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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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Prosalud y el Seguro Nacional de Maternidad y Niñez (SNMN) (A)
Mintz P.; Savedoff W.; Pancorvo J.; Magdalene M.Case P-998Service and Operations ManagementBolivia y su realidad exige retos que en salud son múltiples. Dentro del contexto de reformas se encuentran necesidades de la población, políticas y lineamientos gubernamentales, la acción de los municipios y los esfuerzos privados. Particularmente, se presenta el aporte de una ONG: Prosalud y su desarrollo dentro del ámbito de salud boliviano. Circunstancialmente, el Secretario de Salud viene diseñando y sopesando un Programa para reducir las al...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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La reforma de salud en Bolivia: generando evidencia y sostenibilidad con gestión por resultados
Schwab N.; Pancorvo J.Case P-1026Service and Operations ManagementEn 1999, Bolivia dio comienzo a una reforma del sector salud basada en la evidencia. El caso describe los esfuerzos que hizo el Ministerio de Salud y Previsión Social para generar e institucionalizar una cultura gerencial basada en los resultados de establecer compromisos de gestión con las autoridades departamentales, con los objetivos e indicadores pertinentes. Los objetivos conciernen el plan de Seguro Básico de Salud (SBS) y el Programa Ampli...Starting at €8.20
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Prosalud and the Insurance Program for Mothers and Children (SNMN) (A)
Mintz P.; Savedoff W.; Pancorvo J.; Magdalene M.Case P-998-EService and Operations ManagementThe health situation in Bolivia faces numerous challenges, and reforms must take into account the requirements of different population groups, political, municipal and private sectors. Particular attention is paid to the contributions of an NGO called Prosalud. The Health Secretary is designing a program to reduce the high levels of mortality among pregnant women and children under five. The program leads to uncertainties both for the Health Secr...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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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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Health Reform in Bolivia: Generating evidence and sustainability with performance-based management
Schwab N.; Pancorvo J.Case P-1026-EService and Operations ManagementIn 1999, Bolivia started an evidence based health reform. The case describes the efforts, the Ministry of Health and Social Provision undertook to generate and institutionalize a management culture based in results by establishing management contracts with the departmental authorities, with objectives and related indicators. The objectives concern the Basic Health insurance (SBS), the extended immunization program (PAI). The case describes the re...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