INSEAD the business school for the world

Case Studies by Stephen E. Chick

21 case studies

by Publication Date
published: 27 Nov 2017

  • Topic: Responsibility
  • Industry: Heatlh Care
  • Region: Asia

Show details ...

Abstract:
In 2013, Eastern Health Alliance (EHA) launched the Neighbours for Active Living programme to reduce hospital readmissions among seniors in eastern Singapore. At its core, ‘Neighbours’ addressed the health care and social needs of high-risk residents within their homes, while building social support systems around them through community outreach. The case discusses the asset-based approach that inspired the concept as well as challenges such as measuring its effectiveness and the impact on patient outcomes.

Pedagogical Objectives:
The case can be used to discuss the following key themes. • The notion of population-based health care and how it differs from the traditional hospital-based care model, as well as asset-based approaches to care management. • A conceptual framework for exploring the potential for community-based models to improve population health and chronic diseases management. • The challenges of shifting care to within the community, and scaling up these efforts.

Keywords:
Population Health, Aging in Placecommunity Care Model, Patient Outcomes, Asset-Based Community Development, Chronic Disease Management, Social Capital, Community-Based Care, Social Networks, Aging at Home

published: 30 Jan 2017

  • Topic: Responsibility
  • Industry: Health care
  • Region: North America

Show details ...

Abstract:
PatientsLikeMe, an online health community formed to provide value for patients in exchange for sharing their health data, had grown substantially since its founding in 2004. By 2016 it had over 130 employees. However, convincing investors of the viability of the business model proves more challenging. Its three founders believe it has the potential to reshape the healthcare ecosystem, but its “not just for profit” approach is complex to communicate. In their ambition to improve the healthcare experience by capturing health outcomes and learning what works in the real world (beyond clinical trials) – they must attend to critical issues such as patient privacy in addition to setting their growth strategy.

Pedagogical Objectives:
To understand the potential to use crowd-sourced health information and data analytics as key inputs for patient-focused care and evidence-based decision-making. To discuss patient-centricity, the role of patients in the healthcare value chain, and patient-generated health data research and development. To identify the regulatory and privacy issues posed by online data-sharing platforms, and the growth challenges facing a healthcare social network.

Keywords:
Patient Centricity, Patient-Focused Care, Crowdsourced Data, Social Network, Data-Driven Decision-Making, Online Health Community, Healthcare Network, Evidence-Based Care, Privacy of Health Data, Regulatory Challenges, Privacy Risk, Patient-Generated Data, Customer Focus, Data Analytics, Hmi, Business Science

published: 26 Sep 2016

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

Show details ...

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: 22 Apr 2016

  • Topic: Entrepreneurship
  • Industry: Health
  • Region: Global

Show details ...

Abstract:
mySugr is a mobile health startup which allows us to explore several interlinked trends. One trend is the proliferation of health related applications, and an understanding of factors which seem to be related to success in the digital health space. Another trend is the role of patients in managing their own health, an issue of increasing importance as chronic diseases touch the lives of a growing number of individuals and consume an increasing part of the health budget. A third related concept is that of asset based approaches for health, a concept which seems to be linked to the success of a number of health apps.

Pedagogical Objectives:
The case allows for the exploration of several trends in health care, including the recent proliferation of different types of mobile health tools, the role of patient-driven innovation in chronic disease management, and some factors which seem to be related to their success. The context of the mySugr application set allows for a discussion of these factors and their relation to health sector trends regarding patient centricity, as well as to the health as an asset concept.

Keywords:
Healthcare, Diabetes, Chronic Disease Management, Mobile Health, Health Informatics, Business Model Innovation, Apps, Digital Health, Startup, Patient-Led Innovation, Patient Hackers, Medical Device, Hmi, Healthcare Delivery and Management, Hmi, Business Science

published: 23 Nov 2015

  • Topic: Strategy
  • Industry: Health Care Delivery
  • Region: Europe

Show details ...

Abstract:
Set in 2014, this case study examines the development and ongoing transition to value- and outcomes-based commissioning for diabetes care across North Central London (NCL). With the aim of improving health outcomes among their local populations, Clinical Commissioning Groups (CCGs) in NCL set out to transform the delivery and funding of services. This involves incentivize providers to deliver on specific health outcomes that are important to patients via an integrated platform encompassing multiple entry points - primary, secondary, social care and community services.

Pedagogical Objectives:
The case provides a context for exploring trends in value-based medicine, different contracting mechanisms for reimbursing care services, overcoming the piecemeal provision of care to improve care pathways across providers, and the challenge of improving patient outcomes in complex health care and political environments (such as the shift in the UK NHS from Primary Care Trusts to Clinical Commissioning Groups).

Keywords:
Health Care Delivery, Value-Based Care, Outcomes-Based Care, Health Care Service Design, Integrated Care, Service Contracting, Patient Focus

published: 24 Apr 2015

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

Show details ...

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: 19 Dec 2014

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

Show details ...

Abstract:
The Sultan Bin Abdulaziz Humanitarian City initiates a 'lean' healthcare project, starting with value stream and emotional mapping for a large segment of the patient population. The case explains the reason for using a number of key tools in getting the project started, and the role of process and culture change in building engagement in the effort.

Pedagogical Objectives:
This case provides a context for discussing the initiation and execution of a lean management initiative in a hospital setting. This includes the roll-out of basic tools, approaches to engaging staff and management, and the role of emotional mapping with value stream to engage staff and improve quality for patients.

Keywords:
Health Care Delivery, Hospital Management, Process Improvement, Toyota Production System, Design Thinking, Continuous Improvement

published: 27 Aug 2013

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

Show details ...

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: 24 Jun 2013

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

Show details ...

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: 25 Feb 2013

  • Topic: Strategy
  • Industry: Healthcare
  • Region: Global

Show details ...

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

by Publication Date


Share