Cleveland Clinic Update - Amazon S3€¦ · Cleveland Clinic Abu Dhabi Cleveland Clinic London. PAGE 9 The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess

PAGE 1The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess

Scottsdale, ArizonaApril 17–20, 2016

Cleveland ClinicUpdate

Cleveland ClinicUpdate

FoundersFounders

Dr. William E. Lower Dr. John Phillips

Dr. Frank E. Bunts Dr. George W. Crile



Care for the Sick

Investigate their Problems

Educate those who Serve

Organization StructureOrganization Structure

• Not for Profit

• Group Practice

• Physician Leadership

• Salaried

• Annual Professional Review

• 1 Year Contract

• Not for Profit

• Group Practice

• Physician Leadership

• Salaried

• Annual Professional Review

• 1 Year Contract



2003 2005 2007 2009 2011 2013 2015

Professional StaffProfessional Staff 3,4003,400

1,7001,700

2003 2005 2007 2009 2011 2013 2015

CaregiversCaregivers 49,00049,000

32,00032,000



Cleveland Clinic NEOFamily Health CentersCleveland Clinic NEOFamily Health Centers

CCHS NEO HospitalsCCHS NEO Hospitals



ClevelandClinic

UCLA Mayo MassGeneral

JohnsHopkins

Average SeverityAverage Severity2.3



Cleveland Clinic FloridaCleveland Clinic Florida

Cleveland Clinic Lou RuvoCenter for Brain Health



Cleveland Clinic CanadaCleveland Clinic Canada

Sheikh Khalifa Medical CitySheikh Khalifa Medical City



Cleveland Clinic Abu DhabiCleveland Clinic Abu Dhabi

Cleveland Clinic London

Cleveland Clinic London



6.4 Million Patients

ClevelandClinic

HHFairview Hospital

Lakewood Hospital

HH

Lutheran Hospital

HH

Ashtabula County Medical Center

HH

Euclid Hospital

HH

Hillcrest Hospital

HH

South PointeHospital

HH

Marymount Hospital

HH

ClevelandClinic

Florida

HHMedinaHospital

HHLorain Family HealthAnd Surgery Center

FHCFHC

Elyria FamilyHealth Center

Westlake FamilyHealth Center

FHCFHC

FHCFHC LakewoodFamily Health

Center

FHCFHC

Strongsville Family Health and Surgery Center

FHCFHC

Brunswick FamilyHealth Center

FHCFHCWooster FamilyHealth Center

FHCFHC

Independence FamilyHealth Center

FHCFHC Solon FamilyHealth Center

FHCFHC

Chagrin Falls FamilyHealth Center

FHCFHC

Beachwood FamilyHealth and Surgery Center

FHCFHC

Willoughby HillsFamily Health Center

FHCFHC

FHCFHC

R.E. JacobsHealth Center

Lou Ruvo Centerfor Brain Health

Las Vegas, Nevada

FHCFHC

ClevelandClinic

Toronto

FHCFHC

S.T.J. Health Center

HCHC

Twinsburg FamilyHealth Center

FHCFHC

Transport TeamTransport Team



2005 2007 2009 2011 2013 2015

Hospital TransfersHospital Transfers27,465

8,659

2001 2003 2005 2007 2009 2011 2013 2015

Admissions & ObservationsAdmissions & Observations 229,000229,000

17%162,000162,000



1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

Outpatient VisitsOutpatient Visits 6.6 Million6.6

Million

1.2 Million1.2

Million

13%

2007 2009 2011 2013 2015

Unique PatientsUnique Patients 1.9 Million1.9

Million

1.0 Million1.0

Million24%



2001 2003 2005 2007 2009 2011 2013 2015

Research ActivityResearch Activity2,2002,200

1,5001,500

Patents GrantedPatents Granted

2000 2003 2006 2009 2012 2015

978978

2020



Innovation Alliance PartnersInnovation Alliance Partners

*Corporate partners

2009 2011 2013 2015

High Impact PublicationsHigh Impact Publications

970970

1,3001,300



Residents & FellowsResidents & Fellows

2001 2003 2005 2007 2009 2011 2013 2015

1,9001,900

1,3001,300

Resident ProgramsResident Programs

NY Presbyterian

Montefiore Cleveland Clinic

Univ.Michigan

JohnsHopkins

914914



Lerner College of MedicineLerner College of Medicine

Wash U U Penn Yale UnivChicago

ClevelandClinic

Harvard Columbia JohnsHopkins

Duke

MCAT ScoresMCAT Scores

12.012.0



Ohio Univ. Heritage College of Osteopathic Medicine

South Pointe Hospital

Health Education Campus

Health Education Campus

Health Education CampusHealth Education Campus



Watson Goes to Medical SchoolWatson Goes to Medical School



Virtual RealityVirtual Reality



AffordabilityQuality

Access

Access



Access. Anytime, Anywhere.

Access. Anytime, Anywhere.



MyCare OnlineMyCare Online



Virtual VisitsVirtual Visits 400per month

2014 2015

2 Million MyChart users



• Test Results

• Messages

• Appointments

• Preventive Care

• Health Summary

• Test Results

• Messages

• Appointments

• Preventive Care

• Health Summary

MyChart

ED Wait TimeED Wait Time46.1

minutes46.1

minutes

12.6minutes12.6

minutes

2011 2013 2015



2009 2011 2013 2015

Same Day Visits Same Day Visits

673,000673,000

1,148,0001,148,000

5%

2009 2011 2013 2015

670670

12,70012,700

58%

Shared Medical AppointmentsShared Medical Appointments



Referral OfficesReferral Offices

2009 2011 2013 2015

International PatientsInternational Patients

2,6002,600

4,7004,700

6%



Quality



U.S. News 2015Honor Roll

U.S. News 2015Honor Roll

1

2

3

3

5

Mass General

Mayo

UCLA

Johns Hopkins

CLEVELAND CLINIC



UHC ConsortiumQuality RankingUHC ConsortiumQuality Ranking

1 5 9 13 17 21 25

Rank28 33 37 41 45 49 53 57 61 65 69 73 77 81 85 89 93 97

80th2010

♦♦♦♦♦♦♦♦♦ ♦♦♦♦♦ ♦♦♦♦ ♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦ ♦♦ ♦♦♦♦ ♦♦ ♦ ♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦ ♦♦♦♦♦♦♦♦♦♦♦♦

♦♦♦♦♦♦♦♦♦

49th

2011

20th

2012

14th

2013

10th

2014

14th2015

Patient Safety IndicatorsPatient Safety Indicators147147

2013 20142012 2015

5757



Hand HygieneHand Hygiene

2013 2014 2015

77%77%

66%66%

Hospital Acquired InfectionsHospital Acquired Infections

2323

3838

2013 2014 2015



62

108

2013 2014 2015

Hospital Acquired InfectionsC. Difficile

Hospital Acquired InfectionsC. Difficile

All Cause ReadmissionsAll Cause Readmissions

13.2%

14.4%

2013 20142012 2015



Rate HospitalRate Hospital

2011 2012 2013 2014 2015201020092008

Florida

Community

89

51

Main 90CMS 90th %ile

ComplaintsComplaints

1.1per 1K1.1

per 1K

2.1per 1K2.1

per 1K

2013 20152011



2014 2015

Caregiver Survey EngagementCaregiver Survey Engagement

59th %ile

68th %ile



CC Experience



Patient Greeters

Art In MedicineArt In Medicine



Diane Von FurstenbergPatient Gown

Diane Von FurstenbergPatient Gown



Open Medical Record

Pet Therapy



Prayer Room

Affordability



Premature MortalityPremature Mortality

Behavior40%

Behavior40%

Medical Access 10%Medical Access 10%

Genetics30%

Genetics30%

Social15%

Social15%Environment

5%Environment

5%

• Obesity

• Sedentary Life

• Smoking





TransFats



• Weight Watchers

• Curves

• Shape Up & Go

• Fitness Centers

• Yoga

• Farmer’s Markets

• Vending Machines

• GO! Foods

>500,000 LBS Lost>500,000 LBS Lost

EHP PMPM CostsEHP PMPM Costs

2004 20152008 2012

$380

$225



Energy Usage IndexEnergy Usage Index

2010 2011 2012 2013 2014

495

Benchmark 462

4232015

2014 2015 2016

Care AffordabilitySavingsCare AffordabilitySavings

$264M$264M

$513M$513M$604M$604M

To Date



My Two CentsMy Two Cents

1,053Ideas

1,053Ideas

$7.3 MillionSavings

$7.3 MillionSavings

Care PathsCare Paths

125Guides125

Guides

37Pilots37

Pilots

13EMR

Enabled

13EMR

Enabled



Stroke Cost Per DayStroke Cost Per Day

Pre Care PathPre Care Path Post Care PathPost Care Path

$3,402

$2,55325%

2013 2014 2015

Knee Replacement LOS

Knee Replacement LOS

3.4 days3.4 days

2.4 days2.4 days

27%



2013 2014 2015

Knee Replacement Cost / Case

Knee Replacement Cost / Case

$3,600$3,60016%

$3,000$3,000

Pre Post

Hillcrest Patient FallsHillcrest Patient Falls3333

232330%



Pre Post

Phlebotomy Wait TimePhlebotomy Wait Time

3.5 minutes

3.5 minutes

73%

13 minutes

13 minutes

Pre Post

Main Entrance Valet RetrievalMain Entrance Valet Retrieval

46%

19 minutes

19 minutes

10 minutes

10 minutes



AffordabilityQuality

Access

Value

- Theodore Roosevelt

until they know how much you care.“ “

No one cares how much you know,



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Cleveland Clinic Update - Amazon S3€¦ · Cleveland Clinic Abu Dhabi Cleveland Clinic London. PAGE 9 The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess