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Cleveland Clinic plans hospital in London


Buckingham Palace.

Cleveland Clinic plans  to convert a six-story office block in London into a 205-bed hospital overlooking Buckingham Palace, according to the Evening Standard.

This would be Cleveland Clinic’s  first  hospital in the United Kingdom. It’s part of a trend in which some of the most prestigious hospitals in the United States seek to profit from their  international fame by building hospitals abroad that cater to affluent patients.

To assuage neighborhood fears, Cleveland Clinic has guaranteed there will be no emergency department in the facility.

“I am delighted to submit our plans to Westminster City Council for determination. Since 1921 we have established a reputation as one of the most trusted and respected providers of healthcare. We are looking forward to the opportunity to provide our unique model of care to patients in London, one of the world’s great cities,” said Toby Cosgrove, M.D., president and CEO of Cleveland Clinic.

“After training in London as a cardiac surgeon, I know that the city offers a unique combination of world-leading medical research and some of the best and most respected healthcare professionals.”

To read the Evening Standard’s story on this, please this link.


Cleveland Clinic touts progress, cites problems


Cleveland Clinic claims great success with accountable care and improving patient safety and care access.

Its CEO, Toby Cosgrove, M.D., cites its use of distinct measures for all goals — from ER wait times to employee weight loss in its wellness program.

“Physicians are an incredibly data-driven group,” he said, “and if you want to make a change, you present the data and that makes the case for you.”

Fierce Healthcare says he  lauds Cleveland Clinic’s  “split-flow” model–a kind of triage “in which nurses redirect patients to one of two areas depending on the severity of their conditions–the clinic’s average ED wait times are down to 13 minutes.”

But, the news service writes, ” Cosgrove admits that the organization still has its challenges. For example, he said, lack of doctor communication remains the most common patient complaint, leading the clinic to implement mandatory communication courses.”


Cleveland Clinic CEO touts standardization


Toby Cosgrove, M.D.,  president and CEO of the Cleveland Clinic, talks about the Affordable Care Act’s effects on healthcare in general and the Cleveland Clinic in particular.

Becker’s Hospital Review reported that Dr. Cosgrove said ”he sees some positive changes, noting healthcare inflation has fallen while quality metrics have gone up, in addition to 13 million new people becoming enrolled in health insurance.”

Dr. Cosgrove explained that two and a half years ago, Cleveland Clinic knew it must cut the budget.  He said the clinic planned to reduce the budget by 20 percent, or $1.5 billion out of $6.5 billion, and in the last 18 months has taken out about $500 million in costs.

He touted Care Pass, Cleveland Clinic’s system of streamlining procedures,  which has let  it  reduce spending significantly.

“‘With Care Pass, you take the very best of how you do a procedure, take care of somebody and standardize it. That takes out the variation. As you take the variation out, you improve the quality and reduce the cost,” Dr. Cosgrove told Becker’s.

The news service also said that the  clinic’s “renowned same-day appointment philosophy has enabled more than 1 million same-day appointments a year at Cleveland Clinic facilities. Additionally, the clinic has developed a mobile stroke unit, one of two in the country.”

Cleveland Clinic will  further  expand its virtual patient-physician visits based on  mobile apps.


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