Cases & Teaching Notes

June 2019
HBS Case Collection

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.

January 2018
HBS Case Collection

Medtronic: Navigating a Shifting Healthcare Landscape

by Robert S. Kaplan, Michael E. Porter, Thomas W. Feeley and Alee Hernandez

                      
                            Medtronic is adapting its strategy to changes in healthcare competition and payments. It has decided to develop new relationships with payers, hospitals, and physicians to become more accountable for patient outcomes and total costs. The case describes new forms of...

May 2018
HBS Case Collection

Kaiser Permanente Colorado: Primary Care Plus

by Robert S. Kaplan and Mahek A. Shah

                      
                            A geriatrician in Kaiser Permanente’s Colorado region is concerned with the high and growing cost of treating the elderly population. She introduces a new care model, Primary Care Plus, using an interdisciplinary team of a primary care doctor, palliative care...

Febr 2009 (Revised May 2018)
HBS Case Collection

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...

May 2008 (Revised Apr 2018)
HBS Case Collection

The University of Texas MD Anderson Cancer Center: Interdisciplinary Cancer Care

by Michael E. Porter and Sachin H. Jain

                      
                            In 2006, University of Texas MD Anderson Cancer Center was an internationally leading institution for cancer care, education, and research. Since 1996, it had successfully reorganized itself from a cancer hospital that was physically organized around clinical...

Feb 2017 (Revised Apri 2018)
HBS Case Collection

Oak Street Health: A New Model of Primary Care

by Michael E. Porter, Thomas H. Lee and Meredith A. Alger

                      
                            Michael Pykosz, Geoff Price, and Griffin Myers opened Oak Street Health’s first clinic in 2013. By 2016, with backing from venture capital, Oak Street was serving 22,000 patients in 19 locations in Chicago, Indianapolis, Rockford, Detroit, Fort Wayne, and Northwest...

Dec 2017 (Revised Apr 2018)
HBS Case Collection

The Children's Hospital of Philadelphia: Network Strategy 2016

by Michael E. Porter, Thomas W. Feeley and Toyin J. Okanlawon

                      
                            Children’s Hospital of Philadelphia (CHOP) began as a stand-alone hospital in the heart of downtown Philadelphia in 1855. By 2016 the CHOP Care Network stretched across Pennsylvania, New Jersey, and the New York metropolitan area, providing a wide range of services...

Apri2014 (Revised Mar 2018)
HBS Case Collection

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...

January 2018
HBS Case Collection

Partners In Health: Costing Primary Care in Haiti

by Robert S. Kaplan and Mahek A. Shah

                      
                            Partners in Health, a global NGO focused on delivering health care to residents of rural underserved communities, conducts a project on the cost of primary care at five sites in the Central Highlands of Haiti. It devises a simple approach for tracking the resources...

September 2016 (Revised October 2018)
HBS Case Collection

Springfield Hospital

by Susanna Gallani and Robert Kaplan

                      
                            One of the key roles of costing systems is to support the evaluation of performance and facilitate appropriate resource allocations. Through participation in a comparative cost study, management at Springfield Hospital, known for its heavy focus on operational...

April 2016 (Revised May 2016)
HBS Case Collection

Hôpital Universitaire de Mirebalais, Partners In Health in Haiti

by Robert S. Kaplan, Bipin Mistry and Karla Bertrand

                      
                            The case describes the application of Time-Driven Activity-Based Costing (TDABC) at a new tertiary hospital, operated by Partners in Health in Mirebelais, Haiti. A project team mapped the clinical processes for use in estimating the direct costs of personnel,...

Aug 2015 (Revised Aug 2015)
HBS Case Collection

Hoag Orthopedic Institute

by Robert S. Kaplan and Jonathan Warsh

                      
                            Two groups of orthopedic surgeons form a joint venture with a community hospital to establish Hoag Orthopedic Institute, a for-profit hospital and two ambulatory service centers. By controlling and integrating all aspects of the patients' medical treatment, the...

Jun 2014 (Revised Apri 2015)
HBS Case Collection

OrthoChoice: Bundled Payments in the County of Stockholm (A)

by Michael E. Porter, Clifford M. Marks and Zachary C. Landman

                      
                            It was the waiting that drew the attention of the Stockholm County Council. In 2008, patients seeking a hip or knee replacement in Stockholm County faced wait times of up to two years of sometimes debilitating pain, intermittent missed work and income, and the trials...

Jun 2014 (Revised Apr 2015)
HBS Case Collection

OrthoChoice: Bundled Payments in the County of Stockholm (B)

by Michael E. Porter, Clifford M. Marks and Zachary C. Landman

                      
                            By the end of 2008, all major hospitals (one of which was private) and three private specialized orthopedic centers signed OrthoChoice contracts. In 2009, hip and knee replacements in the County of Stockholm for relatively healthy patients began being reimbursed. By...

Mar 2012 (Revised Dec 2014)
HBS Case Collection

Schon Klinik: Measuring Cost and Value

by Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman

                      
                            The case illustrates how a leading German hospital group has invested deeply in the measurement of patient-level outcomes and costs, the foundations of a health care value framework. The company launches a pilot project to use time-driven activity-based costing (TDABC)...

Dec 2014 (Revised Jan 2016)
HBS Case Collection

Vanderbilt: Transforming a Health Care Delivery System

by Michael E. Porter, Zachary C. Landman and Derek A. Haas

                      
                            In 2013, Vanderbilt University Medical Center was the top ranked hospital in Tennessee by U.S. News and World Report, and among the leading academic medical centers in the entire southeast region. The 2012 US News & World Report hospital rankings listed Vanderbilt's...

Nov 2012 (Revised Jun 2014)
HBS Case Collection

Boston Children's Hospital: Measuring Patient Costs (V)