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Case Studies by Stephen E. Chick

21 case studies

published: 30 Nov 2009

  • Topic: Operations
  • Industry: Healthcare
  • Region: Global

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Abstract:
DeepBreeze illustrates the challenging voyage of many startups in the medical device sector as it navigates clinical trials, regulatory agencies and reimbursement issues in a quest for growth. While it perseveres in assessing the value that patients, providers and purchasers obtain from the product, DeepBreeze is exhausting its funds and still looking for a commercial breakthrough.

Pedagogical Objectives:
In healthcare management, the case serves as a basis for discussing the innovator, academic clinical trial, regulatory and payor perspectives for a diagnostic device. In a service management context, one can explore shifting from a technical innovation mindset to a service provider mindset in bringing value to patients, clinicians, technicians and hospital managers.

Keywords:
Medical Device, Healthcare Management, Service Operations, Medical Regulation, Technological Innovation, Medical Diagnostics, Value for Patients, Innovation, Hmi, Pharmaceutical and Medical Device Sectors, Hmi, Business Science

published: 26 Sep 2016

  • Topic: Operations
  • Industry: Health Care
  • Region: Global

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Abstract:
Sanofi Pasteur’s newly approved dengue vaccine, Dengvaxia, was unusual in that it was launched in the Philippines and other at-risk countries. By choosing to “flip the model” – launch in an emerging market setting as opposed to developed markets – it had to overcome various obstacles across the value chain, from registration to financing to supply. The company spent 20 years and invested $1.7 billion to develop Dengvaxia, taking several high-risk decisions and making trade-offs along the way. The case highlights the stakeholder interdependencies and uncertainties that remained as the vaccine implementation programme crept closer. If successfully resolved, it could potentially offer a blueprint for others.

Pedagogical Objectives:
The case explores a new business model for launching a vaccine. It can be used to discuss the stakeholder network involved in vaccine adoption decisions, the opportunities and challenges of launching a vaccine in an emerging market setting, the role of public health decision-making in managing the burden of infectious diseases in low- and middle-income countries, and the contributions of the private sector in addressing their healthcare needs.

Keywords:
Public Health, Infectious Disease Control, Vaccination Program, Vaccine, Vaccine Adoption, Infectious Disease Management, Global Health, Public Health, Emerging Markets, Bottom of the Pyramid, Health Care Innovation, Health Sector Stakeholders, Risk Management, New Product Development, Hmi, Pharmaceutical and Medical Device Sectors

published: 24 Apr 2015

  • Topic: Operations
  • Industry: Health care
  • Region: Asia

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Abstract:
Facing reduced government funding, yet committed to broadening access to its services, Sankara Eye Care, a chain of hospitals in India, was at a crossroads in 2015. Over the years it had developed a lean operational model to provide free care to approximately 80 percent of its non-paying patients (cross-subsidized by paying patients). Continuous improvements and further innovation, however, were needed to achieve its ambitious goal of expanding from 9 hospitals to 20 by 2020. The case highlights Sankara's key decisions, including issues of intrinsic and extrinsic motivation, moving from a charity to a business mindset, and determining the expansion strategy.

Pedagogical Objectives:
The case provides a platform for exploring the role of non-governmental organizations in providing low-cost or free eye care services in the context of an emerging market, where inadequate public sector funding for health care often leaves large institutional gaps. It illustrates the strategies and mechanisms by which an NGO subsidizes care for the poor, and addresses issues such as financial constraints, operational challenges and cultural barriers, with an ambitious goal of country-wide expansion on the horizon.

Keywords:
Operations Strategy, Health Care, Service Management, Focused Service Strategy, Lean Operations, Social Enterprise, Hospital Management, Entrepreneurship, Hmi, Emerging Markets, Hmi, Business Science

published: 24 Jun 2013

  • Topic: Operations
  • Industry: Healthcare
  • Region: Global

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Abstract:
This case provides an overview of Finland's primary care system, focusing on the country's public healthcare system. It presents an analysis of four key areas: value proposition and service offering; customer focus and strategy; funding model; and infrastructure.

Pedagogical Objectives:
The case can be used in classroom settings focused on healthcare innovation, particularly those aimed at developing skills for analyzing and improving the efficiency and effectiveness of healthcare delivery. It may be used in conjunction with another case, Laastari's Retail Health Clinic Model, which includes a review of primary care services in the private sector, to conduct a comparative analysis of service design and delivery strategy across public vs. private models.

Keywords:
Public Sector Primary Care, Healthcare in Finland, Value Proposition, Customers, Infrastructure, Finances, Primary Care Model, System Design, European Competitiveness Initiative, European Competitiveness, Europe

published: 28 Jun 2010

  • Topic: Operations
  • Industry: Healthcare
  • Region: Middle-East

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Abstract:
Diabetes is a major health burden in GCC countries, mainly caused by sedentary lifestyles and unhealthy eating habits. While governments are setting up national strategies to manage diabetes and chronic diseases, the implementation is still fragmented. The case documents the challenges faced by patients and healthcare professionals dealing with diabetes.

Pedagogical Objectives:
The case gives the perspective of patients, physicians, nurses, regulators and insurers dealing with diabetes. It gives an insight on gaps in diabetes management and opens the discussion of the development and implementation of effective strategies to manage chronic diseases and public health, including the integration of healthcare services.

Keywords:
Chronic Diseases, Diabetes Management, Primary Care, Community Wellness, Strategy Implementation, Public Health, Service Integration, Middle East, Adec, Hmi, Emerging Markets, Hmi, Business Science

published: 29 May 2009

  • Topic: Operations
  • Industry: Health care
  • Region: Middle-East

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Abstract:
This case examines strategy deployment and continuous improvement of disaster response processes at Hotel Dieu de France (HDF), a university hospital in Beirut, Lebanon. The disaster response plans, conceived and developed during three conflicts from 2006 to 2008, are then tested and improved via a drill involving Hariri Airport.

Pedagogical Objectives:
Teaching objectives include top-down and bottom-up communication in process improvement, the design of flexible processes, disaster recovery management, and continuous improvement. The case can be applied in service operations management, healthcare management, and disaster mangement contexts. The Middle East setting provides a cross-cultural dimension.

Keywords:
Healthcare, Hospital Management, Disaster Planning, Process Management, Process Improvement, Middle East, Continuous Improvement, Strategy Execution, Adec, Hmi, Disaster Preparedness, Hmi, Business Science

published: 25 Mar 2010

  • Topic: Operations
  • Industry: Health Care Delivery
  • Region: Middle-East

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Abstract:
The main case describes the design, implementation and operational implementation of a focused clinic in the Middle East. The ICLDC provides team-based care for managing diabetes with clear processes that have benefitted from lean Six Sigma tools. A supplement describes how the ICLDC fits into the broader context of the rapidly changing health system in the United Arab Emirates.

Pedagogical Objectives:
For operations strategy, the case demonstrates a focused solution provider that is neither a purely focused factory nor a purely custom solutions shop. The team-based approach is comprehensive (education, screening, research, treatment, care management) but focused on a significant chronic disease - diabetes. The ICLDC also demonstrates lean Six Sigma concepts, and allows for discussions of western-managed solutions to health care in the Middle East.

Keywords:
Health Care Delivery, Chronic Care, Tertiary Clinic, Diabetes, Middle East, Quality Management, Lean Six Sigma, Operations Strategy, Adec, Hmi, Emerging Markets, Hmi, Business Science

Related:

published: 25 Mar 2010

  • Topic: Operations
  • Industry: Health Care Delivery
  • Region: Middle-East

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Abstract:
Please refer to part A for the abstract.

Keywords:
Adec, Hmi, Emerging Markets, Hmi, Business Science

Related:

published: 27 Aug 2013

  • Topic: Operations
  • Industry: Healthcare
  • Region: Global

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Abstract:
This case provides an overview of Laastari, a Finland-based retail health clinic chain offering primary care services for a focused set of minor acute conditions. It presents an analysis of four key areas: value proposition and service offering; customer focus and strategy; funding model; and infrastructure.

Pedagogical Objectives:
The case can be used in classroom settings focused on healthcare innovation, and in particular in pedagogical situations aimed at developing skills for analyzing and improving the efficiency and effectiveness of healthcare delivery. It may be used in conjunction with other cases -- Laastari: Building a Retail Health Clinic Chain (which details the operational and strategic aspects of the business model) and Finland's Public Sector Primary Care Model (which reviews primary care services in the public sector, for a comparative analysis of service design and delivery strategy in public vs private models).

Keywords:
Retail Clinic, Primary Care, Healthcare in Finland, Infrastructure, Customers, Value Proposition, Finances, System Design

published: 25 Feb 2013

  • Topic: Operations
  • Industry: Healthcare
  • Region: Global

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Abstract:
This case study presents an example of business model innovation in the context of primary care delivery. It documents the story of Laastari, a new IT-driven retail health clinic chain based in Finland, including the process that links conceptual strategy to implementation and practice, as well as the evolving stakeholder ecosystem of the company.

Pedagogical Objectives:
The case is designed to facilitate classroom discussions aimed at providing tools for driving improvement of existing or new health services. The goal is to illustrate an example of innovation and operations strategy in healthcare delivery, discuss the risks and challenges, and explore the "emergent" nature of business models, particularly in the healthcare sector.

Keywords:
Retail Clinic, Healthcare Technology, Healthcare Innovation, Business Model Innovation, Operations Strategy, Focus, Convenient Care Clinic, European Competitiveness, Europe, Hmi, Healthcare Delivery and Management, Hmi, Business Science

Prizes won:
- Highly Commended at 2014 EFMD Case Writing Competition, Entrepreneurship Category


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