State Of The Clinic 2020


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STATE OF THE CLINIC 2020

CONTENTS 6 | Who We Are 9 | Care for Patients
18 | Care for Caregivers 23 | Care for the Organization 29 | Care for the Community 33 | COVID-19 44 | 2020 Statistics

DEAR FRIENDS:
Cleveland Clinic made progress in 2020 toward becoming the best place for care anywhere and the best place to work in healthcare.
Our caregivers came together across all locations to heroically address the year’s unprecedented challenges. Working as one Cleveland Clinic, we continued to care for our patients while meeting the demands posed by COVID-19.
We updated our historic mission statement — To provide better care of the sick, investigation into their problems and further education of those who serve — to reflect our growing emphasis on caring for people over the full course of their lives.
Our new mission statement is: Caring for life, researching for health and educating those who serve.
Our strategic priorities remain in place. We are touching more lives, becoming our patients’ lifelong partners in health, functioning as a team of teams, embracing digital technologies and optimizing resource use.
We are finding new ways to keep patients and caregivers safe. Our quality protocols are improving outcomes. We are determined to make Cleveland Clinic the best and safest place for patients and the best place to work in healthcare.
The events of the past year revealed the resilience of the Cleveland Clinic model of care. Teamwork and preparedness enabled us to meet the needs of all our patients while keeping our communities safe. We launched new research programs in infectious disease and increased the pace of medical innovation.
Through it all, we have treated our patients and each other as family and treated Cleveland Clinic as our home.
Our organization is proud to lead in this time of rapid change. On behalf of Cleveland Clinic caregivers worldwide, I thank you for your confidence.

Tom Mihaljevic, MD
CEO and President

STATE OF THE CLINIC | 2020

3

CLEVELAND CLINIC FACTS AND FIGURES

Founded in 1921 by four physicians to bring a novel group practice approach to patient care, research and caregiver training.

A nonprofit organization and multidisciplinary care team that cares for patients through 19 patient-centered institutes.

Caring for 2.45 million patients annually with 8.7 million outpatient visits in locations around the globe.

LONDON (2022) ABU DHABI

NEVADA

TORONTO OHIO
FLORIDA

A 5,996-bed healthcare system with a main campus in Cleveland, 18 hospitals and over 220 outpatient locations. This health system includes five hospitals in Southeast Florida with more than 1,000 beds, a medical center for brain health in Las Vegas,

a sports and executive health center in Toronto and a 394-bed hospital in Abu Dhabi. Cleveland Clinic London will open its 184-bed hospital in 2022 following the fall 2021 opening of an outpatient facility.

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CLEVELAND CLINIC

8.7M
Outpatient visits

CARE FOR PATIENTS
PATIENT CARE
273K
Admissions and observations

217K
Surgeries and procedures

EDUCATION

1,952
Residents and fellows

107
Accredited training programs

RESEARCH

2,781
Active research projects

$312M
Research funding

68.7K
Caregivers worldwide

CARE FOR CAREGIVERS

including:

4,640
Physicians and scientists

14,381
Nurses

CARE FOR THE ORGANIZATION

$10.6B
Operating revenue

$232M
Income from operations

CARE FOR THE COMMUNITY

$1.16B
Community benefit (2019)

$17.8B OHIO
Economic impact (2016)

Data reported in this publication are through Dec. 31, 2020.

STATE OF THE CLINIC | 2020

5

Who We Are
And where we want to go by 2024.

6

CLEVELAND CLINIC

WHO WE ARE

Mission

Caring for life. Researching for health. Educating those who serve.

Vision

To be the best place to receive care anywhere and the best place to work in healthcare.

Care

Patients | Caregivers | Organization | Community

Priorities

Strategic Goals

Transform Care

Engage Caregivers

Expand Reach

Embrace Digital

Optimize Resources

Values

Safety | Teamwork | Empathy | Inclusion | Integrity | Innovation & Quality

Guiding Treat patients and fellow caregivers as family, and Cleveland Clinic as your home. Principles

STRATEGIC GOALS: WHERE WE WANT TO GO BY 2024

TRANSFORM CARE

We will share our patients’ lifetime health journeys, from prenatal to geriatric care.
Cleveland Clinic Community Care is our platform for transforming primary care and addressing the physical, social and emotional aspects of care. Community Care physicians are part of teams that include advanced practice providers, nurses, medical assistants, behavioral health social workers, pharmacists, care coordinators and navigators. Specialists work with these teams to integrate specialty care into the patient journey.

STATE OF THE CLINIC | 2020

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ENGAGE CAREGIVERS

We will continue to treat our fellow caregivers as family.
Providing the best care requires a workforce that combines exceptional skills with unwavering empathy. Our organization’s future depends on our ability to attract, engage and develop outstanding caregivers. The new Caregiver Office is committed to fostering peak caregiver engagement and preventing burnout.

EXPAND REACH

We will double the number of lives we touch by 2024.
Cleveland Clinic will continue to grow to serve more patients in more ways and more places. In 2020 we added new locations, renovated facilities in Ohio and Florida, and continued construction of Cleveland Clinic London.

EMBRACE D I G I TA L

We will be at the forefront of digital care.
Digital technology will make care smarter, more affordable and more accessible. We are enhancing the electronic health record. We will understand our patients better through use of customer relationship management tools and increased adoption of augmented intelligence and predictive analytics. Our continuing expansion of virtual visits will provide convenience and access for more patients.

OPTIMIZE RESOURCES

We will build a sustainable model for growth, reducing the cost of care.
We are finding new value by building a sustainable model of efficient care. This involves establishing metrics for efficiency in all areas. By analyzing buildings and their footprints, we are making the best use of clinical areas and administrative space. The result: increased reinvestment in our organization and communities.

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CLEVELAND CLINIC

Care for Patients
Care for patients as if they are your family.

STATE OF THE CLINIC | 2020

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VISION: Become the best place for care, anywhere.
Our job is to take care of patients. We are known for exceptional care delivered by multidisciplinary teams. We challenge ourselves to get better every day. Our goals are to touch more lives, relieve suffering and give every patient the best outcome and experience.

PATIENT SAFETY AND QUALITY
PROGRESS IN SAFETY EVENTS
The serious safety event rate measures how many potentially harmful events occur in relation to the number of patients we serve. This rate allows us to monitor progress toward our goal of being the safest place to receive care. By empowering and expecting caregivers to speak up when safety is at risk, we made progress on reducing harm in 2020.

SERIOUS SAFETY EVENT RATE (PER 10,000 PATIENT DAYS)
0.34 0.27

2019 YEAR-END

2020 YEAR-END

SUCCESS IN PATIENT SURVIVAL
The mortality ratio is a key measure of patient survival. It reflects the actual number of patient deaths versus the number of deaths expected based on the severity of illness. Cleveland Clinic continued to be a top-performing health system on this measure in 2020. Patients at our hospitals have a greater chance of survival than predicted based on national benchmarks.
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MORTALITY RATIO,
OBSERVED TO EXPECTED

0.67

0.69

2019 YEAR-END

2020 YEAR-END CLEVELAND CLINIC

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State Of The Clinic 2020