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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
PAGE 2The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 3The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 4The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Cleveland Clinic NEOFamily Health CentersCleveland Clinic NEOFamily Health Centers
CCHS NEO HospitalsCCHS NEO Hospitals
PAGE 5The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
ClevelandClinic
UCLA Mayo MassGeneral
JohnsHopkins
Average SeverityAverage Severity2.3
PAGE 6The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Cleveland Clinic FloridaCleveland Clinic Florida
Cleveland Clinic Lou RuvoCenter for Brain Health
PAGE 7The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Cleveland Clinic CanadaCleveland Clinic Canada
Sheikh Khalifa Medical CitySheikh Khalifa Medical City
PAGE 8The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Cleveland Clinic Abu DhabiCleveland Clinic Abu Dhabi
Cleveland Clinic London
Cleveland Clinic London
PAGE 9The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 10The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 11The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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%
PAGE 12The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 13The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Innovation Alliance PartnersInnovation Alliance Partners
*Corporate partners
2009 2011 2013 2015
High Impact PublicationsHigh Impact Publications
970970
1,3001,300
PAGE 14The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 15The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Lerner College of MedicineLerner College of Medicine
Wash U U Penn Yale UnivChicago
ClevelandClinic
Harvard Columbia JohnsHopkins
Duke
MCAT ScoresMCAT Scores
12.012.0
PAGE 16The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Ohio Univ. Heritage College of Osteopathic Medicine
South Pointe Hospital
Health Education Campus
Health Education Campus
Health Education CampusHealth Education Campus
PAGE 17The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Watson Goes to Medical SchoolWatson Goes to Medical School
PAGE 18The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Virtual RealityVirtual Reality
PAGE 19The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
AffordabilityQuality
Access
Access
PAGE 20The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Access. Anytime, Anywhere.
Access. Anytime, Anywhere.
PAGE 21The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
MyCare OnlineMyCare Online
PAGE 22The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Virtual VisitsVirtual Visits 400per month
2014 2015
2 Million MyChart users
PAGE 23The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
• 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
PAGE 24The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 25The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Referral OfficesReferral Offices
2009 2011 2013 2015
International PatientsInternational Patients
2,6002,600
4,7004,700
6%
PAGE 26The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Quality
PAGE 27The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
U.S. News 2015Honor Roll
U.S. News 2015Honor Roll
1
2
3
3
5
Mass General
Mayo
UCLA
Johns Hopkins
CLEVELAND CLINIC
PAGE 28The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 29The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Hand HygieneHand Hygiene
2013 2014 2015
77%77%
66%66%
Hospital Acquired InfectionsHospital Acquired Infections
2323
3838
2013 2014 2015
PAGE 30The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 31The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 32The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
2014 2015
Caregiver Survey EngagementCaregiver Survey Engagement
59th %ile
68th %ile
PAGE 33The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
CC Experience
PAGE 34The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Patient Greeters
Art In MedicineArt In Medicine
PAGE 35The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Diane Von FurstenbergPatient Gown
Diane Von FurstenbergPatient Gown
PAGE 36The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Open Medical Record
Pet Therapy
PAGE 37The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Prayer Room
Affordability
PAGE 38The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
Premature MortalityPremature Mortality
Behavior40%
Behavior40%
Medical Access 10%Medical Access 10%
Genetics30%
Genetics30%
Social15%
Social15%Environment
5%Environment
5%
• Obesity
• Sedentary Life
• Smoking
PAGE 39The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
PAGE 40The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
TransFats
PAGE 41The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
• 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
PAGE 42The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 43The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 44The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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%
PAGE 45The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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%
PAGE 46The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
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
PAGE 47The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016
AffordabilityQuality
Access
Value
- Theodore Roosevelt
until they know how much you care.“ “
No one cares how much you know,
PAGE 48The Governance Institute’s Leadership Conference – Fairmont Scottsdale Princess
Scottsdale, ArizonaApril 17–20, 2016