Fixed Costs Health Care Leadership Management 
Harvard Business Review
NOVEMBER 15, 2018
The sheer sprawl of these outsourced services is bewildering, even at medium-size organizations: housekeeping, food services, materials management, IT, and clinical staffing, including temporary nursing and also physician coverage for the ER, ICU and hospitalists. Eliminating layers of management. cancel or rebid them).
Harvard Business Review
APRIL 19, 2011
This post is part of a three-week series exploring the re-invention of the social infrastructure of cities, published in partnership with the Advanced Leadership Initiative at Harvard University. Meanwhile, declines in revenue and escalating fixed costs for things like public employee pensions and health care are crippling our cities budgets.
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