Management in Practice

Business and health could be said to coexist uneasily; many see the quest to increase profits and control costs as antithetical to quality care. But business is also a driver of innovation and efficiency in healthcare. Four leaders of healthcare organizations discuss the challenges in trying to deliver both good business and good health.

In searching for opportunities to invest in healthcare, venture capitalists must consider not only which new technologies and ideas are likely to develop into successful businesses, but which are poised to transform medicine — and which can make a difference in people’s lives.

The need for serious — and expensive — dental work forced freelance writer Jeff Schult to get creative. Research led him to a clinic in Costa Rica, which opened Schult to the burgeoning world of medical tourism. Two years ago he published Beauty from Afar: A Medical Tourist’s Guide to Affordable and Quality Cosmetic Care Outside the U.S. Schult describes how this international market is changing healthcare.

More than 160 million Americans receive their healthcare coverage through an employer-sponsored program. In recent years, as the costs of healthcare have risen, so have premiums for workers and costs for companies. Is the system sustainable? Does it affect the competitiveness of American companies? Does it prompt innovations in healthcare delivery?

Michael Apkon is using techniques from manufacturing to improve the efficiency and safety of medication delivery at Yale-New Haven Hospital, and he’s finding some solutions can be very simple.

In a country with some 76 million people and only 138 hospitals, Ethiopia is looking to make the most of limited resources by working with Yale and the Clinton Foundation to train hospital administrators.

A large physicians’ group practice in Massachusetts is improving the experience of patients and staff by breaking down the organizational hierarchy and encouraging process improvement from the bottom up.

Sostena Romano sees herself as responsible for producing results for both stakeholders and shareholders in the Clinton Foundation’s HIV/AIDS initiative.

Nature abhors a vacuum. Air invades emptiness. Water floods open space. What happens when a wall is breached and markets are allowed to enter countries where they’d previously been banned? In the 1990s, Rosemary Ripley participated in the infusion of private enterprise into former command economies.