Publications - Institute For Strategy And Competitiveness

17 Jun 2020
Article

Six Tests for Physicians and Their Leaders for the Decade Ahead

by Thomas H. Lee, MD, MSc, Toby Cosgrove, MD

                                 
                                          In the years immediately ahead, physicians and their leaders must move to a new level
                                             of health care in which they reliably deliver the performance that society needs.
                                             To enable and ensure success, significant changes will be required. A set of six tests
                                             for physicians...

June 2020
Article

Are cost advantages from a modern Indian hospital transferable to the United States?

1 JUN 2020
Presentation

Are Cost Advantages from a Modern Indian Hospital Transferable to the United States?

by R. S. Kaplan, F. Erhun, V.G. Narayanan, B. Mistry and K. Brayton, et al

                                 
                                          We use time-driven activity-based costing to estimate the cost of personnel and space
                                             for an elective coronary artery bypass graft (CABG) surgery at two U.S. hospitals,
                                             Intermountain and Baylor Heart, and Narayana Health (NH), in India. All three hospitals
                                             use modern...

May–June 2020
Article

The Agenda for the Next Generation of Health Care Information Technology

by Thomas W. Feeley, Zachary Landman and Michael E. Porter

                                 
                                          As the diffusion of value-based health care efforts accelerates globally, the need
                                             for interoperable information technology systems that support value-based care is
                                             essential. Such systems are needed to facilitate dramatic improvements in patient
                                             outcomes and...

April 2020
Article

The Agenda for the Next Generation of Health Care Information Technology

by Thomas W. Feeley, Zachary Landman and Michael E. Porter

                                 
                                          As the diffusion of value-based health care efforts accelerates globally, the need
                                             for interoperable information technology systems that support value-based care is
                                             essential. A value-enabling IT platform must organize data around conditions.

February 2020
Article

2020 TDABC Starter Kit

by Professor Robert Kaplan and Dr. Syed Shehab

                                 
                                          This article is designed for new partners to help initiate TDABC projects. It reviews
                                             the basic concepts of value-based health care and how a motivated team can undertake
                                             a cost measurement project in their own institution.

January 2020
Presentation

Value-Based Health Care Delivery: Systems Integration and Growth

by Professor Michael E. Porter

                                 
                                          Professor Michael Porter presents the current concepts in how health care delivery
                                             systems can grow and deliver value-based health care across geography.

January 2020
Presentation

Value-Based Primary Care

by Professor Leemore Dafney

                                 
                                          Professor Leemore Dafney applies principles of value-based health care to primary
                                             care.

January 2020
Presentation

Value-Based Health Care: Core Concepts

by Professor Bob Kaplan

                                 
                                          Professor Bob Kaplan discusses the core concepts of value based health care to the
                                             2020 Intensive Seminar.

January 2020
Presentation

Outcome Measurement

by Thomas W. Feeley, MD

                                 
                                          Dr. Tom Feeley presents the basic principles and process of health outcome measurement.

January 2020
Presentation

Time-Driven Activity-Based Costing in Health Care

by Professor Bob Kaplan

                                 
                                          Professor Bob Kaplan presents the current concepts of cost measurement in health care.

January 2020

Introduction to Value-Based Health Care

by Professor Michael E. Porter

January 2020
Presentation

Value-Based Health Care Core Concepts

by Professor Michael E. Porter

                                 
                                          Professor Michael E. Porter presents the current status of value based health care
                                             as a strategy to improve health care.

January 2020
Presentation

Paying for Health Care

by Dr. Mary Witkowski

                                 
                                          Dr. Mary Witkowski discusses value based payment including bundled paymnents and capitated
                                             payments.

January 2020
Article

Value Based Health Care in Undergraduate Medical Education

by Jessica Holtzman, Bhushan Deshpande, Jessica Stuart, Thomas W. Feeley, Mary Witkowski, Edward Hundert, and Jennifer Kasper

                                 
                                          The authors present a novel, VBHC curriculum integrated into a required course for
                                             post-core clerkship students—launched in 2018 at Harvard Medical School and taught
                                             in conjunction with Harvard Business School faculty—that highlights key principles
                                             of VBHC.

December 2019
Article

Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: Recommendations from the Society for Perioperative Assessment and Quality Improvement (SPAQI)

by Olivia Allin, Richard D Urman, Angela F Edwards ,Jeanna D Blitz ,Kurt J Pfeifer, Thomas W Feeley, and Angela M Bader

                                 
                                          A shift in healthcare payment models from volume toward value-based will require deliberate
                                             input into systems development from both perioperative clinicians and administrators
                                             to ensure appropriate recognition of the value of all provided services.

November 2019 (Revised December 2019)
Case and Teaching Material

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...

November 2019
Article

Leapfrog to Value

                                 
                                          As the concept of value-based health care diffuses rapidly world wide this month's
                                             report from the Leapfrog to Value initiative outlines how low and middle income contries
                                             can benefit from value-based health care.

November 2019
Article

Value-Based Care in Low and Middle Income Nations

                                 
                                          As the concept of value-based health care is rapidly diffusing world wide, this working
                                             paper demonstrates how low and middle income nations can embrace value-based care
                                             and accelerate universal health coverage.

November 2019
Article

A Review of Bundled Payments in Total Joint Replacement

by Olivia Manickas-Hill, Thomas W. Feeley, and Kevin J. Bozic

                                 
                                          Multiple pilot studies evaluating cost and quality using a bundled-payment model in
                                             joint replacement have demonstrated reductions in Medicare payments, primarily from
                                             decreased hospital LOS and post-acute care utilization.

Resources

Michael E. Porter on Competition