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  • 20 Nov 2020
  • Article

Utilizing time-driven activity-based costing to determine open radical cystectomy and ileal conduit surgical episode cost drivers

Utilizing time-driven activity-based costing to determine open radical cystectomy and ileal conduit surgical episode cost drivers

by Janet Baack Kukreja, M.D., M.P.H.a,b, Mohamed A. Seif, M.D.a, Marissa W. Mery, M.D.c, James R. Incalcaterra, Ph.D.d, Ashish M. Kamat, M.D.a, Colin P. Dinney, M.D.a, Jay B. Shah, M.D.e, Thomas W. Feeley, M.D.f, Neema Navai, M.D.
Objectives: Patients undergoing radical cystectomy represent a particularly resource-intensive patient population. Time-driven activity based costing (TDABC) assigns time to events and then costs are based on the people involved in providing care for specific events....
  • 01 Feb 2021
  • Article

Health Care Measurements that Improve Patient Outcomes

Health Care Measurements that Improve Patient Outcomes

by Robert S. Kaplan, PhD, MS, Lara Jehi, MD, MHCDS, Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS, Andrea Pusic, MD, MHS, FACS, FRCSC, Mary Witkowski, MD, MBA
This article describes the challenges and solutions in determining whether a patient’s treatment has been successful. Such an assessment depends on multiple factors, including the patient’s pretreatment status; the qualifications of personnel performing the treatment;...
  • 01 Jan 2021
  • Article

Integrated Practice Units: A Playbook for Health Care Leaders

Integrated Practice Units: A Playbook for Health Care Leaders

by Michael E. Porter, PhD, MBA, Thomas H. Lee, MD, MSc
The playbook for assembling and integrating a successful Integrated Practice Unit (IPU) features several key steps, including defining the patient condition or set of related conditions to be served, as well as defining patient needs across the care cycle and mapping...
  • November 10, 2020
  • Article

Value-Based Health Care in Four Different Health Care Systems

Value-Based Health Care in Four Different Health Care Systems

Health care systems across the world have increasingly embraced a value-based health care (VBHC) agenda. They do so for different reasons, using different foundations, and variations on the tools and tactics to effect their strategic goals. The role of governments,...
  • 01 Jul 2020
  • Article

Assessing the Training Costs and Work of Diagnostic Radiology Residents Using Key Performance Indicators – An Observational Study

Assessing the Training Costs and Work of Diagnostic Radiology Residents Using Key Performance Indicators – An Observational Study

by Michael E. Porter, PhD, MBA, Thomas H. Lee, MD, MSc
The playbook for assembling and integrating a successful Integrated Practice Unit (IPU) features several key steps, including defining the patient condition or set of related conditions to be served, as well as defining patient needs across the care cycle and mapping...
  • 17 Jun 2020
  • Article

Six Tests for Physicians and Their Leaders for the Decade Ahead

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?

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

by F. Erhun, PhD, a,b R. S. Kaplan, PhD, c V. G. Narayanan, PhD, c K. Brayton, MD, JD, MS, a M. Kalani, MD, a M. C. Mazza, PhD, a C. Nguyen, MD, MS, a T. Platchek, MD, a B. Mistry, MD, MBA, c R. Mann, BA, a D. Kazi, MD, MS, d C. Pinnock, MD, MPH, a K. A. Schulman, MD, MBA, a J. Xue, MD, MPH, a D. Ballard, MD, MSPH, PhD, FACP, e M. Mack, MD, e B. James, MD, a,f G. Poulsen, MBA, f J. Punnen, MD, g D. Shetty, MD, g and A. Milstein, MD, MPH
Rationale and Objectives: To quantify the costs and work of diagnostic radiology (DR) residents using the radiology key performance indicator turn-around time (TAT) as the outcome measure. Materials and Methods: In an Institutional Review Board-approved study, the...
  • 1 JUN 2020
  • Presentation

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

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

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

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

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

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

Paying for Health Care

Paying for Health Care

by Dr. Mary Witkowski
Dr. Mary Witkowski discusses value based payment including bundled paymnents and capitated payments.
  • January 2020
  • Presentation

Value-Based Health Care Core Concepts

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

Introduction to Value-Based Health Care

Introduction to Value-Based Health Care

by Professor Michael E. Porter
  • January 2020
  • Presentation

Time-Driven Activity-Based Costing in Health Care

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
  • Presentation

Outcome Measurement

Outcome Measurement

by Thomas W. Feeley, MD
Dr. Tom Feeley presents the basic principles and process of health outcome measurement.
  • January 2020
  • Presentation

Value-Based Health Care: Core Concepts

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

Value-Based Primary Care

Value-Based Primary Care

by Professor Leemore Dafney
Professor Leemore Dafney applies principles of value-based health care to primary care.
  • January 2020
  • Article

Value Based Health Care in Undergraduate Medical Education

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.
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