Archive

This case presents organizational challenges facing a physician champion of the Patient-Centered Medical Home (PCMH). Dr. Julian Kuffler, working with his employer, the Mount Desert Island Hospital System (MDI), hoped to persuade the primary care…

This case provides an introduction to the structure and dynamics of nonprofit hospital governance in the U.S. A hospital CEO two years into her position is grappling with how to make her board a more effective governing body. The hospital’s competitive…

Bill Hurt, the new CEO of Hillside Hospital, knew that the forecast was grim. The hospital’s service volumes and market share were dropping precipitously. The direct causes of the problems were numerous, but an indirect cause—and major barrier to…

“Alameda Health System” (AHS) describes a county-owned safety net health system adapting to the implementation of the Affordable Care Act and an increasingly competitive health delivery environment. It takes the perspective of senior management,…

Ruth Ann Norton, executive director of the National Coalition to End Childhood Lead Poisoning (CECLP), founded the Green & Healthy Homes Initiative (GHHI) in order to leverage newly available federal funds from the American Recovery and Reinvestment…

In the seven years since Don Blanchon was hired as the Chief Executive Officer of Whitman-Walker Health, it had transitioned into a primary care-based community health center and a patient-centered medical home serving a diverse population in a rapidly…

Beginning in 2013, Humana Inc., headquartered in Louisville, Kentucky, pursued a major organizational transformation, from being an insurance company focused on paying claims to becoming a health and well-being company focused on improving the health of…

As Angela Laramie compiled her thirteenth annual report on sharps injuries (SIs) among hospital workers for the Massachusetts Department of Public Health’s Occupational Health Surveillance Program, she noted that the prevalence of injuries had remained…

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…

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…