Page 1
Cleveland ClinicTransforming
Healthcare
Cleveland ClinicTransforming
Healthcare
Page 3
Age > 65Age > 65
#Millions
#Millions
19001900
90
70
50
30
10
90
70
50
30
10
19201920 19401940 19601960 20002000 20202020 2040204019801980
Se-ries1
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The total amount of knowledge doubles every 2 1/2 years
The total amount of knowledge doubles every 2 1/2 years
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Volume-BasedVolume-Based Value-BasedValue-Based
Fee-for-ServiceFee-for-Service OutcomesOutcomes
Payment Structure
Page 7
Cost Transparency Companies
Page 9
AffordabilityQuality
Access
Value
Page 11
Acute Care Well Care
Population Health
Chronic Care
Page 15
CCHS ED Wait Time
2011 2012 2013 2014
46minutes
2010
13minutes
Page 17
2008 2009 2010 2011 2012 2013 2014
Same Day Visits
688,000
1,130,000
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• Test Results
• Messages
• Appointments
• Preventive Care
• Health Summary
MyChart
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40 million lives
50 Million
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Watson Goes to Medical School
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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
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Patient Safety Indicators
2012 20132011
National Mean .61
.41
.94
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Patient Satisfaction
75th
%ile
29th
%ile
Page 27
Employee Chronic Disease Management
72%
47%56%
Page 28
Employee Health Plan PMPM Costs
220
260
300
340
380
420
$
2004 2014
2004-20097.5% 2010-2Q2014
3.6%
Page 29
Partial Nephrectomy
20%
201220112010 2013
$4,506$4,506
$3,615$3,615
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PotentialPre Post
$554$554
$237$237
$136$136
Low Back PainCost / Case
Page 32
AffordabilityQuality
Access
Value
Page 33
Healthcare Inflation
1980 20141994 20041984
15%
2%