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When Dr. Marwan started as director of Ramses Hospital in Cairo in 2008, charged by the Minister of Health with improving performance, he found the hospital had been neglected for decades. A Ministry of Health quality audit had recently given the…

In mid-September 2014, the Executive Director of the Health Policy Commission (HPC), an independent state agency in Massachusetts, assessed the proposals submitted by 27 hospitals for projects to be funded from $60m available under Phase 2 of the…

In February 2015, technical staff reviewed the results from a jointly conducted study on malaria control. This study had major implications for malaria in Zambia—and elsewhere. The preliminary analysis strongly suggested that the study’s Mass Drug…

This case considers the challenges, benefits, and costs of hospital participation in a widely recognized surgical quality improvement benchmarking program. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) issues…

This case focuses on the challenges of keeping a collective impact program—the Tackling Youth Substance Abuse (TYSA) program on Staten Island—focused and effective over time, a problem faced by many collaborative community-based efforts. The TYSA program…

In July 2016, Jennifer Brown, a graduate student at Southwest State School of Public Health, had been asked to staff an Ethics Advisory Group (EAG) meeting at Mountain Health Insurance Company, a large, regional nonprofit health insurance company where…

As CEO Rick Siegrist signed the paperwork to dissolve his three-year-old startup Cambria Health, he pondered what had gone wrong. He had started the company to provide a turnkey software and technical solution to health care organizations that wanted to…

In 2007, Dr. Mark Horton took over as the head of the new California Department of Public Health (CDPH), at time when the governor, Arnold Schwarzenegger, had already identified obesity as a prevention priority in his health care reform proposal.…

In April 2003, Dr. Julio Frenk, the Minister of Health of Mexico, prepared for the debate on his health reform bill to begin in the Senate. Since becoming Minister of Health in President Vicente Fox’s administration in 2000, Dr. Frenk had worked…

Jane Leader, president of Simsbury General Hospital, was reviewing the recommendations put together by her senior management team to resolve the growing problems her hospital was facing. The recommendations, totaling some $10 million, could put the…