Cleveland ClinicTransforming
Healthcare
Cleveland ClinicTransforming
Healthcare
Age > 65Age > 65
#Millions
#Millions
19001900
90
70
50
30
10
90
70
50
30
10
19201920 19401940 19601960 20002000 20202020 2040204019801980
Se-ries1
The total amount of knowledge doubles every 2 1/2 years
The total amount of knowledge doubles every 2 1/2 years
Volume-BasedVolume-Based Value-BasedValue-Based
Fee-for-ServiceFee-for-Service OutcomesOutcomes
Payment Structure
Cost Transparency Companies
AffordabilityQuality
Access
Value
Acute Care Well Care
Population Health
Chronic Care
CCHS ED Wait Time
2011 2012 2013 2014
46minutes
2010
13minutes
2008 2009 2010 2011 2012 2013 2014
Same Day Visits
688,000
1,130,000
• Test Results
• Messages
• Appointments
• Preventive Care
• Health Summary
MyChart
40 million lives
50 Million
Watson Goes to Medical School
UHC ConsortiumQuality Ranking
UHC 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
80th
2010
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
49th
2011
20th
2012
14th
2013
10th
2014
Patient Safety Indicators
2012 20132011
National Mean .61
.41
.94
Patient Satisfaction
75th
%ile
29th
%ile
Employee Chronic Disease Management
72%
47%56%
Employee Health Plan PMPM Costs
220
260
300
340
380
420
$
2004 2014
2004-20097.5% 2010-2Q2014
3.6%
Partial Nephrectomy
20%
201220112010 2013
$4,506$4,506
$3,615$3,615
PotentialPre Post
$554$554
$237$237
$136$136
Low Back PainCost / Case
AffordabilityQuality
Access
Value
Healthcare Inflation
1980 20141994 20041984
15%
2%