...Phillips. A dozen investigating agencies were not able to determine what had caused the fire.[19] Cleveland Clinic's own inquiry narrowed the possible causes down to spontaneous combustion caused by heat; a discarded cigarette or match; or contact with an extension cord light hung over a stack of films.[19] Philanthropist Samuel Mather formed a committee of 36 community leaders to help Cleveland Clinic reestablish itself in temporary quarters across the street.[19][21][22] Patient care services resumed five days later.[21] The 1921 building was completely renovated, and a new three-story clinic building, with a new main entrance, was added in 1931.[19] All debts were repaid by 1941.[23] Crile and Lower relinquished their administrative duties in 1941.[16] In 1942, Cleveland Clinic’s Naval Reserve Unit, which included George Crile, Jr., a physician and son of George Washington Crile, established a mobile hospital in New Zealand to treat the wounded from the Guadalcanal Campaign.[24] Growth of specialization[edit] Patient drop-off area, Miller Family Pavilion, 2015 In 1954, Cleveland Clinic formally adopted governance by a Board of Governors consisting of nine physicians elected by the physician staff. They work with the CEO and lay administrators to formulate and carry out policy, overseen by a board of directors and board of trustees.[23][25][n 1] Cleveland Clinic built new operating rooms in the early 1970s to accommodate the growth of cardiac surgery.[16] The...
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...construction, the Cleveland Clinic is ready to celebrate the opening of two buildings characterized as monuments to 21st-century thinking in health-care delivery. The Sydell and Arnold Miller Family Pavilion will be home to the Clinic's signature cardiovascular program and a new grand entrance at the corner of East 93rd and Euclid Avenue. Tucked behind Miller on the 166-acre campus is the Glickman Tower, the new 12-story headquarters of the Urological and Kidney Institute, which has bragging rights as the Clinic's largest surgery center and one of it fastest growing programs. Fronted by reflecting pools and rows of tulip trees that stretch to Chester Avenue, the glassy, C-shaped Miller Pavilion gives the Clinic a dramatic new look. But the buildings symbolize more than an investment in capacity and aesthetics. Tracy Boulian/The Plain DealerThe new Sydell and Arnold Miller Family Pavilion at the Cleveland Clinic. Patients first The Clinic promises the buildings represent a new era of patient care. The buzzword these days is "patient-centered care." It encompasses everything from moving doctors closer to hospitalized patients, to piped-in music and patient rooms that are described as "comfortable as a well-appointed hotel room." The emphasis on customer service coincides with a new era of patient expectations. It's also tied to growing demands for accountability of hospital performance. In a first-ever release of patient-satisfaction scores by Medicare, the Clinic this year scored...
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...clevelandclinic.org/about-cleveland-clinic/overview/financial-information.aspx 1. As reimbursement is moving in the fee for service direction and patient satisfaction playing heavily in the reimbursement amount in the future, is the payer mix strong enough to survive the full enactment of the Affordable Care Act? The Cleveland Clinic has a mix of Medicare/Medicaid, private insurance, self-paying, and charity care currently. 2. Case mix management is based on the idea that protocols are set to treat certain illnesses to help with reducing the cost associated, therefore increasing profitability. The Cleveland Clinic has an international patient population and a physician base that is employed by the Clinic and draws a paycheck. The international patients are cash patients and the doctors are not trying to meet any quotas as they get paid the same regardless of what they order or how many patients they see. Is the Clinic strong enough to withstand the future as the physicians are already working together to only order what is necessary for patients, since the case mix management concept has been in place for several years? 3. The Cleveland Clinic has opened several locations within the United States, Canada, and Abu Dhabi. The return on investment has been there for the locations in the US and Canada. Even though the Abu Dhabi location is owned by someone else and managed by the Clinic using some else’s money, would it safe to say the Clinic is risk neutral or a risk...
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...The Case for Open Heart Surgery at Cabarrus Memorial Hospital Due Week 6 and worth 280 points Read “The Case for Open Heart Surgery at Cabarrus Memorial Hospital” case. Write a 4-6 page paper in which you: 1. Discuss ways the program does or does not comply with the hospital’s mission. 2. Analyze whether or not CMH has sufficient infrastructure and financial resources / leverage necessary to add the program. 3. Describe the competitive situation among other area hospitals that could impact the decision. 4. Describe the change in the service area required for the cardiovascular surgery service. 5. Discuss alternative strategies the Board should consider before making a “go / no-go” decision on the possible addition of the open heart program. Your assignment must: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length. The specific course learning outcomes associated with this assignment are: Apply analytic skills to define strategic problems, generate and evaluate strategic alternatives, and develop implementation tactics. Use technology and information resources to research issues in the strategic...
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...Running head: THE CASE FOR OPEN HEART SURGERY AT CABARRUS The Case for Open Heart Surgery at Cabarrus Memorial Hospital Terry Brown Strayer University Health Services Administration HSA 599 Dr. Donna Leveque November 17, 2012 Abstract This report will discuss the ways an open heart surgical program does or does not comply with Cabarrus Memorial Hospital’s (CMH) mission. It will analyze whether or not CMH has the infrastructure and financial resources/leverage to add this program. This report will describe the competitive situation among other hospitals that will impact the hospital’s decision. This report will further describe the changes necessary in the service area to accommodate the cardiovascular surgery service. Key Words: cardiovascular services/competition, mission, decision factors, financial considerations, changes The Case for Open Heart Surgery at Cabarrus Memorial Hospital Cabarrus Memorial Hospital (CMH) was dedicated to education. They were affiliated with Duke University Medical Center. This affiliation allowed for many specialists to practice at CMH. The goal at CMH was for everyone to have the best healthcare services. The issues now facing CMH were to address the opening of a new cardiovascular service program, in order to continue to provide this excellence in care. Cardiovascular services/competition The decision was in front of...
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...The Case for Open Heart Surgery at Cabarrus Memorial Hospital Due Week 6 and worth 280 points Read “The Case for Open Heart Surgery at Cabarrus Memorial Hospital” case. Write a 4-6 page paper in which you: 1. Discuss ways the program does or does not comply with the hospital’s mission. 2. Analyze whether or not CMH has sufficient infrastructure and financial resources / leverage necessary to add the program. 3. Describe the competitive situation among other area hospitals that could impact the decision. 4. Describe the change in the service area required for the cardiovascular surgery service. 5. Discuss alternative strategies the Board should consider before making a “go / no-go” decision on the possible addition of the open heart program. Your assignment must: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length. The specific course learning outcomes associated with this assignment are: Apply analytic skills to define strategic problems, generate and evaluate strategic alternatives, and develop implementation tactics. Use technology and information resources to research issues in the strategic...
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...Independent Case Analysis Paper: Open Heart at Cabarrus NAME College Abstract In this activity, I will analyze The Case for Open Heart Surgery at Cabarrus Memorial Hospital by using the tools and skills previously learned in my Health Science curriculum. I will provide a brief summary of the case, discuss the major problems, use two case analysis tools and provide a detailed report with a decision. Independent Case Analysis Case Summary The board of trustees at Cabarrus Memorial (CMH) gathered in October for its monthly meeting. The meeting opened by stating the fact that (CMH) did not have an open heart surgery program. The Chairman mentions the fact that a quick decision is needed since Dr. Christy needs to make a decision regarding where he will be working. Dr. Christy was previously a staff member that left CMH to complete a fellowship in cardiovascular surgery and wants to return to work at CMH after his fellowship is complete. Dr. Christy needs to make a decision by the first of January. Should CMH add the open heart surgery program? SWOT The SWOT tool has been utilized to help determine the strengths, weaknesses, opportunities and threats of opening a heart surgery program at CMH. The use of this tool has identified several strengths. One of the strengths includes the fact that CMH and Duke have an affiliation. CMH had several educational affiliation programs and extensive in-service and continuing education programs, including a...
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...EDMONDSON CHRISTINE HARRIS-VAN KEUREN ELIOT SHERMAN Cleveland Clinic Dr. Delos “Toby” Cosgrove, cardiothoracic surgeon and president and CEO of Cleveland Clinic, emerged from the operating room on a January afternoon in 1996 having just changed the way he, and subsequently the world, approached heart surgery. A trip to Stanford University Medical School had convinced him it was possible to operate on the valves of the heart through a three-inch incision instead of the nearly foot long incision that was standard practice before splitting the patient’s breastbone with a saw to reach the heart.1 After refining the technique in the lab, he had successfully performed the first such operation. Eight months later, Cosgrove performed two of these surgeries back-to-back, broadcasting his work live via satellite to 4,000 surgeons in 40 cities around the world. The Cleveland Clinic’s broadcasting capabilities facilitated this demonstration of the substantial benefits of his minimally invasive method of heart surgery, which reduced the risk of infection and involved less bleeding, pain, and trauma, significantly reduced the amount of time needed for recovery, and could be used in about three quarters of the heart valve surgeries performed in the United States.2 So compelling was this exhibition that within a year use of the technique had “exploded” throughout the medical community.3 Such innovation had been the lifeblood of Cleveland Clinic since its founding in 1921. Even as he continued early...
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...The mission of Cleveland Clinic is” to provide better care of the sick, investigation into their problems, and further education of those who serve” The mission or philosophy of Cleveland Clinic hospice says that “hospice care does not attempt to offer a cure for illness. Rather, it provides support to patients and families as they progress through one of life's most profound passages.” The hospice care team, led by a nurse liaison, develops that best plan for that patient and family’s needs. This is accomplished by team management of experienced professionals that our versed in symptom management and pain control. The hospice team provides medications, medical supplies and equipment to the facility or home. Our team provides teaching and...
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... “Core team members include physicians, nurses (registers nurses [RNs] and licensed practical nurses [LPNs]), and when present in a unit, social workers, psychologists, and pharmacists. Therapists (occupational, recreational), dieticians, and chaplains participate on CFTs on a more selective basis.” (Alexander, et al., 2005) I believe that a good communications method is cross-functional teams (CFTs) because they are able to address specific organizational needs, such as service excellence, environmental sustainability and green initiatives, and clinical services marketing. (Buchbinder, 2012) The cross-functional team’s method best describes the organization that I had previously worked at, which was a large hospital system, The Cleveland Clinic Foundation. I think that the CFTs method best described it because the hospital strongly believed in having teams working together to satisfy patients and correct any negative comments that were portrayed from the patients about the hospital. “CFTs can help health providers effectively synthesize and apply knowledge from a variety of disciplines to the complex problems of treating the seriously mentally ill. By definition, CFTs are composed of individuals from different disciplines who have varied backgrounds and interpretive schemes for analyzing problems.” (Alexander, et al., 2005) Patients want the best service possible when they are receiving health care and when a...
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...WHAT MAKES A TOP 100 HOSPITAL? Anthony Bennett January 31, 2016 The Cleveland Clinic is a hospital located in Cleveland, Ohio It was founded in 1921 and is associated with Case Western Reserve University and also with the Cleveland Clinic Lerner College of Medicine. Cleveland Clinic has more than 1,400 beds on its main campus and 4,450 beds systemwide. The system consists of a 44-building main campus in Cleveland, eight community hospitals, a children's hospital for rehabilitation, one affiliate hospital and 75 outpatient clinics locally, as well as one facility each in Weston, Fla, Las Vegas, Toronto and Abu Dhabi. Cleveland Clinic is led by President, Director and CEO Delos "Toby" Cosgrove, MD. Dr. Cosgrove also serves as chairman of the board of governors. In 2014, Dr. Cosgrove wrote a book entitled The Cleveland Clinic Way: Lessons in Excellence From One of the World's Leading Health Care Organizations. In it, he describes how Cleveland Clinic is preparing for the future of medicine by keeping the focus on the patient (Cosgrove, 2014). One reason I feel that the Cleveland Clinic is a top hospital is due to their expenditures and budgeting practices. Cleveland Clinic's total operating revenue in 2013 was $6.5 billion, and its operating income was $296 million. At the end of last year, Cleveland Clinic had 320 days cash on hand. It was also known to have $9.14 billion dollars in total patient revenue according to a report by Jamie Oh (Oh, 2011). These types...
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...with an image of themselves with an imagined physical defect or a defect that other people cannot see, they suffer from obsessions about their appearance that can last hours or up to an entire day (Cleveland Clinic Foundation, 2014). People with this condition are never satisfied with their appearance and often see themselves as being “ugly”, often times this can lead to the person socially isolating themselves away from others (Cleveland Clinic Foundation, 2014). This person might miss school or work and even avoid friends and family members because they are afraid that others will notice their flaws (Body Dysmorphic Disorder BDD, 2014). A person who suffers from Body Dysmorphic Disorder aka BDD, is concerned about a specific body part, it is a long term chronic disorder that affects both men and women and usually begins in teen to early adult years (Cleveland Clinic Foundation, 2014). BDD can lead to ritualistic behaviors such as constantly looking in the mirror, or picking at one’s skin. The most common reported areas of concern for people who are suffering from BDD includes: Skin imperfections such as wrinkles, scars, acne, or blemishes; Hair on the head or body, or absence of hair; Facial features: often involves the nose, or the size and shape of any other feature (Cleveland Clinic Foundation, 2014). People who have BDD think about their flaws for hours each day and their thoughts may cause severe emotional distress and can interfere with their daily functioning (Body Dysmorphic...
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...Branding and Marketing Melissa Swan HCS/567 April 24th, 2013 Harley Smith MBA/HCM Branding and Marketing Introduction Health care is an ever changing and ever evolving entity. As health care grows, the marketing and positive branding for health care must also grow. In order for a health care organization to survive, the organization must work diligently not only to ensure marketing and positive branding is done but must also ensure the organization is keeping up with other potential competitors. The Cleveland Clinic, located in Cleveland, Ohio, is one such health care organization that has to market and create positive branding for their health care organization. Target Market A target market is a specific group of people or businesses an organization tries to sell their product or service to. It is important for an organization to choose their target market wisely and ensure the target market they are going after is appropriate for their service or product. If the target market is not appropriate, the company may fail because their product or service will not be purchased. In an article written by Comer, 2006, Comer said it best, “By focusing your marketing efforts on target clients you can surface in the middle of the convoy and acquire the best, most important clients.” (p. 19). What Comer’s statement boils down to is that by choosing a correct target market and focusing...
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...Facility Planning Shrunda Young-Johnson HCS/446 August 6, 2015 Janice Chilton Facility Planning Houston Texans new ambulatory clinic in Cleveland, Texas will be opening soon. It will feature state of the art surgical center. The Houston Texans Ambulatory Clinic will be have outpatient same day surgery center and imaging center. Our Ambulatory Clinic will have an unveiling in the summer of June 2016. This paper will focus on regulatory requirements and the effects on design and equipment, color selection implication and noise issues, electronic item needs, examination of budget planning and cost estimates, description of stakeholders and implementation plan. Health care organization know the regulatory requirement and their effect on design and equipment, especially for ambulatory clinics. Outpatient clinic have beds that are devoted to “hotel function” the typical nursing units of hospital and the extensive dietetic and housekeeping area that accompanying them (WBDG,2014). The implementation is organized in three steps which are routine, predictive maintenance and preventive. Manager for this ambulatory facility will have contractor and city of Cleveland public health to provide what compliance and regulation on material used for the facility. The color selection is very important in an outpatient ambulatory clinic due to it can create an illusion of a higher ceiling or a wider room or facilitate cueing in way finding orientation. In our health setting, there are...
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...the one who could provide crucial care that might save a life. In order to achieve this goal I’d set for myself, I knew it was time to head back to school. Nursing school has enabled me to recognize who I am as an individual. Through self-realization I have learned that I am a compassionate, well rounded individual who is capable of doing anything. In my first semester I was faced with many difficulties, but I looked forward to every Monday and Wednesday to attend my clinical experience at the Cleveland Clinic. At clinical I was at a different state of mind, I was determined to make the lives of others fulfilling either by a, “hello” or a simple gesture as, “how is your day today?” I enjoy working with the patients and staff because their experiences shape me and my peers as new nurses. Nursing is a new door in my career that will leave a cultural and professional sensitivity awareness on me. The entry to my profession as an excellent scholar and nurse has started at Cleveland State University and it is this program that has made me work harder to ensure I leave a positive influence on perspective students who are questioning the profession. Although, I was accepted into the program I questioned my success because I was not financially stable. I continued and without any regret I am proud of making this...
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