IESE (España)
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Experimentos para llegar a los pobres sin romper la red de seguridad: el seguro médico público en Massachusetts
Savedoff W.; Murphy C.; García Prat, Antoni; Rosenmöller, MagdaCase P-1005Service and Operations ManagementLa llegada de una nueva Directora a la agencia de programas de asistencia sanitaria del Estado provoca un replanteamiento de los mecanismos de cobertura, costes y calidad del servicio. Tras revisar pasadas iniciativas, la nueva Directora decide emprender una serie de reformas a fin de alcanzar los objetivos señalados de forma significativa. Los cambios implican nuevos sistemas de relación entre el estado, las compañías aseguradoras y los proveedo...Starting at €8.20
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Hospital management and labor dispute: The case of the San Juan de Dios Hospital
Gallardo H. M.; González I. D.; García Prat, AntoniCase P-1027-EService and Operations ManagementThe Hospital Rionegro in Antioquia, Colombia, had been in a very difficult situation due to financial and labor difficulties. After five years of integrative management and negotiations with the different fronts, including labor aspects, the situation had been reversed. The productivity could be increased and labor conditions stabilized to the benefit of the hospital and its workforce. For the Ministry to exert primarily a stewardship function, i...Starting at €8.20
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La gestión y el conflicto laboral: el caso del Hospital de San Juan de Dios
Gallardo H. M.; González I. D.; García Prat, AntoniCase P-1027Service and Operations ManagementEl Hospital San Juan de Dios en Ríonegro, Antioquia, Colombia, ha afrontado una situación muy difícil debido a dificultades financieras y laborales. Después de cinco años de gerencia integral y negociaciones en diferentes frentes, incluyendo aspectos laborales, la situación ha cambiado. La productividad pudo incrementarse y las condiciones laborales se pudieron estabilizar para el beneficio del hospital y su fuerza de trabajo. Para que el Ministe...Starting at €8.20
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The Rocky Mountain Institute: Making Ideas Real
Massa, Lorenzo; Rosenberg, MikeCase SM-1582-EDecision Analysis, Innovation and Change, StrategyRocky Mountain Institute is a U.S.-based organization that conducts research and demonstration projects in the area of sustainability in general and energy in particular. The case study charts its development over the last 20 years and explores whether or not it should expand beyond the United States.Starting at €8.20
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Developing the health services purchasing function in the Sao Paulo Health Secretariat
Vicente R.; García Prat, AntoniCase P-1041-EService and Operations ManagementAfter the initial stages of implementation of an innovative solution to solve the problem of launching several new hospitals under severe labor hiring constraints (achieved through new legal entities using the framework of the Philanthropic Organizations), the Health State Secretary faces new challenges: how to consolidate the different contracts of the Organizaciones Sociales de Salud, how to advance in the existing payment systems, and how to c...Starting at €8.20
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Introducing DRGs as an Instrument for Clinical Management
Cercone J.; Márquez G.; García Prat, AntoniCase P-1048-EService and Operations ManagementThe case focuses on the use of DRGs in Costa Rica from the original motivation to use them, the implementation steps, the difficulties found and how they were addressed. The case describes the changes that occurred as a result of DRG introduction, and how the ?perverse incentives? were managed. The emphasis is on the lessons learnt in order to define the following implementation steps. The DRG system can be a useful tool to better organizing medi...Starting at €8.20
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Experiments in reaching the poor without tearing the safety net: public health insurance in Massachusetts
Savedoff W.; Murphy C.; García Prat, Antoni; Rosenmöller, MagdaCase P-1005-EService and Operations ManagementThe arrival of a new director at the state's health program agency leads to a reconsideration of the coverage mechanisms, costs and service quality. After reviewing previous activities, the new director decides to undertake a series of reforms in order to attain the goals that have been set. The changes require a new framework of relationships between the state, the insurance companies and the health providers, creating new opportunities and risk...Starting at €8.20
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The Rocky Mountain Institute: Reinventing the Think and Do Tank of the Future
Massa, Lorenzo; Rosenberg, MikeCase SM-1604-EInnovation and Change, StrategyIn 2007, Michael Potts was appointed CEO of the Rocky Mountain Institute (RMI). RMI is an independent, non-profit "think and do tank" with the mission of promoting the efficient and restorative use of resources. While the Institute is well-known for its outstanding research and innovative ideas, Michael Potts soon realized it needed a management culture and a new strategic focus. The case illustrates RMI's restructuring process and the challenges...Starting at €8.20
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Introducción de los Grupos de Diagnóstico Relacionado (GDR) como instrumento de gestión clínica
Cercone J.; Márquez G.; García Prat, AntoniCase P-1048Service and Operations ManagementEl caso se concentra en el uso de los GDR en Costa Rica, desde la motivación para comenzar a usarlos, los diferentes pasos a seguir, las dificultades en la implementación y cómo se resolvieron. Se discuten los cambios que ocurrieron como resultado de la introducción de los GDR, y cómo se manejaron los "incentivos perversos". Se hace énfasis en las lecciones aprendidas con el objeto de definir cómo seguir adelante a partir de este punto. El sistem...Starting at €8.20
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El desarrollo de la función de compra de servicios de salud en la Secretaría de Estado de Salud de Sao Paulo
Vicente R.; García Prat, AntoniCase P-1041Service and Operations ManagementTras una primera etapa de implementación de una solución novedosa para conseguir poner en marcha un conjunto de hospitales en un entorno de restricciones de contratación de personal (realizado a través de unas nuevas entidades jurídicas dentro del marco de las Entidades Filantrópicas), el Secretario de Estado de Salud se cuestiona cómo resolver los nuevos problemas creados: la necesidad de homogeneizar la contratación de las Organizaciones Social...Starting at €8.20