Two Brattle Center: Mental-Health Clinic in Search of a Viable Operating Model Harvard Case Solution & Analysis

Two Brattle Center (TBC) is the struggle for a non-profit private psychiatric clinic based in Harvard Square. Its founder, Dr. Joan Wheelis, is a nationally recognized practicing psychiatrist who developed the outpatient treatment programs based on Dialectical Behavior Therapy (DBT) for patients with borderline personality disorder (BPD). These patients are usually teenage girls and young women who struggle with emotional crises and prone to destructive behavior, such as cutting, excessive drinking, drug use and suicide attempts. These patients are very difficult to treat and TBC developed programs that make a marked difference in these patients. DBT requires a group of people with different types of experience, and therefore the original model developed by Dr. Willis operation was one in which the TBC was equipped with a large number of part-time doctors, "partnership model." However, changes in health care, in particular, the advent of managed care, put a very real burden on the model, and the company is now in a state of crisis. Dr. Willis is trying to decide whether and how to preserve it. The key decision is whether the transition to a "personnel model", based on a large number of full-time doctors. This will require a large patient population, to make the economy more than the installed capacity is viable. Another limiting factor is the poor condition of its key financial systems. Morale is low and therefore the turnover rate is high, and many physicians to patients with them in their private practice, where they are going. TBC is trying to decide whether to join the Blue Cross Blue Shield network, which will increase its patient population, but the rates are much lower than it currently charges only accept private patients. Dr. Willis also pondering whether to start a nonprofit foundation as a way to get money to support his teaching and training programs, or even make a profit company itself. "Hide
by Robert G. Eccles Source: Harvard Business School 16 pages. Publication Date: January 29, 2008. Prod. #: 408103-PDF-ENG

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