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Schon Klinik: Eating Disorder Care
Porter, Michael E.; Stanton, Emma; Hohman, Jessica A.; Stowell, CalebCase HBS-712475-EStrategyThe Schon Klinik is a private, for-profit German hospital group trying to establish itself as a premium health care provider in a competitive German market. The case details Schon Klinik's founding, its early focus on measurement and improvement, and the design and implementation of a system-wide structure for measuring and reporting actual health outcomes. The case details the care cycle for eating disorder patients and highlights the role outco...Starting at €8.20
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Martini Klinik: Prostate Cancer Care 2019
Porter, Michael E.; Deerberg-Wittram, Jens; Feeley, Thomas WCase HBS-720359-EStrategySince 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 "hospital in a hospital" in close proximity to other medical departments and services. By 2019, Martini Klinik had become the largest prostate cancer treatment program in the world wi...Starting at €8.20
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Great Western Hospital: High-risk Pregnancy Care
Porter, Michael E.; Stanton, Emma; Takvorian, SamuelCase HBS-712495-EStrategyGreat Western Hospital (GWH) is a community hospital in Wiltshire, South West England and one of England's largest maternity providers, responsible for delivering over 9,000 babies per year. The case discusses the efforts of Dr. Harini Narayan, consultant obstetrician and gynecologist, to reorganize antenatal care delivery at GWH. Rather than treating high-risk pregnancies as a homogeneous group, Dr. Narayan pioneered the development of eleven co...Starting at €8.20
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Global Health Partner: Obesity Care
Porter, Michael E.; Yasin, Zayed M.; Baron, Jennifer F.Case HBS-709494-EStrategyGlobal Health Partner was founded in 2006 as a privately owned health care provider in Sweden serving both public and private paying patients. In contrast to most providers in the country, GHP organized around specific service lines where it saw the potential to provide the most value. This case details the GHP approach to both Spine Care and Obesity Care demonstrating the power of specialization for quality improvement as a basis for competitive...Starting at €8.20
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Highland District County Hospital: Gastroenterology Care in Sweden
Porter, Michael E.; Baron, Jennifer F.; Rejler, MartinCase HBS-710469-EStrategySweden's Highland District County Hospital, similar to a community hospital in the US, undertook a major restructuring to integrate care delivery for medical conditions served by the Department of Medicine. Each subspecialty within the Department would form a single, co-located unit with its own budget that encompassed both inpatient and outpatient care. This case examines the experience of the Highland Gastroenterology Unit, comparing the delive...Starting at €8.20
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Latvia: Economic Strategy after EU Accession
Porter, Michael E.; Ketels, Christian H.M.Case HBS-707515-EEconomicsDescribes the economic development of Latvia, a small eastern European country on the shores of the Baltic Sea, from regaining independence in 1991 to European Union (EU) accession in 2004 and is set on May 1st, 2004, the day Latvia became an EU member. Latvia had achieved strong growth since regaining independence from the Soviet Union in 1990. Describes Latvia's economic development over this period, discussing the economic policy efforts that ...Starting at €8.20
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West German Headache Center: Integrated Migraine Care
Porter, Michael E.; Guth, Clemens; Dannemiller, ElisaCase HBS-707559-EService and Operations ManagementDescribes the joint efforts of the German health plan KKH and Essen University Hospital to develop an integrated practice unit (IPU), and the West German Headache Center's efforts to improve the quality of migraine care. Provides an overview of the German health care system detailing its provider, health plan, and reimbursement structure. Following new legislation in 2004, which allowed health plans and selected providers to contract outside of t...Starting at €8.20
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Reconfiguring Stroke Care in North Central London
Porter, Michael E.; Mountford, James; Ramdas, Kamalini; Takvorian, SamuelCase HBS-712496-EStrategyIn 2006, surgeon Ara Darzi identified several key areas, including acute stroke care, for improving health care across London. In response to his seminal call to action, stroke care was reorganized around eight hyper-acute stroke units covering London's five sectors, replacing the more than thirty units that previously delivered acute stroke care. This case profiles the roll-out of the new care delivery model in North Central London, where acute ...Starting at €8.20
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OrthoChoice: Bundled Payments in the County of Stockholm (A)
Porter, Michael E.; Marks, Clifford; Landman, Zachary C.Case HBS-714514-EStrategyIt 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 of disability. Seeking a new model to lower wait times, but also improve patient choice of care, County Council Senior Medical Adviser, Dr. Holger Stalberg, set out to create a bundl...Starting at €8.20
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OrthoChoice: Bundled Payments in the County of Stockholm (B)
Porter, Michael E.; Marks, Clifford; Landman, Zachary C.Case HBS-714515-EStrategyBy 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 2013, OrthoChoice had covered 12,531 hip and knee replacements, accounting for 59% of such operations for county residents. Total payments were SEK 704.5 million ($109.4 million). Dr....Starting at €5.74