State of the Clinic
Unique Patients 1 Million 1.5 Million 2007 2009 2011 2013
New Patient Visits 125,000 107,000 2007 2008 2009 2010 2011 2012 2013
Research Activity 2,160 2000 2003 2005 2007 2009 2011 2013
1. University of California 2. Harvard University 3. Mayo Clinic 4. National Institute of Health 5. University of California, San Francisco 6. University of Texas, MD Anderson 7. CLEVELAND CLINIC 8. Stanford University 9. John Hopkins University 10. Washington University, St. Louis, MD Top 10 Life Science Research Presenters
High Impact Publications 974 1,132 2008 2009 2010 2011 2012 2013
Patents Granted 592 44 2001 2003 2005 2007 2009 2011 2013
Sones Innovation Award
Sones Innovation Award Jay Alberts, Ph.D.
Residents & Fellows 1,793 1,362 2003 2005 2007 2009 2011 2013
Board Pass Rate 96% 99% 2010 2011 2012 2013
MCAT Scores 11.9 Wash. Univ. Univ. Penn Yale Harvard Univ. CLEVELAND Johns Columbia Duke Chicago CLINIC Hopkins
Watson Goes to Medical School
Health Education Campus
Ohio University Medical School NorthEast Campus
Recycled Waste 47% 11% 2007 2009 2011 2013
Supplier Diversity Supply Spend 58% 22% 2010 2011 2012 2013
Community Benefit $783M 12.3% 2008 2009 2010 2011 2012 2013
Global Center for Health Innovation
Brand Awareness 36% 22% 2003 2005 2007 2009 2011 2013
Brand Awareness Johns Hopkins Mayo UCLA 22% Cleveland Clinic Mass General 36% 2003 2005 2007 2009 2011 2013
Total Operating Revenue 4% $6.5 Billion 1998 2000 2002 2004 2006 2008 2010 2013
Cash Flow from Operations 11.7% Margin 2008 2009 2010 2011 2012 2013
Operating Income $296 Million 1999 2001 2003 2005 2007 2009 2011 2013
Cash and Investments 13% $5.8 Billion 1999 2001 2003 2005 2007 2009 2011 2013
Medicare Payment Cuts 0 2014 2016 2018 2020 2022 $ -40-20 -60-80 -100 Total $415 Billion
Payment Structure Volume-Based Value-Based Fee-for-Service Outcomes
Value Based Purchasing Experience 30% 2013 Process 70%
Value Based Purchasing Experience 30% 2014 Process 45% Outcomes 25%
Value Based Purchasing Experience 30% 20% 2015 Process Efficiency 20% 30% Outcomes
Value Based Purchasing Experience 25% 10% Process 2016 Efficiency 25% 40% Outcomes
Quality Metrics 115 10 2005 2007 2009 2011 2013 2015
Change Curve Denial Acceptance Morale Anger Bargaining Depression Time
Risk Crisis Opportunity
Nothing diminishes anxiety faster than action. - Walter Anderson
Opportunity
Opportunity Growth Value Based Care
Networks Owned & Partnered
Heart and Vascular Institute Affiliations / Alliances Rochester Ashtabula LakeWest Cleveland Clinic Metro Fisher Titus & Bellevue Cadence St. Francis Medical Christus St. Michael St. Vincent Novant Susquehanna Health MedStar Cape Fear CC Florida
National Orthopaedic & Spine Alliance CORE Institute OrthoCalifornia/ Hoag Cleveland Clinic Rothman Institute CORE Institute OrthoCarolina
ProMedica
Michigan Toledo ProMedica Cleveland Leading system in Toledo 2,000 Beds 450 employed physicians Paramount Health Plan
Community Health Systems 206 Hospitals in 29 States
Cleveland Clinic Abu Dhabi
Cleveland Clinic Abu Dhabi
Cleveland Clinic Abu Dhabi
Referral Offices
International Patients 2,606 3,193 2008 2009 2010 2011 2012 2013
Think anew and act anew - Abraham Lincoln
Access
Fairview Hospital
Hillcrest Labor & Delivery
Lutheran ED Expansion
Lutheran ED
Brunswick ED
Palm Beach Gardens
Parkland
Florida Cancer & Neuro
Cancer Center
Avon Hospital
CCHS ED Visits 44,000 per month 2011 2012 2013
46 minutes CCHS ED Wait 11 minutes 2010 2011 2012 2013
Same Day Visits 1,056,000 687,000 2008 2009 2010 2011 2012 2013
MyChart 1,900,000 Auto Enrollment 2003 2005 2007 2009 2011 2013
MyChart Test Results Messages Appointments Preventive Care Health Summary
Quality
14 th 2013 UHC Quality Ranking 20 th 2012 49 th 2011 80 th 2010 1 25 50 75 Rank 101
189 per month CCHS Patient Safety Indicators 96 per month 2010 2011 2012 2013
Readmissions 14% 14% 2012 2013
Hospital Acquired Infections 25 per month 33 per month 2012 2013
Caregiver Engagement 61 %ile 2008 2009 2010 2011 2012 2013
Rate Hospital CMS 90 th %ile Main 92 91 Florida 45 Community 2008 2009 2010 2011 2012 2013*
Complaints 2.5.9 2010 2011 2012 2013 Rate per 1K encounters
% 100 80 tile 60 Community Hospital Physician Satisfaction 2011 2013 40 20 LU FV SP HC EU MM ACMC LW ME
Partners In Care Dr. Robert Dlwgosh ACMC Dr. Andrew Brobbey Euclid Dr. John Tafuri Fairview Dr. Jeffrey Lautman Hillcrest Dr. James Crandell Lakewood Dr. Rajesh Sharma Lutheran Dr. Doug Kohler Marymount Dr. Jonathan Funk Medina Dr. Kamal Khalafi South Pointe
Affordability
491 Energy Usage Index Benchmark = 462 2010 2011 2012 2013 464
Lab Tests Avoided 17,900 230 $1.9 Million 2011 2012 2013
Shared Medical Appointment 4,271 678 2009 2010 2011 2012 2013
$4,506 Partial Nephrectomy 20% $3,615 2010 2011 2012 2013
Behavioral Health $104 Per Case $93 Per Case 10% 2012 2013
Low Back Pain CarePath Acute Phase 0-6 weeks Sub -Acute Phase 6-12 weeks Chronic Phase > 12 weeks
$554 Low Back Pain Cost / Case $237 $136 Pre Post Potential
>$300,000 Cost savings Charles Skala Damian Chessar
Quality Affordability Value Access
No one cares how much you know, until they know how much you care. - Theodore Roosevelt
Act as a Unit