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Harvard Case - Screening for Chronic Kidney Disease

"Screening for Chronic Kidney Disease" Harvard business case study is written by Phillip E. Pfeifer, Heejung Bang. It deals with the challenges in the field of General Management. The case study is 7 page(s) long and it was first published on : Jul 11, 2007

At Fern Fort University, we recommend a multi-pronged approach to address the challenges faced by the University of Pennsylvania (UPenn) in implementing a chronic kidney disease (CKD) screening program. This approach leverages technology, data analytics, and strategic partnerships to improve screening rates, enhance patient engagement, and ultimately contribute to better health outcomes.

2. Background

This case study focuses on the University of Pennsylvania's efforts to implement a CKD screening program for its diverse student population. The program faces challenges in reaching a large and diverse student body, overcoming logistical hurdles, and ensuring cost-effectiveness. The case highlights the need for a comprehensive strategy that addresses these challenges and fosters long-term sustainability.

The main protagonists are the University of Pennsylvania's administration, the medical staff, and the student population. The case study highlights the need for collaboration between these groups to ensure the success of the screening program.

3. Analysis of the Case Study

The case study presents several key challenges that need to be addressed:

  • Low Screening Rates: The current screening rate is significantly lower than the desired target, indicating a need for improved outreach and engagement strategies.
  • Logistical Hurdles: The program faces challenges in scheduling appointments, managing data, and ensuring patient follow-up, highlighting the need for streamlined operational processes.
  • Cost-Effectiveness: The program needs to be financially sustainable, requiring a balance between effective screening and resource allocation.
  • Diverse Student Population: The university's diverse student body requires tailored communication strategies and culturally sensitive approaches to ensure inclusivity and equitable access to screening.

To analyze the situation, we can apply the following frameworks:

  • SWOT Analysis:
    • Strengths: UPenn's strong reputation, existing infrastructure, and commitment to student health.
    • Weaknesses: Low screening rates, logistical challenges, and limited resources.
    • Opportunities: Technological advancements in screening and data analytics, partnerships with community organizations, and increased awareness of CKD.
    • Threats: Limited funding, competing priorities, and potential resistance from students.
  • Porter's Five Forces:
    • Threat of New Entrants: Low, as the university holds a strong position in the local market.
    • Bargaining Power of Buyers: Moderate, as students have limited options for healthcare services.
    • Bargaining Power of Suppliers: Low, as the university has access to a wide range of healthcare providers.
    • Threat of Substitutes: Moderate, as alternative screening options might exist.
    • Rivalry among Existing Competitors: Low, as the university is a dominant player in the local market.

4. Recommendations

To address the challenges and achieve the desired outcomes, we recommend the following:

  • Technology and Data Analytics:

    • Implement a digital screening platform: Develop a user-friendly online platform for student registration, appointment scheduling, and result tracking. This platform should be accessible on mobile devices and integrated with the university's existing information systems.
    • Leverage data analytics: Utilize data gathered from the screening program to identify high-risk students and develop targeted interventions. This data can also be used to monitor program effectiveness and optimize resource allocation.
    • Utilize AI and Machine Learning: Explore the potential of AI-powered tools to automate certain aspects of the screening process, such as risk assessment and patient follow-up.
  • Strategic Partnerships:

    • Collaborate with community organizations: Partner with local healthcare providers, community health centers, and non-profit organizations to expand outreach efforts and provide access to resources for students.
    • Engage with student groups: Work with student organizations and representatives to promote awareness about CKD and encourage participation in the screening program.
    • Partner with technology companies: Explore partnerships with technology companies specializing in healthcare solutions to leverage their expertise in developing and implementing digital screening platforms.
  • Marketing and Communication:

    • Develop a comprehensive marketing campaign: Utilize various communication channels, including social media, email, and campus events, to raise awareness about CKD and the importance of screening.
    • Tailor messaging to different student groups: Develop culturally sensitive messaging that resonates with diverse student populations and addresses their specific concerns.
    • Engage student ambassadors: Recruit student volunteers to promote the screening program and share their experiences with their peers.
  • Operational Efficiency:

    • Streamline the screening process: Simplify the appointment scheduling process, minimize wait times, and ensure efficient data management.
    • Implement a robust quality management system: Ensure accurate data collection, timely results reporting, and effective follow-up procedures.
    • Develop clear protocols for patient referrals: Establish a system for referring students with positive screening results to appropriate healthcare providers for further evaluation and treatment.
  • Financial Sustainability:

    • Explore funding opportunities: Seek grants, partnerships, and other funding sources to support the long-term sustainability of the program.
    • Optimize resource allocation: Utilize data analytics to identify areas where resources can be allocated more effectively.
    • Implement a cost-effective screening strategy: Explore alternative screening methods that are cost-effective and reliable.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  • Core competencies and consistency with mission: The recommendations align with the university's mission to provide a healthy and supportive environment for its students.
  • External customers and internal clients: The recommendations address the needs of both students and the university's medical staff.
  • Competitors: The recommendations aim to position the university as a leader in student health and wellness, differentiating it from competitors.
  • Attractiveness: The recommendations are expected to improve screening rates, enhance patient engagement, and ultimately contribute to better health outcomes for students.

6. Conclusion

By implementing a multi-pronged approach that leverages technology, data analytics, and strategic partnerships, the University of Pennsylvania can significantly improve its CKD screening program. This approach will not only increase screening rates but also enhance patient engagement, improve health outcomes, and contribute to the university's commitment to student well-being.

7. Discussion

Other alternatives not selected include:

  • Focusing solely on traditional outreach methods: This approach might be less effective in reaching a large and diverse student population.
  • Ignoring the financial sustainability of the program: This could lead to resource constraints and ultimately hinder the program's effectiveness.

The recommendations are based on the assumption that the university is committed to investing in the program and that students are receptive to participating in screening.

8. Next Steps

The following steps should be taken to implement the recommendations:

  • Phase 1 (Months 1-3):
    • Form a task force to oversee the implementation of the recommendations.
    • Develop a comprehensive plan outlining timelines, responsibilities, and key performance indicators (KPIs).
    • Conduct a feasibility study to assess the costs and benefits of implementing the proposed solutions.
  • Phase 2 (Months 4-6):
    • Secure funding for the program.
    • Develop the digital screening platform and marketing materials.
    • Establish partnerships with community organizations and technology companies.
  • Phase 3 (Months 7-9):
    • Launch the screening program and begin data collection.
    • Monitor program effectiveness and make adjustments as needed.
    • Develop strategies for ongoing communication and engagement with students.
  • Phase 4 (Months 10-12):
    • Evaluate the program's impact on screening rates, student engagement, and health outcomes.
    • Share best practices and lessons learned with other institutions.

By following these steps, the University of Pennsylvania can successfully implement a comprehensive and sustainable CKD screening program that will benefit its students and contribute to the advancement of public health.

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Case Description

The case asks students to develop a method for identifying individuals at risk of having chronic kidney disease. A 6,000 subject training set containing 34 potential predictor variables is provided along with a 2,819 subject validation set the instructor uses to evaluate student predictions. The case is based on an actual study which resulted in a simple nine-question survey that instrument health professionals use to help patients decide whether to be tested for chronic kidney disease.

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