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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…

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…

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…

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…

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…

John Leader, president of Simsbury Children’s Hospital, was reviewing the recommendations put together by his senior management team to resolve the growing problems his hospital was facing. The recommendations, totaling some $10 million, could put the…

Lucy Normen, Chief Operating Officer of Sweetbriar Hospital, had just gotten off the phone with her Emergency Department Director, Dr. Max Warner. He was very upset with the present situation in the ED: people currently boarding in the ED hallways…

Thandeka Sisulu had just been hired as the new administrative director for the Eastern Cape Clinic, located in the outskirts of the South African city of East London. The Clinic had opened about 18 months ago with support from the government and from two…