MANAGEMENT & STRATEGY; HEALTH ENTERPRISE MANAGEMENT
Professor of Management and Strategy
Professor of Preventive Medicine
In addition to his responsibilities at Kellogg, Dr. Hughes founded the University’s Center for Health Services and Policy Research (now the Institute for Health Policy Studies) and served as its Director for seventeen years. He also served as the Director of Kellogg’s Health Enterprise Management Program and is the founder of Kellogg’s joint MD-MBA Degree Program. Professor Hughes played a central role in the development of the Pharmaceutical/Biotechnology curriculum at Kellogg and for many years served as Co-Director of the Biotechnology Program.
His research interests entail the efficient utilization of resources in healthcare; health policy and economics; managed care; the pharmaceutical, biotechnology, and medical device industries; and Leadership.
In addition to his teaching "Health Policy" and "Managerial Challenges in the Pharmaceutical, Biotechnology, and Medical Device Industries" in the Health Program, Professor Hughes teaches "Managerial Leadership," an elective course in the Management of Organizations Department. He is also a Professor of Preventive Medicine in the Feinberg School of Medicine.
Healthcare Management
Hospital/Physician Relations
Managed Care Systems
- Recent Media Coverage
New York Times: WellPoint Sells Its Pharmacy Benefits Division - 4/13/2009
Fortune: Will merger be Pfizer's miracle drug? - 1/27/2009
New York Times: Pfizer Said to Be Closing In on Deal for Wyeth - 1/24/2009
New York Times: Pfizer to Cut Researchers as It Hones Its Focus - 1/14/2009
See all Kellogg in the Media
Objective.To identify economic and organizational characteristics that affect the likelihood that health maintenance organizations (HMOs) include new drugs on their formularies. Data Sources.We administered an original survey to directors of pharmacy at 75 HMOs, of which 41 returned usable responses. We obtained drug-specific data from an industry trade journal. Study Design.We performed multivariate logistic regression analysis, adjusting for fixed-drug effects and random-HMO effects. We used factor analysis to limit the number of predictors. Data Collection Methods.We held initial focus groups to help with survey design. We administered the survey in two waves. We asked respondents to report on seven popular new drugs, and to describe a variety of HMO organizational characteristics. Principal Findings.Several HMO organizational characteristics, including nonprofit status, the incentives facing the director of the pharmacy, size and make-up of the pharmacy and therapeutics committee, and relationships with drugs makers, all affect formulary adoption. Conclusions.There are many organizational factors that may cause HMOs to make different formulary adoption decisions for certain prescription drugs.
Objectives. To assess the impact of total quality management (TQM) and organizational culture on a comprehensive set of endpoints of care for coronary artery bypass graft surgery (CABG) patients, including risk-adjusted adverse outcomes, clinical efficiency, patient satisfaction, functional health status, and cost of care. Methods. Prospective cohort study of 3,045 eligible CABG patients from 16 hospitals using risk-adjusted clinical outcomes, functional health status, patient satisfaction, and cost measures. Implementation of TQM was measured by a previously validated instrument based on the Baldridge national quality award criteria. Organizational culture was measured by a previously validated 20-item instrument. Generalized estimating equations were used to control for potential selection bias, repeated measures, and intraclass correlation. Results. A 2- to 4-fold difference in all major clinical CABG care endpoints was observed among the 16 hospitals, but little of this variation was associated with TQM or organizational culture. Patients receiving CABG from hospitals with high TQM scores were more satisfied with their nursing care (P = 0.005) but were more likely to have lengths of stay 10 days (P = 0.0003). A supportive group culture was associated with shorter postoperative intubation times (P = 0.01) but longer operating room times (P = 0.004). A supportive group culture was also associated with higher patient physical (P = 0.005) and mental (P = 0.01) functional health status scores 6 months after CABG. Conclusions. There was little effect of TQM and organizational culture on multiple endpoints of care for CABG patients. There is a need to examine further the relationships among individual professional skills and motivations, group and microsystem team processes, specifically tailored interventions, and organization-wide culture, decision support processes, and incentives. Assessing the impact of such multifaceted approaches is an important area for further research.
This course counts toward the following majors: Health Enterprise Management, Health Industry Management
Health policy drives the American healthcare system. Every actor in the industry - whether one is working for a pharmaceutical, biotech or medical device firm, a provider or a payer - is affected by it. Health policy determines payment rates, access to technology, access to care and ultimately who lives or dies. Understanding the process of health policy-making in the United States and being able to influence that process are critical to the success of senior managers in our nation's health industry. This course establishes a conceptual framework for understanding health policy and the forces that shape it, details the health policy process so it can be understood and influenced, and examines in detail a number of critical health policy issues such as the Medicare drug benefit, the enhancement of access and the reimbursement for biotechnology products and medical devices. The highly interactive course features debates and panels, including some with leaders in healthcare policy.
Managerial Challenges in the Pharmaceutical, Biotech, and Medical Device Industries (formerly HIMT-453-0) (HEMA-453-0)
This course counts toward the following majors: Health Enterprise Management, Health Industry Management, Technology Industry Management
course provides an overview of the pharmaceutical, biotechnology and medical device industries. It explores their history, growth, organizational structure, vital statistics, recent performance, social contribution and prospects for the future. It examines the critical interrelationships between the firms within and across the three industries and the centrality of these interrelationships for product development and sales. Particular attention is placed on the regulation that impacts these industries and its implications for firm behavior, technological innovation, product development, adoption and costs, and marketing and sales strategies. Also addressed is the strategic management of firms in the three industries. The course is an elective for three majors: Health Industry Management, Biotechnology, and Technology and E-Commerce.
Managerial Leadership (MGMT-468-0)
This course counts toward the following majors: Human Resource ManagementB>
This course is designed to help students understand the character and challenges of leadership as it exists and can exist in various organizational settings. It is intended to provide insights into the demands of leadership and explore how leadership skills can be developed and applied most effectively. Interaction with guest lecturers provides an opportunity to observe and dissect various approaches to leadership. The objective of the course is to help students prepare for, and make them more sensitive to, continuing opportunities for improving their own managerial and leadership capabilities.
Managerial Leadership (formerly MGMT-468-0) (MORS-468-0)
This course counts toward the following majors: Human Resource Management, Management & Organizations.
This course is designed to help students understand the character and challenges of leadership as it exists and can exist in various organizational settings. It is intended to provide insights into the demands of leadership and explore how leadership skills can be developed and applied most effectively. Interaction with guest lecturers provides an opportunity to observe and dissect various approaches to leadership. The objective of the course is to help students prepare for, and make them more sensitive to, continuing opportunities for improving their own managerial and leadership capabilities.
PHONE: 847-491-8384
FAX: 847-491-2683
Jacobs Center Room 5214