Value-Based Health Care
Objectives
The students will learn how to improve the care delivery process (improve outcomes, reduce costs, increase operational efficiencies) through the rigorous measurement and management of information, and how to implement an effective value measurement system across a health care organization. Also, in the process, the students will learn how to use the Time-Driven Activity-Based Costing (TDABC) method, which more accurately measures the cost of treating a given medical condition.
General characterization
Code
2580
Credits
7
Responsible teacher
João Marques-Gomes
Hours
Weekly - Available soon
Total - Available soon
Teaching language
English
Prerequisites
n/a
Bibliography
1. Argyris, Chris, and Robert S. Kaplan. "Implementing New Knowledge: The Case of Activity-Based Costing." Accounting Horizons 8, no. 3 (September 1994): 83–105.
2. Kaplan, Robert S. "Boston Children's Hospital: Measuring Patient Costs (Abridged)." Harvard Business School Case 914-407, September 2013.
3. Kaplan, Robert S., Mary L. Witkowski, and Jessica A. Hohman. "Schön Klinik: Measuring Cost and Value." Harvard Business School Case 112-085, March 2012. (Revised December 2014.)
4. Kaplan, Robert S., Michael E. Porter, Thomas W. Feeley, and Alee Hernandez. "Medtronic: Navigating a Shifting Healthcare Landscape." Harvard Business School Case 718-471, January 2018. (Revised June 2018.)
5. Marques-Gomes, João. “How much does a bad treatment cost?” Hospital Público, September 2018 (available at https://pvmhc2018.org/)
6. Okunade O, Arora J, Haverhals A. Collaborating for value: the Santeon Hospitals in the Netherlands, June 2017 (available at www.ichom.org).
7. Porter, Michael E. "What Is Value in Health Care?" New England Journal of Medicine 363, no. 26 (December 23, 2010): 2477–2481.
8. Porter, Michael E., and Elizabeth O. Teisberg. Redefining Health Care: Creating Value-Based Competition on Results. Boston: Harvard Business School Press, 2006.
9. Porter, Michael E., and Thomas H. Lee. "The Strategy That Will Fix Health Care." Harvard Business Review 91, no. 10 (October 2013): 50–70.
10. Porter, Michael E., Clifford M. Marks, and Zachary C. Landman. "OrthoChoice: Bundled Payments in the County of Stockholm (A)." Harvard Business School Case 714-514, June 2014. (Revised April 2015.)
11. Porter, Michael E., Jens Deerberg-Wittram, and Clifford Marks. "Martini Klinik: Prostate Cancer Care." Harvard Business School Case 714-471, March 2014. (Revised June 2014.)
12. Porter, Michael E., Justin M. Bachmann, and Zachary C. Landman. "Texas Children's Hospital: Congenital Heart Disease Care." Harvard Business School Case 714-507, April 2014. (Revised March 2018.)
13. Porter, Michael E., Thomas H. Lee, and Meredith A. Alger. "Oak Street Health: A New Model of Primary Care." Harvard Business School Case 717-437, February 2017. (Revised April 2018.)
Teaching method
The course provides a rich learning experience by combining presentations, dynamic discussions of case studies and real examples, interactions with guest speakers, an on-site visit to a hospital, and fieldwork. Background reading is expected as the students are required to have an active participation in class.
Also, the interactions with med students from Nova Medical School who will be taking the same course at more or less the same time should be appreciated. One common class that will gather the students from the Nova SBE and the Nova Medical School should be taught at Nova SBE, and another common class should be taught at Nova Medical School. Additionally, students from both schools will be encouraged to work together and do fieldwork in mixed groups.
Evaluation method
There will be a midterm exam and a final exam which will account for 20% and 30% of the final grade, respectively. Both exams are mandatory. The final exam will cover the entire span of the course. The remainder of the evaluation consists of fieldwork and class participation. Fieldwork and class participation will account for 40% and 10% of the final grade, respectively.
Subject matter
1. Improving health outcomes
2. Reorganizing and coordinating care
3. Reducing costs
4. Value-based reimbursement
5. Overcoming implementation challenges
Programs
Programs where the course is taught: