Cleveland Clinic Enterprise Update

Cost Repositioning
The Cost Repositioning program is a strategic initiative that is part of our enterprise strategic agenda. The Task Force is being led by Dr. Ed Sabanegh, Dr. Mike Phillips, and Linda McHugh. The mission is to take cost out of the organizational structure to reshape the enterprise cost structure and drive value & efficiency. The Task Force has been challenged to partner with our caregivers along with PricewaterhouseCoopers Management Consulting (PwC), to evaluate cost repositioning opportunities.

Eight different work streams are being evaluated to identify areas for cost savings with multiple projects being undertaken in each workstream:

1. Clinical Programs & Asset Optimization
2. Indirect Programs & Asset Optimization
3. Non-Staff Workforce & Productivity
4. Staff Workforce & Productivity
5. Stewardship, Policy & Standards
6. Research
7. Education
8. Value-Based Care

Each of this year’s Administrative Fellows has been assigned to a project in Cost Repositioning. These projects have given the fellows high level exposure to the organization and various strategic initiatives across the enterprise.

Alex Hansen- Enterprise Laboratory Services
Chris Rodriguez- Span of Control
David Oliphant- Ultrasound Programmatic Review
Katie Strausser- Telecom Spend Review
Sharon Auma-Ebanyat-Pre-Anesthesia Consultation Clinics (PACC)
Ted Zimmer- Facilities


Care Paths
The Value-Based Care (VBC) program is a strategic initiative that is part of our enterprise strategic agenda. The VBC program is being led by Dr. David Longworth. The mission is to move from a volume based model of care to a value based model that focuses on:

Payment- Outcomes-based
Incentives- Value=Outcomes/cost
Focus- Populations
Role of the Provider- Care Continuum
Information- Real and Predictive

Part of the VBC projects and priorities are the development of Care Paths. Care Paths are clinical guides that are meant to standardize how care is delivered and improve value by employing evidence and/or experience-based practice to reduce unnecessary variation in care. Care Paths will track important quality, safety, health status and patient experience outcomes measures and will also direct efficient use of resources to reduce the cost of care.
The development of Care Paths is:

1. Disease Identification
2. Care Path Guide (Written Narrative)
3. Technical Specs/Workflow
4. Mapping
5. Programming Build (Epic Integration)
6. Production

72 Care Paths have been developed so far and will be entering Epic build out this year. Each of this year’s Administrative Fellows has been assigned to a Care Path project. These projects have given the fellows exposure to best in class Clinical workflows with multidisciplinary areas across the enterprise.

Alex Hansen- Severe Sepsis Pilot Implementation
Chris Rodriguez- Depression
David Oliphant- Insomnia
Katie Strausser- Vertebral Fracture
Sharon Auma-Ebanyat-Management of Labor (Women’s Health Institute)
Ted Zimmer- Brain Metastases


CWRU CCLCM Medical School
Cleveland Clinic is partnering with Case Western Reserve University (CWRU) to build a new medical education building on Cleveland Clinic’s main campus. Designed by world-renowned architect firm, Foster & Partners, the new building will create efficiencies and stimulate innovation between the CWRU medical school and the Cleveland Clinic Lerner College of Medicine while allowing the distinct programs to maintain their separate identities. The two organizations believe that the new facility will place Cleveland at the forefront of medical education worldwide. The removal of the Guest House has made way for the new facility to be located at the heart of main campus. Students are scheduled to begin classes in July of 2016.
For more information, please visit:


Avon Bed Tower
Cleveland Clinic has announced plans to build an inpatient bed tower that will be connected to the Richard E. Jacobs Health Center in Avon. With the success of the Richard E. Jacobs facility, Dr. Cosgrove believes inpatient expansion will help the Clinic continue to meet the increasing needs of its patients. The new facility will act similar to a community hospital, but will not duplicate the services provided in its nearby medical centers.


Cancer/NI Florida
Cleveland Clinic Florida received a $30 million donation from Pauline Braathen, a former fashion entrepreneur and long-time patient of the Clinic. The philanthropic gift is the largest in the history of Cleveland Clinic Florida, and will be used to build a five-story, 143,000 square foot facility. The facility will be located on the Weston campus and will provide neurology and cancer treatment. Groundbreaking has occurred and the facility is scheduled to open in February 2015.