Harvard Business Review

NOVEMBER 23, 2016

Innovating for Value in Health Care. Exploring cutting edge ways to lower costs and improve quality. Yet, a variety of financial and operational problems impeded success and we lacked a clear strategic path toward building the kind of coordinated care delivery system healthcare desperately needs. Insight Center.

Health Care 8

Health Care How To Operations Quality 8

Harvard Business Review

JUNE 8, 2017

Bundled payments in health care have gained favor because they can reduce costs and help improve outcomes. In essence, episodic bundles cover the cost of a patient’s care from start to finish—all the procedures, devices, tests, drugs and services a patient will need for, say, a knee replacement or back surgery.

Health Care 8

Health Care Participative System Cost 8

Harvard Business Review

OCTOBER 26, 2011

Yet this is exactly the challenge facing leaders of the finance function who are asked to help their organization improve the way that work is done. As finance shifts its focus from controlling costs to advising managers on improvement activities, CFOs must change their thinking and behaviors. People are treated with respect.

Finance 11

Finance CFO Budgeting Operations 11

Strategy Driven

JANUARY 20, 2012

As organizations expand and grow, the skills that led to success often won’t sustain further development in a more complex, high-stakes environment. If you don’t understand finance and accounting, enroll in a course immediately. If you don’t hold a finance or operations position, consider cross training. Look the part.

Execution 62

Execution How To Finance Competitive Advantage 62

Harvard Business Review

OCTOBER 17, 2018

The Future of Health Care. Although medical trainees spend years learning about physiology, anatomy, and biochemistry, there are few formal avenues through which trainees learn fundamental leadership skills, such as how to lead a team, how to confront problem employees, how to coach and develop others, and how to resolve conflict.

Training 11

Training Leadership Health Care Education 11

Harvard Business Review

OCTOBER 30, 2018

Most modern health care improvements seem to involve expensive technology and an uncomfortable amount of change management. But clinical and nonclinical staff at the Rotterdam Eye Hospital have improved patient care and raised staff morale at a very modest cost: 10 minutes a day and a special deck of cards. Insight Center.

Health Care 8

Health Care Stress Morale Airlines 8

Harvard Business Review

MAY 1, 2013

We face a public health emergency. Without adequate financing, ministries of health and even private hospitals in developing countries often don''t have the resources needed to purchase diagnostic equipment, train workers, and ensure access to appropriate treatment.

Health Care 8

Health Care ROI NGO Long-term 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 8

Health Care Sharpe Document Cost 8

Harvard Business Review

SEPTEMBER 18, 2013

But with their focus on clinical disease management and research, training programs actually offer little in the way of true leadership training – authentic experience that helps young doctors develop the leadership skills they will need. Health care leaders, and indeed any provider, must communicate well both verbally and non-verbally.

Training 8

Training Health Care Leadership Education 8

Harvard Business Review

OCTOBER 9, 2015

“The proper goal for any health care delivery system is to improve the value delivered to patients … To properly manage value, both outcomes and cost must be measured at the patient level,” Harvard’s Robert Kaplan and Michael Porter tell us. Martin’s Point Health Care-Bangor.

Health Care 8

Health Care Cost Kaplan Porter 8

Harvard Business Review

JUNE 22, 2017

You’re not just thinking about the actual medical issue at hand; you’re thinking about the development of that child more holistically. How can the health care system adapt to bring that kind of specialized experience to more families? A compelling example is behavioral and mental health.

CEO 8

CEO System Innovation Chief Financial Officer 8

Harvard Business Review

OCTOBER 17, 2013

As we in the United States juggle major structural and operational changes and try to secure our financial systems as revenues fall, we must keep our promise of safety and high quality to every patient, every time. I’ll look at the dashboards or other quality reports they use to measure performance. Ask four questions.

Crisis 8

Crisis Health Care Quality Welch 8

Harvard Business Review

OCTOBER 11, 2013

Why do American employers act like helicopter parents when it comes to their employees’ health care? Today all wage earners are required to put savings into an individual account to cover future health-care expenses, a scheme called Medisave. While Health Savings Accounts have existed in the U.S.

Health Care 8

Health Care Company Insurance Incentives 8

Harvard Business Review

NOVEMBER 13, 2017

Not long ago, many services such as tax accounting were delivered episodically and in-person, as most health care still is today. Health care has proved resistant to a similar transition, although everyone would benefit. And we describe steps needed to overcome these obstacles, lowering costs and improving quality.

Health Care 8

Health Care How To Insurance Incentives 8

Harvard Business Review

OCTOBER 27, 2015

Given that most developing countries do not record medical errors, the global magnitude of the problem is not well documented. To date, we have awarded subscriptions to over 1,000 health care institutions in 45 countries. There is ongoing debate regarding the quality of open-source medical content.

Health Care 8

Health Care Content Globalization Mayo 8

Harvard Business Review

MARCH 22, 2012

Uprooting a family or spouse can alter one's quality of life for better or worse. Highly skilled workers — especially in health care, engineering, and IT — have fared the best during the recovery. Census Bureau announced that the percentage of Americans who changed residences between 2010 and 2011 — 11.6

Health Care 13

Health Care Engineering Skills Finance 13

Harvard Business Review

MARCH 3, 2011

What's standing in the way of higher quality education just might be schools — whose top-heavy, militaristic management prevents dedicated, talented teachers from evoking the best in their students. To illustrate, go back to my bullet points: democracy, education, healthcare, finance. Or is it trivial?

Health Care 16

Health Care Long-term Finance Education 16

Harvard Business Review

DECEMBER 12, 2016

The starting point for achieving value in any health care system is to measure outcomes. Through regular interaction with our global network of value innovators, we at the International Consortium for Health Outcomes Measurement ( ICHOM ) have developed a 10-step implementation “blueprint” that any provider can follow.

Health Care 8

Health Care Committee Compliance Project 8

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. Insight Center.

Health Care 8

Health Care Innovation Insurance Cost 8

Harvard Business Review

NOVEMBER 30, 2010

Earlier this fall, The New York Post ran a story guaranteed to raise hackles among parents anxious about the quality of their childrens education in the public schools. Brook Manville consults to socially-minded enterprises on matters of strategy and organizational development. Heres a simple but compelling example.

Guidelines 14

Guidelines Education Telecommunications Emotional Intelligence 14

Harvard Business Review

NOVEMBER 23, 2010

Drawing on her work with business leaders, she has developed the following categorization of how people prefer to think: Conceptual : Reads signs of coming change; sees the "big picture"; recognizes new possibilities; tolerates ambiguity; integrates ideas and concepts; communicates through analogy and metaphor; inspires with visions of the future.

Process 15

Process CEO Insurance Banking 15

Harvard Business Review

MAY 8, 2017

The list includes a health care company that was once near bankruptcy (DaVita), a software firm whose stock price stagnated for a decade (Microsoft), a travel website that faced overwhelming competition (Priceline), a food giant that seemed to lose its focus (Danone), and a steel company that faced new pressure from lower-cost rivals (ThyssenKrupp).

Franchising 14

Franchising CEO Business Model Strategy 14

Harvard Business Review

JANUARY 13, 2017

“You overcommit because you are ambitious or you want to impress your boss, but then when you fail to deliver — or deliver work that is rushed or of poor quality — it sends a message that you are not reliable.” ” After working in health care for nearly a decade, she was at a breaking point.

How To 8

How To Project Advice Case Study 8

Harvard Business Review

OCTOBER 11, 2017

While there have been significant strides in providing frontline clinicians with quality information, these clinicians still lack the tools they need to play an active role in controlling the costs of the care they provide. Value ceased to be a side initiative or something driven solely by top-level finance and executive leaders.

Cost 8

Cost Management Health Care System 8

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. One of the team’s central findings is that TDABC cannot be delegated to the finance function. Gain senior leadership support.

Mayo 8

Mayo Health Care Committee Project 8

Harvard Business Review

OCTOBER 17, 2017

The United States spends 40% more per patient than other developed countries but suffers the worse overall health outcomes. Many adult health care outcomes are shaped in childhood. Reforming primary care pediatrics therefore has great potential for improving overall U.S. health care outcomes.

Health Care 9

Health Care Metrics Efficiency Absenteeism 9

Harvard Business Review

NOVEMBER 11, 2013

Children require care, yet the U.S. ranks among the lowest in the developed world in the early childhood care we provide. Yet Americans spend more on child care than other developed countries, and many of those countries are able to provide excellent child care. Support Portable Health Care.

Policies 9

Policies Health Care Education Career 9

Harvard Business Review

DECEMBER 17, 2015

Medicine is fraught with anachronistic administrative structures, as well as competing and redundant decision-making processes involving many stakeholders (the hospital, doctors, nurses, compliance, finance, and others) who often work in silos and have differing goals. Leading Change in Health Care. Insight Center.

Health Care 8

Health Care Diversity Proposal Document 8

Harvard Business Review

SEPTEMBER 28, 2015

“Paying for value” is one of the most overused tropes in health care today. To those who pay the bills — employers, health plans, and even the government — value often means paying as little as possible for services. Tell us what health-care content you’d like to see more of from HBR.

Health Care 8

Health Care Short-term Insurance Long-term 8

Harvard Business Review

NOVEMBER 10, 2017

Intense pressure from the $719 billion Medicare program on the finances of U.S. Transforming Health Care. If hospitals do not aggressively manage the cost of caring for Medicare patients against these fixed payments, losses result. Use data analytics to develop a pathway to higher profitability. The losses of U.S.

Cost 8

Cost Consensus Budgeting System 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. Families were deeply involved in developing treatment programs. His style was at odds with the Calidad de Vida methodology of care.

Case Study 13

Case Study Franchising Health Care Follow-up 13

Harvard Business Review

MAY 16, 2016

If, on the other hand, you’re older and have financial and personal commitments, you need to develop a process so that others in your life can help you make the decision.” Case Study #1: Get to know the founder and spend quality time with the team. Get discouraged. But for Joseph it was not the perfect workplace.

Due Diligence 9

Due Diligence How To Learning-by-Doing Case Study 9

Harvard Business Review

DECEMBER 28, 2015

In six years of working across 60 countries in search of the perfect health system, I have been fascinated by the fact that every country wants to deliver safe, consistently good, financially sustainable health care, but no one has been able to do it. Leading Change in Health Care. Insight Center.

Health Care 8

Health Care System Telecommunications Quality 8

Harvard Business Review

FEBRUARY 22, 2012

They are key both to cash flow which finances dividends, and to "net income" that drives stock price which, in turn, benefits shareholders (heavily American) — especially older individuals who are either direct investors or who rely on pension funds. Working Conditions. Worker Transition at Home.

Offshoring 13

Offshoring Outsourcing Supply Chain Globalization 13

Harvard Business Review

DECEMBER 14, 2016

Congress replace or revamp the Affordable Care Act, it is unlikely to halt America’s ongoing move from the rightfully maligned fee-for-service payment system to one that pays for “value” — the quality of outcomes relative to the price. Innovating for Value in Health Care. Insight Center.

Health Care 8

Health Care Industry Business Model Finance 8