Assignment

(2) Select five OECD metrics that you would use to pick the country with the best healthcare system (see OECD spreadsheet).

(2) Provide a rationale for your selections.

(2) Identify the OECD country that best matches your criteria.

(4) What best explains the high level of expenditures in McAllen Texas (Gawande 2009, The Cost Conundrum)? List 4 factors.

(2.5) Identify five key stakeholders and describe their interests and influences in McAllen Texas?

(2.5) What circumstances led to or contributed to the situation in McAllen Texas?

Preparing Saturday

(4) Identify four attributes of the US healthcare delivery system that may have contributed to the significant medical or health conditions of patients described in the Gawande 2011article, The Hotspotters.

(3) Describe three innovations discussed in the Hotspotters that could transform the value of healthcare services.

(3) Why do you think the US does not have a single payer system? List at least 5 reasons why not.

Preparing Sunday

Porter & Jain, 2013, "The University of Texas MD Anderson Cancer Center: Interdisciplinary Cancer"

(2.5) Why is multidisciplinary care important in cancer? How is value created for patients?

(2.5) How does integration of care actually take place at MD Anderson?

Porter & Teisberg, 2016,Cleveland Clinic

(2.5) What is the Cleveland Clinic's overall strategy for improving value for patients? List 6 key elements.

(2.5) In what ways did the Cleveland Clinic succeed or fail?

Casale, 2007, ProvencareSM

(2.5) List and describe three factors that contributed to Geisinger's success with ProvenCareSM.

(2.5) List and describe the three advantages and three disadvantages for a provider (hospital and/or physician group) becoming an insurer.

Textbook and Readings
Harvard Business School Press (HBSP) Course Pack
Bohmer, M. J., & Knoop, C. (2006, revised 2007). The challenge facing the U.S. healthcare delivery system (606096).
Porter, M. E., & Jain, S. H. (2013). The University of Texas MD Anderson Cancer Center: Interdisciplinary cancer care (708487).
Porter, M. E., & Teisberg, E. O. (2016). Cleveland Clinic: Transformation and growth 2015 (709473).
Required Articles
Berry, L. L., & Mirabito, A. M. (2010). Innovative healthcare delivery. Business Horizons, 53(2), 157.
Berwick, D., Nolan, T., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27, 759-769.
Berwick, D. M. (2003). Disseminating innovations in health care. JAMA: Journal of the American Medical Association, 289(15), 1969.
Casale, A. S., Paulus, R. A., Selna, M. J., Doll, M. C., Bothe, A., Jr, McKinley, K. E., et al. (2007). "ProvenCareSM": A provider-driven pay-for-performance program for acute episodic cardiac surgical care. Annals of Surgery, 246(4), 613.
Fisher, E. S., McClellan, M. B., Bertko, J., Lieberman, S. M., Lee, J. J., Lewis, J. L., & Skinner, J. S. (2009). Fostering accountable health care: Moving forward in Medicare. Health Affairs, 28, w219-w231.
Frean, M., Gruber, J., & Sommers, B. D. (2016). Disentangling the ACA's coverage effects-Lessons for policymakers. New England Journal of Medicine, 375, 1605-1608.
Fuchs, V. (2013). How and why US health care differs from that in other OECD countries. JAMA: Journal of the American Medical Association, 309(1), 33.
Gawande, A. (2009). The cost conundrum. New Yorker, 85(16), 36.
Gawande, A. (2011). The hot spotters. New Yorker, 86(45), 40.
Gawande, A. (2012). Big med. New Yorker, 88(24), 52.
Herzlinger, R. E. (2006). Why innovation in health care is so hard. Harvard Business Review, 84(5), 58.
Hwang, J., & Christensen, C. (2008). Innovation in health care delivery: A framework for business-model innovation. Health Affairs, 27, 1329.
McClellan, M., Kent, J., Beales, S. J., Cohen, S. I., Macdonnell, M., Darzi, A. (2014). Accountable care around the world: A framework to guide reform strategies. Health Affairs (Project Hope), 33, 1507.
Woolf, S. H., & Aron, L. Y. (2013). The US health disadvantage relative to other high-income countries: Findings from a National Research Council/Institute of Medicine Report. JAMA. 309, 771-772.

https://www.dropbox.com/s/o8ve3kaqm99uqoc/Textbooks.zip?dl=0