Dartmouth-Hitchcock Medical Center: Spine Care

Posted: 11 Aug 2009  

Robert S. Huckman

Harvard Business School; National Bureau of Economic Research (NBER)

Michael E. Porter

Harvard University - Strategy Unit

Rachel Gordon

Harvard Business School

Natalie Kindred

Harvard Business School

Date Written: March 11, 2009

Abstract

Describes the Spine Center at Dartmouth-Hitchcock Medical Center, a multidisciplinary unit that offers patients suffering from spinal problems 'one-stop' access to a range of providers including orthopedic surgeons, neurosurgeons, neurologists, medical specialists in physical medicine and pain management, mental health providers, and occupational and physical therapists. The Center was created to address what its founder, James Weinstein, M.D., saw as the uncoordinated and inefficient delivery of spinal care in the United States. The Center emphasized using non-surgical treatments (e.g., physical therapy and exercise, behavioral modification, pain-relieving drugs) as either a complement to, or substitute for, surgical procedures, and patients were actively engaged in the process of determining what type of care to pursue. In addition, Weinstein and his staff collected data from the Center's clinical practice to conduct academic research on the outcomes and cost-effectiveness of various approaches to treatment. The case allows for a critical analysis of the Spine Center's unique approach to care delivery and provides an opportunity to examine the applicability of this model in other clinical areas.

Suggested Citation

Huckman, Robert S. and Porter, Michael E. and Gordon, Rachel and Kindred, Natalie, Dartmouth-Hitchcock Medical Center: Spine Care (March 11, 2009). HBS Case No. 609-016; Harvard Business School Technology & Operations Mgt. Unit ; Harvard Business School Strategy Unit. Available at SSRN: https://ssrn.com/abstract=1445504

Robert S. Huckman (Contact Author)

Harvard Business School ( email )

Technology & Operations Management
T17 Morgan Hall
Boston, MA 02163
United States

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

Michael E. Porter

Harvard University - Strategy Unit ( email )

Harvard Business School
Soldiers Field Road
Boston, MA 02163
United States
(617) 495-6309 (Phone)
(617) 547-8543 (Fax)

Rachel Gordon

Harvard Business School ( email )

Soldiers Field Road
Morgan 270C
Boston, MA 02163
United States

Natalie Kindred

Harvard Business School ( email )

Soldiers Field Road
Morgan 270C
Boston, MA 02163
United States

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