Welcome back to the
Cleveland Clinic Administrative Fellow Blog!
The 2014 – 2015 Administrative
Fellowship class is excited to share the latest and greatest news on the
Fellowship! Building on the work of previous classes, this blog is your source
for information on current fellows and project work, Cleveland Clinic news, and
updates about some of our Administrative Fellow Alumni. We hope this will help
keep you informed about our current and alumni fellows. Keeping with past
formats, you will find five new posts in this update:
·
Alumni
Fellow Spotlight (Josh Snowden)
·
Cleveland
Clinic Enterprise Update (Jay Thaker)
·
Meet
the Incoming 2015-2016 Fellows (Kim Fierst)
·
Overview
of Current Fellows (Vivian Yu)
·
Administrative
Fellowship Program Update (Deanna Stovicek)
You will receive annual updates
via this blog, courtesy of the current fellows. In the meantime, if you have
personal or professional updates, along with changes to your current contact
information, please share them with Joan Cook (COOKJ8@ccf.org), our
Administrative Fellowship Education Coordinator.
Enjoy!
Andrew Patzke – Chief Editing
Officer (CEO)
Administrative Fellow
2014-2015
Alumni Fellow
Spotlight – Erin Shaffer
Cleveland Clinic Florida (CC
Florida) is in the midst of impressive organizational transformation. With CC
Florida’s growth in footprint and strategic expansion of services, it’s on its
way to becoming the preferred tertiary referral center while also providing
value-based care for the southeast Florida population. Helping to lead this
transformation is Erin Shaffer, Senior Director of Clinical Operations for CC
Florida, and an alumnus Fellow from the class of 2010. We wanted to check in
with Erin to hear firsthand about her experiences in CC Florida and to learn
about how the Cleveland Clinic has brought its model of medicine to Florida.
1. Please
describe your role as Senior Director of Clinical Operations at Cleveland
Clinic Florida (CC Florida) and briefly explain how the CCFL culture/Institute
model works remotely.
As Senior Director of Clinic
Operations, I’m responsible for our physician practice (outside of
hospital-based services such as Imaging and Lab), as well as ambulatory
operations in our clinic facilities. We have a total of 17 Clinical Institutes
here in CC Florida, a 155-bed hospital, a multi-specialty clinic attached to
the hospital, and 5 smaller ambulatory remote sites. Our Institutes are led by
a physician Center Director who reports directly to the Institute Chairs in
Ohio in matrix with our local Chief of Staff and President. My role is to work
with the Center Directors, in collaboration with both Ohio and Florida
leadership, to manage the service lines.
2. How
will your role in administration change with the growth CC Florida is
experiencing? How will administration at CC Florida evolve with the opening of
the Neurological and Cancer Institutes building?
I have already experienced
changes in my role given the growth of our organization, and I expect them to
likely continue as we expand. As the Institutes became more structured and
embedded here in Florida, it became apparent we were understaffed
administratively. In the fall of 2014, we were able to hire three assistant
administrators to divide the support of the Center Directors in a more equitable
and manageable way. Our hope is that this will allow for a stronger boots on
the ground approach for physician leadership and provide more time for
strategic work to our leadership team. One of the assistant administrators has
been hired specifically to manage the Braathen Center, which opens March 2 of
this year. I think we are all excited to see this growth to the team and
looking forward to all we will be able to accomplish in the future.
3. What has
been the most surprising aspect about health care in Southeast Florida?
After working in the Northeast
Ohio market where there are few remaining private practices and the market has
largely consolidated to three core systems, the fragmentation of the South
Florida market has been most surprising. The private practice environment is
still very much alive and instead of two competitors we now face five major
systems and several community standalone hospitals. Where the Cleveland Clinic
in Ohio has a stronghold on the NE Ohio market, CC Florida has less than 5% of
overall market share in SE Florida. These differences create the need for a
different strategic approach, and it’s been a great learning experience having
the opportunity to work in this environment.
4. What has
been your most memorable experience at CC Florida thus far?
My most memorable experience
has been the ongoing process of opening the Braathen Center this March. The
Egil & Pauline Braathen Center is a five-story ambulatory clinic for our
Neurosciences and Cancer Centers. Most importantly, the $94M project will allow
CC Florida to offer Radiation Oncology for the first time. I was able to
participate and lead this project from day one—programming, business planning,
design, construction, and now activation. It’s been one of the most professionally
fulfilling experiences of my career.
5. What is one
piece of advice that you would provide to current fellows and/or recent fellow
alumni?
Don’t stop learning and keep
your mind open to all opportunities. Although you won’t have the learning
environment as structured for you as when in the Fellowship, there are always
ways to gain new experiences and further your professional development. It
requires more of a concerted effort, but be sure to make time for mentoring and
taking on those stretch projects that may be outside of your typical job
description.
Cleveland Clinic Enterprise Update
New Cancer Building
The new 377,000 sq ft outpatient cancer facility
located east of Crile is targeted for completion in 2017. This new building
will enable both traditional and incremental service and programming growth,
and will be focused on multidisciplinary care, organized by disease group in
order to optimize patient experience and outcomes.
Health Education Campus
Case Western Reserve
University and Cleveland Clinic, in a joint effort, will be building an iconic
educational campus that is intended to make the
city a national mecca of medical education. The 485,000 square foot
building will be designed by Lord Norman Foster of London, who also designed
the master campus plan for the Clinic. The Health Education Campus will
bring the Cleveland Clinic Lerner College of Medicine together with Case Western
Reserve University’s Colleges of Medicine, Dentistry, and Nursing under one
roof. Groundbreaking is anticipated to occur this summer with the first student
expected to be in late 2018 early 2019.
Avon Hospital
West of downtown
Cleveland, the enterprise broke ground in October on Avon Hospital, a 126-bed
inpatient facility contiguous to the Richards E. Jacobs Family Center (REJFHC).
With the opportunity to incorporate modern design and the latest healthcare
technologies, Avon Hospital will utilize best practices to increase operational
efficiencies, reduce duplications, and improve the overall patient experience.
Focusing on lower acuity inpatient care, including general medicine, general
surgery, orthopedics, and urology, the three-story inpatient bedtower serves as
a natural link between the outpatient services of REJFHC and the tertiary and
quaternary care provided at nearby Fairview Hospital and Main Campus. The
hospital is set to open in September 2016.
Lorain Integration
As of November 2014,
Clinic facilities in Lorain are being thoughtfully integrated with Regional
Operations, Surgical Operations, and the clinical Institutes. The timing of
this integration, along with the building of the new hospital in Avon, will
further reinforce the goal of becoming One Cleveland Clinic. The Lorain
Institute will continue to have full responsibility for all its operation in
2015, with a fully integrated date of January 1, 2016.
The Lorain Institute has
been very successful through the years in managing the care of our Lorain
County patients. As the Clinic has seen with many examples, working together as
one organization leads to advanced innovation, increased productivity and
efficiency, better collaboration, and continued success.
Clinical Transformation
A new area in the
organizational structure – Clinical Transformation – has also been formed, led
by Michael Modic, MD, and Joanne Zeroske, president of Marymount Hospital prior
to taking this role. Clinical Transformation will include the Cleveland Clinic
Integrated Care Model, care path bundles, value-based care, care coordination,
distance health, patient-centered medical home, population health, quality,
patient safety, patient experience, continuous improvement, medical management
of the Employee Health Plan, the Quality Alliance, health-enabling technology,
and data integration and analytics.
Lakewood Hospital
In mid-January,
Cleveland Clinic in conjunction with Lakewood’s City Council announced plans to
close Lakewood Hospital once the construction of a new $32 million Family
Health Center in Lakewood has been opened. This new 62,000 FHC will focus
on treating chronic disease, promoting wellness, and better addressing the
needs of the Lakewood community; it will include a full-service emergency department.
This will directly support the City of Lakewood’s initiative to become
the healthiest city in America. Cleveland Clinic is working proactively
to employ all current Lakewood employees within other areas of the enterprise.
Lakewood Hospital has not been profitable for several years; it is slated
to close after September 2016 when Avon Hospital opens.
Cleveland Clinic
Accountable Care Organization
As of 2015, Cleveland
Clinic and many independent Quality
Alliance physicians are participating in a
Medicare ACO as part of the Medicare Shared Savings Program. The Cleveland
Clinic ACO includes Cleveland Clinic Ohio hospitals, all employed physicians,
and select QA independent PCPs. As an ACO, the Cleveland Clinic is responsible
for the quality and efficiency of care for approximately 60,000 Medicare
beneficiaries. Medicare will reward Cleveland Clinic for 33 key performance
metrics based on our historical benchmarks (there is no down-side risk). To
ensure the success of the ACO, the Clinic will continue to build our
capabilities around reporting, quality improvement, and care efficiency.
Cleveland Clinic Abu
Dhabi
Cleveland Clinic Abu
Dhabi is continuing on track for soft openings rolling out from February – May
of this year, starting with the first outpatient appointment at the end of
February, first inpatient admissions at the end of March, and opening of the emergency
department in May. Major service lines offered will include: Heart and
Vascular Institute, Digestive Disease Institute, Respiratory Disease Institute,
Eye Institute, and Neurological Institute. This 4 million square foot
facility will bring together caregivers from 59 countries.
Mobile Stroke Treatment
Unit
In July 2014, the City
of Cleveland became the second community in the United States and one of only a
few around the world to benefit from a Mobile Stroke Treatment Unit. The
large ground ambulance unit, operated by Cleveland Clinic’s Critical Care Transport
team, includes a CT scanner, two-way video telemedicine unit linked to
Cleveland Clinic’s telestroke program, and clot-busting stroke medication.
When an individual in Cleveland calls 911 and reports symptoms of a
stroke, the Mobile Stroke Treatment Unit is simultaneously dispatched with
Cleveland EMS to evaluate the patient. “Due
to how critical time is in the treatment of stroke, using mobile stroke
treatment units to provide pre-hospital evaluation and treatment of stroke
should revolutionize the care of these patients,” said Muhammad Shazam Hussain,
M.D., Head of Cleveland Clinic’s Stroke Program. A research study
presented at the American Stroke Association’s annual meeting in January
demonstrated improved outcomes in stroke patients treated by the Mobile Stroke
Treatment Unit over conventional ambulance services. Cleveland Clinic’s
Mobile Stroke Treatment Unit was listed #1 among medical innovations of 2014.
The Power of One
Campaign
As part of Cleveland
Clinic’s seven-year centennial campaign, the Clinic is preparing to host its
second annual VeloSano fundraiser. VeloSano, Latin for
“swift cure,” is a major community fundraising initiative with 100 percent of
the dollars raised benefiting cancer research at Cleveland Clinic. At its core,
VeloSano is a cycling event where riders commit to raise a pre-determined
dollar amount by requesting support from personal contacts. Riders start and
finish in downtown Cleveland.
The event will be held
July 18 through 19th with a kick-off event on the evening of the 17th.
Incoming 2015-2016
Fellows
Walle Ali
Graduate
School: University of
Michigan – School of Public Health
Undergraduate
School: University of
California, Los Angeles
|
Brian Allyn
Graduate School: George
Washington University – Milken Institute School of Public Health
Undergraduate School: Hobart
College
|
Joey Chan
Graduate School: Yale
School of Public Health
Undergraduate School: University
of California, Berkeley
·
|
Stewart Clark
Graduate School:
University of Arkansas for Medical Sciences
Undergraduate
School: University of
Central Arkansas
|
Phylicia McCalla
Graduate School:
University of
Pittsburgh – Graduate School of Public Health
Undergraduate
School: University of
Pennsylvania
|
Elliott Wortham
Graduate School:
University of
Minnesota - School of Public Health
Undergraduate
School: Virginia Tech
|
Overview of Current
Fellows
Kim Fierst
1.
Hometown: Pleasant Hills, PA
2. Undergraduate School: Allegheny College
3. Graduate School: Carnegie Mellon University
4. Favorite Cleveland Clinic Word/Phrase: “We can wordsmith this later…”
5. Most
Memorable Fellowship Experience: Completing the Ice Bucket Challenge as a fellowship class
on East 4th, challenging our executive mentors, and having
to edit the end of the video due to “all the feelings.”
6.
A
Sampling of Projects:
a.
Avon Inpatient Bedtower
Playbooks (Travis Laird)
b.
Cancer Programming
(Shannon Faulhaber)
c.
International Medical
Travel Companies Network (Aura Lopez)
Andrew Patzke
1.
Hometown: Madison, WI
2. Undergraduate School: Cornell College
3. Graduate School: THE University of Iowa
4. Favorite Cleveland Clinic Word/Phrase: Playbook
5. Most Memorable Fellowship Experience: Friday fellow froyo!
6. A Sampling of Projects:
a.
Local ACO Impact
Analysis (Douglas Cates)
b.
Pediatric Integrative
Medicine (Jennifer Manning)
c.
International Strategic
Transactions (Dan Towarnicke)
Joshua Snowden
1.
Hometown: Buenos Aires, Argentina
2. Undergraduate School: Missouri State University
3. Graduate School: The Ohio State University
4. Favorite Cleveland Clinic Word/Phrase: “We need to scrub [insert non-surgical
clinician’s name] in on this topic.”
5. Most Memorable Fellowship Experience: After a late Thursday night of working, I was dead
tired come Friday afternoon. Another fellow and I were on the same 4:00pm
conference call in TT3-311 with about 10 individuals in Market and Network
Services. We had our line on mute and were listening to report out on four
different topics. I couldn’t fight my closing eyelids, so I laid my head down
on the table for a quick shuteye. I awoke to the speaker on the phone thanking
people for their time. I thus unmuted the line and said, “Thanks, everyone;
have a great weekend!” What I didn’t realize was that we had finished the
second topic and had two more to discuss.
6. A Sampling of Projects:
a.
GPS Plus (Jackie Spence)
b.
Lorain Integration
(Chris Soska)
c.
Cleveland Clinic Case
Competition (Gina Cronin)
Deanna Stovicek
1.
Hometown: Willoughby, OH
2. Undergraduate School: Baldwin Wallace University
3. Graduate School: Virginia Commonwealth University
4. Favorite Cleveland Clinic Word/Phrase: Make sure we are comparing “apples to apples”
5. Most Memorable Fellowship Experience: Jay and Josh’s prank calls and fellow dinners at
Jay’s condo
6. A Sampling of Projects:
a.
Strongsville Breast
Center (Nehemiah Smith)
b.
Main Campus ED
Throughput (Sandy Ferguson & Seth Podolsky, MD)
c.
GPS Embassy Staff Visit
(Jackie Spence)
Jay Thaker
1.
Hometown: East Lansing, MI
2.
Undergraduate
School: Michigan State
University
3.
Graduate
School: Johns Hopkins University
and University of Michigan
4.
Favorite
Cleveland Clinic Word/Phrase: “Let’s put it in the parking lot.”
5.
Most
Memorable Fellowship Experience: Being unable to contain our laughter during the guided meditation
session at new employee orientation
6.
A
Sampling of Projects:
a.
International Business
Development (Rob Stall & Curt Rimmerman, MD)
b.
Global CARE Operations
Transition (Damon Kralovic, DO)
c.
US News and World Report
Rankings Strategy (Peter Miller)
Vivian Yu
1.
Hometown: Atlanta, GA
2.
Undergraduate
School: University of Michigan
3.
Graduate
School: University of Michigan
4.
Favorite
Cleveland Clinic Word/Phrase: Whenever we look at a plan or process and realize we need to just
“blow this up”…
5.
Most
Memorable Fellowship Experience: Well, this one time at the carnival…but seriously, all of our
fellow dinners (shout out to Jay for hosting!).
6.
A
Sampling of Projects:
a.
Atlanta Wellness
Business Plan (Regina Chandler)
b.
Medicaid HMO
Infrastructure (Liz Matuk)
c.
Revenue Cycle Management
& Controllable Loss Initiatives (Deb Lauricia)
Administrative
Fellowship Program Update
BOLD Award
In September, 2014 The
National Center for Healthcare Leadership (NCHL) identified 19 “Best
Organizations for Leadership Development” (BOLD) that are leading the
field in preparing current and future generations who are transforming our
health system. These organizations were selected from 120 health systems that
participated in NCHL’s 2014 National Health Leadership Survey. We are proud to
say that Cleveland Clinic was named as one of the top ten highest ranking BOLD
organizations, in large part due to our successful Administrative Fellowship
Program.
2014 Administrative Fellowship Recruitment
We received 110
applications representing 30 states. Of those, 74 applications were reviewed
and a total of 15 candidates were invited for an on-site interview in the
second week of October. The top schools represented were Cornell, Michigan,
UNC, OSU, University of Pittsburgh, Iowa, and Minnesota.
We would like to extend
our appreciation to all those who helped this year’s recruitment run so
smoothly. From reviewing applications, to interviewing candidates, the support
of our alumni is critical to this process.
National Center for
Healthcare Leadership
In 2014 the National
Center for Healthcare Leadership (NCHL), in collaboration with AUPHA and CAHME
and with the assistance of ACHE, began an exploratory project to determine
whether there was a large interest within the field to pursue a more organized
and collaborative approach to the fellowship recruitment process. This process
began with two national surveys, one of graduate program directors and
one of fellowship preceptors, followed by working group and informational
sessions with representatives from stakeholder groups throughout 2014.
The above efforts
indicated clear interest and need for two next-steps:
1. The establishment of
a voluntary “code of good practice,” and
2. The establishment of
an oversight body to ensure the code is adopted and upheld.
The Code of Good
Practice will include a uniform date for fellowship application deadlines, as
well as guidance concerning how offers are extended to student applicants. Over
time, the code could evolve to include requirements such as a standardized
application process or minimum educational requirements for fellowships.
Additionally, in October of 2014, the National Council on Administrative
Fellowships was established.
This council, which is made up of fellowship
preceptors and graduate program directors, will provide oversight and guidance
moving forward. A list of all members, including Cleveland Clinic, can be found at the following link, http://nchl.org/static.asp?path=6584.
Fellowship Program
participation in this new process will be voluntary. Those programs that choose
to participate will be highlighted on the ACHE website.
Leadership Development
Administrative fellows
participate in a variety of professional development sessions and programming
across the enterprise as well as under the tutelage of key senior leaders and
HVI Executive Coach, Kevin Shoda.
- Individual Development Plans
- Leadership Rounding
- StrengthsFinder 2.0
- Deep Dive Sessions: HVI
Affiliations, Dashboards, Malpractice, Investments Strategy, Governance,
Human Resources
- Thinking Rounds
- Shark Tank Competition Case Study
Masters in Healthcare
Management Conference
Inside Cleveland Clinic,
Masters in Healthcare Management Conference is our trademark educational event
for MHA and MBA graduate students interested in healthcare. Students from
select schools were invited to participate in this full day experience that
takes place on Friday, April 18th. In its fourth year, ICC’s dedicated
theme is “Cleveland Clinic’s Role in Population Health.” The day will
include tours of the Service Center, HVI ORs, Cath Labs and the campus Master
Plan Model Room. Additionally, students will have the opportunity to
interact with: Chief Executive Officer and President Toby Cosgrove, MD; Chief
Financial Officer, Steve Glass; Chief Strategy Officer, Ann Huston;
Associate Chief Information Officer, Will Morris, MD. Winners of
the Cleveland Clinic Case Competition will also be announced and presented an
award from Dr. Cosgrove.
MBA/MHA Case Competition
Cleveland Clinic will be
hosting the Second Annual Inside Cleveland Clinic MBA/MHA Case Competition on
Thursday, April 17th. The competition has grown from a small regional
competition of 12 teams to a national competition with 54 teams representing 28
top MBA and CAHME-accredited MHA programs from Florida to California. The
Cleveland Clinic Case Competition is designed to offer graduate level students
in health administration
the opportunity to apply
their coursework to a real-world situation and develop recommendations to a
team of executives at an internationally recognized health system.
This year’s case focuses
on strategic growth of Cleveland Clinic Florida and required participants to
use both quantitative and qualitative skills to develop a five-year growth plan
for Florida. Participants were given a weekend to develop recommendations
through a written executive summary and PowerPoint. Recommendations ranged from
increased marketing efforts to development of freestanding emergency
departments, from formalizing a relationship with Florida Blue to improving synergies
with Main Campus.
The full day competition
involves both semi-final and finalist rounds that take place here on Main
Campus. Judges include: Chief of Staff, Brian Donley, MD; Chief Financial
Officer, Steve Glass; Chief Strategy Officer, Ann Huston; and Chief
Transformation Officer, Michael Modic, MD. Winners will receive cash prizes
with the top team receiving $2,000.
Cleveland Clinic Administrative Fellowship
Alumni LinkedIn Group
Again, we are excited to invite all Alumni to our Alumni LinkedIn page. We
hope that the LinkedIn group will be a convenient source to find updates on
this blog and other Fellowship news.
