Cleveland ClinicTransforming

Healthcare

Cleveland ClinicTransforming

Healthcare

Age > 65Age > 65

#Millions

#Millions

19001900

90

70

50

30

10

90

70

50

30

10

19201920 19401940 19601960 20002000 20202020 2040204019801980

Se-ries1

The total amount of knowledge doubles every 2 1/2 years

The total amount of knowledge doubles every 2 1/2 years

Volume-BasedVolume-Based Value-BasedValue-Based

Fee-for-ServiceFee-for-Service OutcomesOutcomes

Payment Structure

Quality Reports

Cost Transparency Companies

AffordabilityQuality

Access

Value

Access

Acute Care Well Care

Population Health

Chronic Care

Healthspot

Healthspot

CCHS ED Wait Time

2011 2012 2013 2014

46minutes

2010

13minutes

2008 2009 2010 2011 2012 2013 2014

Same Day Visits

688,000

1,130,000

• Test Results

• Messages

• Appointments

• Preventive Care

• Health Summary

MyChart

Quality

40 million lives

50 Million

Watson Goes to Medical School

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

Patient Safety Indicators

2012 20132011

National Mean .61

.41

.94

Patient Satisfaction

75th

%ile

29th

%ile

Affordability

Employee Chronic Disease Management

72%

47%56%

Employee Health Plan PMPM Costs

220

260

300

340

380

420

$

2004 2014

2004-20097.5% 2010-2Q2014

3.6%

Partial Nephrectomy

20%

201220112010 2013

$4,506$4,506

$3,615$3,615

PotentialPre Post

$554$554

$237$237

$136$136

Low Back PainCost / Case

Theranos

AffordabilityQuality

Access

Value

Healthcare Inflation

1980 20141994 20041984

15%

2%