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Killing the Pager at ZSFG

This case is about organizational change and technology. It follows the efforts of one physician as they try to move their department past using the pager, a device that persisted in American medicine despite having long been outdated by superior…

SALUDos: Healthcare for Migrant Seasonal Farm Workers

The SALUDos program began in 2008 as a response to an influx of migrant seasonal farm workers (MSFWs) at a mobile medical unit serving homeless persons in Santa Clara County in Northern California. The program offered patients free and low-cost primary…

Fresno's Social Impact Bond for Asthma

In 2014, Social Impact Bonds (SIBs) were quickly gaining popularity as an investment vehicle which joined together private investors and nonprofits to tackle social issues. Although numerous SIB projects and proposals had cropped up across the U.S.…

Alameda Health System

“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,…

The Merger of UCSF Medical Center and Stanford Health Services

On November 15, 1996, Stanford’s Board of Trustees and the University of California (UC) Board of Regents voted to merge their two academic medical centers; on November 1, 1997, the merger became official. However, less than two years later, in October…

Childhood Obesity Prevention in California

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.…

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