Business Model Supply Chain Mass Marketing 16

Harvard Business Review

OCTOBER 22, 2015

In the last six years, a Harvard Business School team has worked with dozens of health care organizations to help them understand the true costs of their treatments for many medical conditions. Establishing this committee signaled that implementing value-based health-care delivery was an institutional priority.

Mayo 8

Mayo Health Care Committee Project 8

Harvard Business Review

APRIL 12, 2017

In addition, the rising relative costs of health care, housing, education, and transportation stretched budgets and cut into the slack available to buffer shocks, especially with the well-documented stagnation of real wages for most workers. She worked her way up to manage several locations of a quick-serve restaurant.

Health Care 13

Health Care Insurance Video Transportation 13

Harvard Business Review

APRIL 26, 2018

Two CareMore Health initiatives serve as examples: One provides patients with non-emergency transportation, and the other is a new secure platform for clinical team communication and collaboration. A focus on simplifying and solving basic patient needs is what drives adoption in health care, not novelty or degree of innovation.

Technology 8

Technology Transportation Health Care Information Technology 8

Harvard Business Review

JUNE 6, 2017

While advances in health care in the developed world often emphasize new technologies, in developing lower- and middle-income countries simply expanding the reach of basic primary care services is crucial to improving health. The Leading Edge of Health Care. Management and leadership skills.

Development 8

Development Health Care Operations Franchising 8

Harvard Business Review

MAY 17, 2017

Even better, blockchains can spur local high-tech innovation. The Dubai Blockchain Strategy (disclosure: Vinay is the designer) envisions moving all government documents — more than 100 million documents per year — onto a blockchain by 2020, creating a new platform for innovation and huge cost savings.

Marketing 8

Marketing Technology Banking Efficiency 8

Harvard Business Review

DECEMBER 17, 2015

Our mantra: Patients care about getting exceptional care, not who pays your salary. Leading Change in Health Care. Individual providers who didn’t measure up had to follow a remediation plan, with incremental improvements that were documented. Our total cost of care per patient is down 18%.

Health Care 8

Health Care Diversity Proposal Document 8

Harvard Business Review

NOVEMBER 22, 2016

But now, just as the recruiters predicted, automating the next wave of cognitive work (think diagnosing diseases or reviewing legal documents) will prove much more difficult, slowing the process until we figure out how to do it. This is where strong managers and mentors excel. Insight Center. The Next Analytics Age. Sponsored by SAS.

Technology 8

Technology Education Analysis McKinsey 8

Harvard Business Review

DECEMBER 9, 2010

Aside from stocks, he dabbled in an activist brand of angel investing: holding large stakes and board seats in several start-up health care businesses, all based in Spain. He pulled a document from his briefcase and handed it to her. She found a bench and pulled the document out of her purse. Take it home.

Case Study 13

Case Study Franchising Health Care Follow-up 13

Harvard Business Review

JUNE 15, 2017

For example, rather than having a single diagram of the body that every clinician would use to document the location of a patient’s problem, ophthalmology had its own diagram focused on the eye, while ENT had a different one for the face. The Leading Edge of Health Care. Insight Center. Sponsored by Optum.

System 9

System Document Health Care Training 9

Harvard Business Review

DECEMBER 22, 2016

The agency, which provides health care to approximately 9 million veterans at over 1,700 locations, had set a top-down goal to increase the percentage of veterans who were seen within 14 days of requesting an appointment. Measure performance carefully and manage with an eye on what’s most important to customers.

Six Sigma 8

Six Sigma Learning-by-Doing Crisis Kotter 8