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Articles by Robert S. Huckman
Has Corporatization Met Its Match? The Challenge of Making Money by Keeping People Healthy | NEJM
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Variation in batch ordering of imaging tests in the emergency department and the impact on care delivery
DATA AVAILABILITY STATEMENT The data are not publicly available due to privacy restrictions. We will provide a synthetic dataset and the repository with all of the codes used to produce the analysis and figures upon article publication (https://github.com/jacobjameson/batch-vs-sequence/).
Variation in Batch Ordering of Imaging Tests in the Emergency Department and the Impact on Care Delivery
Objectives: To examine heterogeneity in physician batch ordering practices and measure the impact of a physician's tendency to batch order imaging tests on patient outcomes and resource utilization. Study Setting and Design: In this retrospective study, we used comprehensive EMR data from patients who visited the Mayo Clinic of Arizona Emergency Department (ED) between October 6, 2018 and December 31, 2019.
Sanità: la collaborazione vincente
SISTEMI SANITARI Sanità: la collaborazione vincente Retailer e sistemi di assistenza sanitaria possono offrire cure migliori se decidono di farlo assieme, coordinando i servizi complementari per aiutare i clienti e rispondere meglio ai bisogni di aziende e assicurazioni Robert S. Huckman, Vivian S. Lee, Bradley R. Staats
Retailers and Health Systems Can Improve Care Together
Idea in Brief The Problem Health systems are struggling to address the megachallenges facing health care: rapidly growing costs, inconsistent quality, and inadequate and unequal access to primary and other types of care. A Solution Forge partnerships with retailers, which have largely focused on providing consumers with a convenient way to obtain basic care for one-off services such as taking a throat culture, treating an ear infection, or administering a flu vaccine.
How Will Amazon Approach U.S. Primary Care?
Amazon’s recent announcement of its deal to buy One Medical for $3.9 billion generated a wave of speculation on how the tech giant might transform primary care in the United States. Will it build a health care system that is as easy to access as Amazon’s website — one that offers products and services at the click of the button?
Some of the trends to look out for this year according to Harvard Business School faculty include digital health care, NFTs, and a changing workforce. Technology is set to continue to drive change. As 2022 gets underway we asked our faculty to highlight some trends worth watching in the coming year.
The Challenge of Rebuilding U.S. Domestic Supply Chains
Massachusetts-based Shawmut scrambled to expand production to meet the soaring demand for N95 masks and hospital gowns during the pandemic. Its experiences illustrates a crucial point that policymakers should take to heart: Once a country loses its industrial commons points — the capabilities needed to support the development and production of many goods — restoring it is hard.
What Will U.S. Health Care Look Like After the Pandemic?
Nicholas Rigg/Getty Images We’ve made our coronavirus coverage free for all readers. To get all of HBR’s content delivered to your inbox, sign up for the Daily Alert newsletter. Even the most vocal critic of the American health care system cannot watch coverage of the current Covid-19 crisis without appreciating the heroism of each caregiver and patient fighting its most-severe consequences.
Can Big-Box Retailers Provide Local Health Care?
HBR Staff/Jorg Greuel/Getty Images Like food, retail, and many other sectors, health care is experiencing a push to become more local. Whether through increased convenience for suburban families or better access to care for rural communities, underserved urban areas, and home-bound seniors, those needing treatment are increasingly looking for alternatives to hospital and physician services that have traditionally been offered through central, and often geographically distant, locations.
Hospital Board And Management Practices Are Strongly Related To Hospital Performance On Clinical Quality Metrics
Hospitals increasingly face financial pressure to improve quality through national programs such as Hospital Value-Based Purchasing, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition Reduction Program. Despite the recently increased emphasis by policy makers on linking payment and quality, quality improvement efforts have traditionally focused on the processes and outcomes of clinical providers.
Why Apps for Managing Chronic Disease Haven’t Been Widely Used, and How to Fix It
While chronic disease management (CDM) apps have had some initial success, they have not yet lived up to their potential. This shortcoming is not due to the capability of the technologies, which are quite impressive; the problem is the incentives and institutions of the delivery system into which the technologies are being introduced. To succeed under these circumstances, developers of CDM apps must first consider who the primary (that is, paying) customers will be for their technologies.
Improving Access at VA
In 2015, the Department of Veterans Affairs (VA) ran the largest healthcare system in the United States, with over 1,700 sites of care that served nearly 9 million veterans. One year earlier, a scandal had erupted over a cover-up of the excessive wait times veterans faced to get medical appointments in some VA facilities.
What could Amazon's approach to health care look like?
It is clear from some of its recent moves that Amazon.com sees the 18% of U.S. gross domestic product dedicated to health care as fertile ground for expansion. Consider its decision to pursue the market for pharmaceutical distribution, or the recent announcement that it will be teaming up with Berkshire Hathaway and JPMorgan Chase to reduce the health care spending of the more than 1 million employees that work for the three companies. This latest move has engendered robust debate.
What Could Amazon’s Approach to Health Care Look Like?
Whether pursuing the market for pharmaceutical distribution or teaming up with Berkshire Hathaway and JP Morgan Chase to create joint solutions for reducing health care spending of more than 1 million employees and their families, it is clear that Amazon sees the 18% of U.S. GDP dedicated to health care as fertile ground for expansion. It is worth thinking about Amazon’s efforts in a conditional manner: If Amazon succeeds in changing health care, how might it do so?
HBR: The IT transformation health care needs
Editor's note : This story is available via the Harvard Business Review. It and other HBR stories are provided to our subscribers on our website (and in our daily emails) as an added value to your subscription. Many health care organizations are suffering more pain than gain as they struggle to integrate new information technology systems into their operations.
The IT Transformation Health Care Needs
In Brief The Problem In recent years, health care organizations and the U.S. government have invested tens of billions of dollars in information technology. So far they have little to show for it: The impact on the cost and quality of clinical care has been modest, and productivity growth in the sector continues to lag that of other industries.
CareMore Health System
Case | HBS Case Collection | September 2017 (Revised December 2017) Intermountain Healthcare: Pursuing Precision Medicine Richard G. Hamermesh, Kathy E. Giusti, Robert S. Huckman and Julia Kelley Headquartered in Salt Lake City, Intermountain Healthcare operates 23 hospitals and hundreds of clinics in Utah and Idaho and provides insurance to approximately 850,000 patients through its insurance arm, SelectHealth.
A Simple Way to Measure Health Care Outcomes
Despite the current uncertainty surrounding the fate of the Affordable Care Act (ACA), health care leaders must not let debates over access detract from what needs to happen regardless of the legislation’s fate: Their organizations must improve the value of care they deliver. When the ACA was passed, in 2010, many observed that although the ACA expanded access to health care, it did less to address the equally critical issue of improving the delivery of that care.
The Untapped Potential of Health Care APIs
Leaders of most internet-based businesses have realized the critical importance of using open application programming interfaces (APIs) to expand the reach of their organizations. If the health care industry followed suit, the impact on the quality and cost of care, the patient’s experience, and innovation could be enormous. APIs are programming routines or protocols that allow software applications to share data.
Hospital Board And Management Practices Are Strongly Related To Hospital Performance On Clinical Quality Metrics
National policies to improve health care quality have largely focused on clinical provider outcomes and, more recently, payment reform. Yet the association between hospital leadership and quality, although crucial to driving quality improvement, has not been explored in depth.
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