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Ebola: Managing to Save Lives
IESE InsightArticle ART-2676-EService and Operations ManagementA year after the outbreak of Ebola in West Africa in March 2014, health-care experts are cautiously optimistic that the epidemic appears to be slowing. Although the outlook is brighter than a year ago when the first case was detected in Guinea, there is still a long way to go and many lessons to be learned in managing a crisis of this scale, related to institutional shortfalls, international coordination, engagement with local stakeholders and, m...Starting at €8.20
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El nuevo hospital para Heredia Colaboración Pública-Privada para la atención sanitaria
Cercone J.; Rosenmöller, MagdaCase P-1003Service and Operations ManagementEl director de un hospital regional de Costa Rica elabora, junto con un alto funcionario de la CCSS, la Caja Costarricense del Seguro Social, un nuevo modelo de colaboración publico-privada en la atención sanitaria, ante unas estrictas limitaciones de inversión publica. El caso sigue el proceso del proyecto, presenta los diferentes problemas encontrados y muestra como ha logrado asegurar el soporte de los distintos grupos involucrados. La CCSS ha...Starting at €8.20
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A New Hospital for Heredia. A Public-Private Partnership for Health Care
Cercone J.; Rosenmöller, MagdaCase P-1003-EService and Operations ManagementTogether with a senior official from the CCSS, the Costa Rican Social Security organization, the principal of a regional hospital in Costa Rica draws up a new model for public-private cooperation in health care, given the stringent limitations on public investment. The case follows the project's progress, presents the various problems encountered, and shows how it has succeeded in gaining the support of the various stakeholders involved. The CCSS...Starting at €8.20
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Introducing DRGs as an Instrument for Clinical Management
Cercone J.; Márquez G.; García Prat, AntoniCase P-1048-EService and Operations ManagementThe case focuses on the use of DRGs in Costa Rica from the original motivation to use them, the implementation steps, the difficulties found and how they were addressed. The case describes the changes that occurred as a result of DRG introduction, and how the ?perverse incentives? were managed. The emphasis is on the lessons learnt in order to define the following implementation steps. The DRG system can be a useful tool to better organizing medi...Starting at €8.20
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The Accidental Statesman: General Petraeus and the City of Mosul, Iraq, Abridged
Lundberg, Kirsten; Bowles, Hannah Riley; Zimmerman, PeterCase HBS-HKS098-EService and Operations ManagementThis case (1834.0 and related epilogue 1834.1 and abridged case 1834.3) tells the story of Major General David Petraeus and the US Army's 101st Airborne Division in the months following the March 2003 invasion of Iraq, the fall of Baghdad, and collapse of Saddam Hussein's government. Having completed their combat mission, and with just a few days notice, the 101st is ordered to Mosul, Iraq's third largest city and the capital of Nineveh provinc...Starting at €8.20
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Rural Electrification in Nicaragua (Abridged)
Shiekh, Tahir; Gomez-Ibanez, JoseCase HBS-HKS483-EService and Operations ManagementIn the fall of 2001, officials of the National Energy Commission of Nicaragua were reviewing a pilot study of the options for electrification in three rural communities. Rural electrification was an important issue in Nicaragua since 40 percent of the population, mostly in rural areas, was without power. Many of those lived too far from the main high-voltage grid to be served easily with grid extensions. The consultants were recommending subsidiz...Starting at €8.20
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Ébola: cuando una buena gestión salva vidas
IESE InsightArticle ART-2676Service and Operations ManagementEl ébola se ha cobrado más de diez mil víctimas en apenas un año y durante varios meses la epidemia amenazó con extenderse sin control por todo el mundo. ¿Cuáles han sido los principales errores y escollos en la gestión de la crisis?Starting at €8.20
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Las dificultades del cambio: el modelo de Seguridad Social nicaragüense en transición
La Forgia G. M.; Ribera, Jaume; Rosenmöller, MagdaCase P-1009Service and Operations ManagementUn consultor contratado para preparar un informe examinando la viabilidad de la aplicación de un esquema similar al del MSP (Modelo de Salud Provisional, ya funcionando dentro del INSS - Instituto Nicaragüense de Seguridad Social) a poblaciones pobres no cubiertas por el INSS, llega a la conclusión que el esquema aún no puede ser transferido ya que puede requerir mejoras urgentes e importantes. El caso describe el progreso del MSP: crecimiento de...Starting at €8.20
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Growing pains: the Nicaraguan social insurance health model in transition
La Forgia G. M.; Ribera, Jaume; Rosenmöller, MagdaCase P-1009-EService and Operations ManagementA consultant who has been contracted to draw up a report examining the feasibility of applying a model similar to that of the MSP (provisional health model, already operating within the INSS - Nicaraguan Institute of Social Security) to poor populations not covered by the INSS, reaches the conclusion that the model is not yet transferable as it may require urgent large-scale improvements. The case describes the MSP's progress: a 160% growth in th...Starting at €8.20
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Introducción de los Grupos de Diagnóstico Relacionado (GDR) como instrumento de gestión clínica
Cercone J.; Márquez G.; García Prat, AntoniCase P-1048Service and Operations ManagementEl caso se concentra en el uso de los GDR en Costa Rica, desde la motivación para comenzar a usarlos, los diferentes pasos a seguir, las dificultades en la implementación y cómo se resolvieron. Se discuten los cambios que ocurrieron como resultado de la introducción de los GDR, y cómo se manejaron los "incentivos perversos". Se hace énfasis en las lecciones aprendidas con el objeto de definir cómo seguir adelante a partir de este punto. El sistem...Starting at €8.20