Cleveland Clinic President, CEO Toby Cosgrove, M.D., Delivers Annual State Of The Clinic Address

Despite national healthcare challenges that “are unprecedented in their size, speed and scope,” Cleveland Clinic had a “very successful year” in 2016, President and CEO Toby Cosgrove, M.D., said during the annual State of the Clinic address Wednesday.

Healthcare in the United States is in the midst of major transformations, including rising pharmaceutical costs, a growing patient population using government insurance instead of commercial insurance, an increasing number of reporting measurements, and a fundamental change in how hospitals are paid.

Still, Cleveland Clinic saw an increase in new patients; a decline in hospital readmissions and infections; the opening of a new hospital in Avon and six new Express Care locations throughout northeast Ohio; a 12 percent increase in operating revenue to $8 billion; and acknowledgment as the No. 2 hospital in the nation by US News & World Report.

Cleveland Clinic improved access in multiple ways in 2016. Express Care visits increased 76 percent to 133,000 due to the opening of six new sites – Wadsworth, Solon, Broadview Heights, downtown Cleveland, Mentor and Olmsted Township. Same-day appointments increased 10 percent to almost 1.3 million. Virtual visits accounted for 9,700 visits, including Express Care Online and postop visits, Telestroke acute stroke response, neurological inpatient consults, dermatology tele-triage, patient-requested second opinions and nutrition consults. And shared medical appointments grew 40 percent to over 17,700 visits.

In all, outpatient visits increased 7 percent to 7.1 million, including 128,000 new patients (up 2 percent).

Other 2016 highlights outlined by Dr. Cosgrove included:

• Sones Innovation Award: Michael Kattan, Ph.D., chair of Quantitative Health Services in Cleveland Clinic’s Lerner Research Institute, was named the 2016 Sones Innovation Award recipient, for his work in pioneering mathematical models (nomograms) that predict risk of disease recurrence or progression in prostate cancer and other conditions. He holds two patents for risk calculators, and he developed online calculators that address 34 different diseases. Dr. Kattan is a financial risk modeler and former stage IV cancer patient. The award – named for F. Mason Sones, M.D., the Cleveland Clinic cardiologist who performed the world’s first coronary angiogram – honors the Cleveland Clinic tradition of innovation for better patient care. It comes with a $25,000 prize.
• Quality improvements:
  • Readmissions decreased to 13.2 percent.
  • Hospital-acquired infections continued to decrease, to an average of 16 infections per month.
  • Hand hygiene compliance – the most effective intervention to stop the spread of infections – continues to increase, reaching 92 percent.
• An enterprise-wide cost transformation initiative delivered over $634 million in cost savings. Without the cost savings, operating income would have dropped from $243 million to $122 milliion.
• With 51,487 employees – more than 48,000 in Ohio – Cleveland Clinic is the largest employer in Ohio.

Cleveland Clinic continued to build new state-of-the–art facilities in 2016:

• The Avon Hospital Roseann Park Family Tower: A new five-story hospital opened adjacent to the Richard E. Jacobs Health Center in Avon, Ohio, with 126 beds, six operating rooms, an intensive care unit, a catheterization lab and an expanded emergency department.
• Taussig Cancer Center: The multidisciplinary outpatient cancer center will revolutionize treatment with advanced therapies, evidence-based protocols and patient-centered care. The seven-story, 377,000-square-foot building has 126 exam rooms, 98 infusion rooms and abundant natural light. The facility opens in March 2017.
• Express Care – Downtown: The first downtown Cleveland walk-in Express Care Clinic opened in October 2016 at 313 Euclid Ave., off Public Square. The facility includes six exam rooms and is staffed by a team of providers, including physician assistants and nurse practitioners.
• Holiday Inn: The nine-story, 276-room hotel at Euclid Avenue and East 86th Street opened in May 2016.

Current and future building projects include:

• Cleveland Clinic London: Cleveland Clinic continues to expand globally with a location at 33 Grosvenor Place, London. This eight-story, 323,100-square-foot facility includes 205 beds and eight operating rooms. (Fall 2020)
• Health Education Campus: The new home of the Cleveland Clinic Lerner College of Medicine, Case Western Reserve University (CWRU) School of Medicine, CWRU School of Dental Medicine and Frances Payne Bolton School of Nursing. (July 2019)
• Cleveland Clinic Akron General Emergency Department: The new facility will triple the size of the current emergency department to 59,000 square feet. (November 2018)
• Lakewood Family Health: Designed as part of the Lakewood medical neighborhood, the three-story, 64,700-square-foot facility includes 60 exam rooms and 16 emergency department treatment bays. (2018)
• Cleveland Clinic Rehabilitation Hospitals in Beachwood and Bath: A joint venture with Select Medical.
• Cleveland Clinic Florida: To meet increasing patient volumes, a new five-story tower with 74 beds, three operating rooms, and an emergency department is under construction. (July 2018)

Click the image above to download the infographic.

Click the image above to download the State of the Clinic 2016 booklet.

Toby Cosgrove, M.D., presenting State of the Clinic 2016 on 2/15/2017. (Credit: Yu Kwan Lee, Cleveland Clinic)

Toby Cosgrove, M.D., presenting State of the Clinic 2016 on 2/15/2017. (Credit: Stephen Travarca, Cleveland Clinic)

Toby Cosgrove, M.D., presenting State of the Clinic 2016 on 2/15/2017. (Credit: Yu Kwan Lee, Cleveland Clinic)

Toby Cosgrove, M.D., speaks with reporters after State of the Clinic. (Credit: Stephen Travarca, Cleveland Clinic)