Cleveland Clinic

Cleveland Clinic
Cleveland Clinic (Miller Family Pavilion)
Geography
Location	9500 Euclid Avenue, Cleveland, Ohio, United States
Coordinates	41°30′09″N81°37′16″W / 41.502595°N 81.621066°W / 41.502595; -81.621066
Organization
Care system	Private
Funding	Non-profit hospital
Type	Teaching
Affiliated university	Cleveland Clinic Lerner College of Medicine Case Western Reserve University School of Medicine Heritage College of Osteopathic Medicine Kent State University College of Podiatric Medicine
Services
Emergency department	Level II trauma center
Beds	1,290 (Main Campus) Total beds in Cleveland Clinic Foundation: 6,690
Helipads
Helipad	FAA LID: 6OI8 [1]
Number Length Surface ft m H11,289 55 17 Concrete
History
Opened	28 February 1921;103 years ago (1921-02-28)
Links
Website	clevelandclinic.org
Lists	Hospitals in Ohio

Cleveland Clinic is an American nonprofit academic medical center based in Cleveland, Ohio. ^[2] Owned and operated by the Cleveland Clinic Foundation, an Ohio nonprofit corporation, Cleveland Clinic was founded in 1921 by a group of faculty and alumni from the Case Western Reserve University School of Medicine. The Clinic runs a 170-acre (69-hectare) main campus in Cleveland, as well as 14 affiliated hospitals, 20 family health centers in Northeast Ohio, ^{[3] [4]} 5 affiliated hospitals in Florida, and cancer center in Nevada. ^[5] International operations include the Cleveland Clinic Abu Dhabi hospital in the United Arab Emirates and Cleveland Clinic Canada, which has two executive health and sports medicine clinics in Toronto. ^[5] Another hospital campus in the United Kingdom, Cleveland Clinic London, opened to outpatients in 2021 and fully opened in 2022. ^{[6] [7]} Tomislav Mihaljevic is the president and CEO. ^[8]

Cleveland Clinic is consistently ranked as one of the best hospitals in the United States. For the past twenty years in the fields of cardiology, heart, and vascular surgery, Cleveland Clinic has been ranked and regarded as the best and highest-performing hospital in the world. ^{[9] [10]} In 2018–2019, the U.S. News & World Report ranked Cleveland Clinic as the number 2 hospital in the Best Hospitals Honor Roll, as it was nationally ranked in 14 adult and 10 pediatric specialties. ^[11] Cleveland Clinic conducts its pediatric operations through the Cleveland Clinic Children's Hospital.

Cleveland Clinic's operating revenue in 2017 was $8.4 billion and its operating income $330 million. ^[12] That year it recorded 7.6 million patient visits and 229,132 admissions. As of 2019, it has over 67,500 employees, a figure that includes over 17,000 registered nurses and advanced practice providers and over 4,520 physicians and scientists in 140 specialties. ^[5] It is affiliated with Case Western Reserve University School of Medicine, with which it started a physician-investigator medical training program: the Cleveland Clinic Lerner College of Medicine. ^[13] Cleveland Clinic is also the teaching hospital for Ohio University Heritage College of Osteopathic Medicine and Kent State University College of Podiatric Medicine. In addition, Cleveland Clinic has 1,974 residents and fellows in 104 training programs approved by the Accreditation Council for Graduate Medical Education (ACGME). ^[14] The Cleveland Clinic publishes the peer-reviewed journal Cleveland Clinic Journal of Medicine . ^[15]

The Cleveland Clinic Foundation is the third largest doctors group in the United States with 15,330 medical professionals as of September 1, 2022. ^[16]

History

Beginnings

Main article: History of Cleveland Clinic

The organization grew out of the surgical practice of Frank J. Weed (died 1891) at 16 Church Street on the near-west side of Cleveland. ^{[17] [18]} The practice was purchased by his two assistants, Frank E. Bunts and George Washington Crile. ^{[19] [20]} In 1892 they were joined by Crile's cousin, William E. Lower, ^[21] and in 1897 the practice moved to the Osborn Building on Prospect Avenue, downtown Cleveland. ^{[17] [22]}

Frank Emory Bunts

A four-story outpatient building was constructed, and Cleveland Clinic was dedicated at a private ceremony on February 26, 1921. ^{[23] [24]} It opened its doors two days later to the public and registered 42 patients. ^[25] By April 1921, it had 60 employees, including 14 physicians and four nurses. ^[26] In 1922 the founders purchased four private homes nearby for hospitalization, radiation treatment, and administration. ^[26] A fifth house was acquired as a residence for patients with diabetes receiving insulin treatments. ^{[26] [27]} To meet rising patient volume, a 184-bed hospital was built in 1924, located at East 90th Street and Carnegie Avenue. ^[28] A power plant, laundry, and ice plant were also built. ^{[26] [29]} A research laboratory was constructed in 1928. ^{[26] [30]}

Cleveland Clinic fire

Further information: Cleveland Clinic fire of 1929

Cleveland Clinic's original building, built in 1921

On May 15, 1929, nitrocellulose x-ray films stored in the basement of the outpatient building ignited. ^{[31] [32] [33]} An explosion sent a cloud of toxic oxides of nitrogen and carbon though the building. One hundred and twenty-three people, including John Phillips, one of the founders, lost their lives. ^{[34] [35]} A dozen investigating agencies were not able to determine what had caused the fire. Cleveland Clinic's own inquiry narrowed the possible causes down to spontaneous combustion caused by heat; a discarded cigarette or match; and contact with an extension cord light hung over a stack of films. ^[32]

Philanthropist Samuel Mather formed a committee of 36 community leaders to help Cleveland Clinic reestablish itself in temporary quarters across the street. ^{[32] [36] [37]} Patient care services resumed five days later. ^[36] The 1921 building was completely renovated, and a new three-story clinic building, with a new main entrance, was added in 1931. ^[32] All debts were repaid by 1941. ^[38]

Growth of specialization

George Washington Crile, one of the founders

Cleveland Clinic built new operating rooms in the early 1970s to accommodate the growth of cardiac surgery. ^[29] The Martha Holden Jennings Education Building opened in 1964, with an auditorium named for Dr. Bunts. A new hospital building (currently home to Cleveland Clinic Children's Hospital) opened in 1966, and a research building opened in 1974 (demolished in 2007). ^[29] A pathology and laboratory medicine building was constructed on Carnegie Avenue in 1980. ^[39]

Willian S. Kiser, chairman of the board 1977–1989, ^[40] led the development of a strategic plan to accommodate growing patient volumes in the late 1970s. This resulted in a group of buildings known as the Century Project. Completed in 1985, the Century Project includes a 14-story outpatient building (now known as the Crile Building) designed by architect Cesar Pelli. ^[41]

In September 2014, the Cleveland Clinic opened the center for Functional Medicine, directed by Mark Hyman. ^[42]

Research and education

Main article: Health Education Campus

The Cleveland Clinic Lerner Research Institute (LRI) conducts biomedical research in a 480,000-square-foot building that opened in 1999, ^[43] following a $16 million donation from Al and Norma Lerner in 1997, the largest single charitable donation made to the Cleveland Clinic up until that point. ^[44] LRI hosts graduate student research through joint PhD programs in conjunction with nearby universities, including Case Western Reserve University, Cleveland State University (including an NIH-funded PhD program for minority and underrepresented students in science, technology, engineering, and mathematics), Kent State University and the University of Akron. ^{[45] [46]}

In 2002, the Lerners eclipsed their previous gift and made a $100 million donation to establish the Cleveland Clinic Lerner College of Medicine (CCLCM) within Case Western Reserve University School of Medicine, opening in 2004. ^[47] Physician researcher Eric Topol played an important role in securing the donation from the Lerner family. ^[48] Topol served as Provost and Chief Academic Officer at CCLCM until 2006, when his position was eliminated amid controversy regarding his criticism of Vioxx and disagreements with other Cleveland Clinic leaders, including then-CEO Toby Cosgrove. ^[49] CCLCM is a five-year medical school program affiliated with the Case Western Reserve University School of Medicine with 32 students per class, each receiving a scholarship for full tuition and fees. ^{[50] [51]} While traditional MD-granting medical schools in the U.S. are four-year programs, the extra year in the program is dedicated to a year of research. ^[28] The curriculum is notable for its lack of class rank, pre-clinical or clinical grading, or end-of-course examinations. ^[52]

In 2019, Cleveland Clinic and Case Western opened the Samson Pavilion Health Education Campus on the campus of the Cleveland Clinic, a $515 million building project, amid a multi-million dollar joint fundraising campaign between CWRU and the Cleveland Clinic. ^[53] The campus houses students Case Western Reserve School of Medicine (CCLCM and traditional MD programs), Frances Payne Bolton School of Nursing and Case School of Dental Medicine, all of which—with the exception of CCLCM—had previously held classes on the campus of CWRU and University Hospitals Cleveland Medical Center. ^[54] The move, announced in 2013, was a major contributing factor for University Hospitals to shift its name from University Hospitals Case Medical Center to University Hospitals Cleveland Medical Center in 2016, as well as renegotiate its affiliation agreement with CWRU that same year. ^[55]

Cleveland Clinic publishes the peer-reviewed Cleveland Clinic Journal of Medicine monthly, focusing on internal medicine, endocrinology, and diabetes. ^[56]

Reputation

Cleveland Clinic is consistently regarded as one of the top hospital systems in the United States and in the world, and it is well regarded particularly in technological management systems. ^[57]

Rankings

In 2020–2021, Cleveland Clinic was ranked as the #2 overall hospital in the United States by the U.S. News & World Report , behind the Mayo Clinic in Rochester, Minnesota. ^[9] A total of 4,656 hospitals were considered in 12 main data-driven medical and surgical specialty areas and four additional specialty areas, collating data on patient safety, performance measures, and complication rates. ^[58] Cleveland Clinic was found to be nationally ranked in 14 adult specialties and 10 children's specialties and was recognized as the #1 hospital in Ohio and in the Cleveland Metropolitan Area. It also achieved the highest rating possible in 9 specified procedures or conditions: abdominal aortic aneurysm repair, aortic valve surgery, chronic obstructive pulmonary disease, colon cancer surgery, heart bypass surgery, heart failure, hip replacement, knee replacement, and lung cancer surgery. ^[59] In addition, for the 14th year in a row, Cleveland Clinic was ranked as the #1 hospital in the United States for cardiology and heart surgery as a specialty. Similarly, in 2021, Newsweek named Cleveland Clinic the number 2 hospital in the world, behind Mayo Clinic. ^[60]

In 2021, Gartner ranked Cleveland Clinic as the #1 healthcare supply chain. ^[61]

In 2022, The American Hospital Association (AHA) partnered with the Society for Healthcare Strategy and Market Development to engage the branding agency, Monigle, to conduct consumer research with 28,000 Americans to rank hospital brands °… on their performance in delivering a humanized experience". The Cleveland Clinic was ranked first, followed by two other Ohio systems. Other systems, including Johns Hopkins ranked 6th; Mass General, 11th; and the Mayo Clinic ranked 15h. ^[62]

Safety

Cleveland Clinic Taussig Cancer Center

In a Kaiser Family Foundation review of Centers for Medicare and Medicaid Services (CMS) data for hospital acquired conditions in 2014, Cleveland Clinic received an 8.7 score (1–10 possible, with 10 being the worst), in the bottom 7% of hospitals. ^[63]

Between 2010 and 2013, CMS undertook an extensive series of investigations into the Cleveland Clinic Foundation, with at least a dozen inspections and follow-up visits triggered by patient complaints. ^{[64] [65]} An analysis of Medicare inspection data between 2011 and 2014 found that the Cleveland Clinic Foundation was one of at least 230 instances in which validated serious incidents—dubbed "immediate jeopardy" complaints—led CMS to threaten loss of ability to serve Medicare patients unless the problems were fixed immediately. Due to numerous serious ongoing safety violations, the Cleveland Clinic Foundation was on payment termination track for 19 months, placing at stake $1B in annual Medicare/Medicaid reimbursement. ^[64] The citations were reported and analyzed in detail by Modern Healthcare, which posted some of the safety documents. ^{[64] [65]}

In its 2020 Overall Hospital Quality Star Ratings, CMS gave a five-star rating to the Cleveland Clinic, as well as several community hospitals in the Cleveland Clinic system, including Fairview Hospital, Hillcrest Hospital, and Lutheran Hospital. ^[66] In these ratings, Cleveland Clinic Martin North Hospital received a one-star rating. ^[67]

During the early phase of the COVID-19 pandemic, administration at the Cleveland Clinic initially instructed employees that they were not allowed to wear face masks outside of patient care areas. ^[68] The Cleveland Clinic stated they made this decision as they felt the current body of evidence at the time did not support their use. ^[68] Other hospitals however require such masks. ^[68] Later, with growing evidence of mask efficacy, this policy were revised and all staff members were required to wear cloth or protective masks. ^[69] Masks were obtained from a variety of sources, including Amish and sports apparel manufacturers, among other suppliers. ^{[70] [71]}

In 2021, amid the COVID-19 pandemic, the Cleveland Clinic permitted its staff to be unvaccinated against COVID. ^[72]

Locations

Cleveland Clinic operates 19 ^{[3] [4]} family health and ambulatory surgery centers in surrounding communities, a 1,000 bed multispecialty hospital and family health center in Weston, Florida, and two Cleveland Clinic Canada locations in Toronto, Canada. ^[73] The system operates 11 affiliated hospitals in northeast Ohio, numbering 2,588 total beds. ^[74] Additionally Cleveland Clinic operates five affiliated hospitals in Florida with 289 total beds, Cleveland Clinic Abu Dhabi with 564 total beds, and London, United Kingdom with 185 total beds; for a grand total of 6,026 beds. ^{[75] [7]}

Ohio locations

Cleveland Clinic original building, located on the main campus along Euclid Ave., built in 1921

Cleveland Clinic's main campus consists of 60 buildings on 170 acres (69 ha) near University Circle, in Fairfax, Cleveland. ^[76]

In 1996, the Cleveland Clinic took over Fairview Health System centered on Fairview Hospital and serving the West Side of Cleveland and the western suburbs. ^[77] In the same year, the Cleveland Clinic also took over the four-hospital Meridia Health System, absorbing Euclid Hospital in Euclid, Hillcrest Hospital in Mayfield Heights, Huron Hospital in East Cleveland, and South Pointe Hospital in Warrensville Heights. ^[77] In October 2010, the Cleveland Clinic announced plans to close the Level II Trauma Center at Huron Hospital, prompting a joint lawsuit from the cities of Cleveland and East Cleveland, which was later dropped after the Clinic delayed closure plans. ^[78] In 2011, amid criticism from residents and leaders in East Cleveland, the Clinic closed Huron Hospital, ^[78] replacing it with a community health center and leaving the east side of Cleveland without a trauma center until University Hospitals opened a Level I trauma center in 2015. ^[79] In May 2017 Cleveland Clinic reached an agreement to acquire the 150-bed Union Hospital in Dover, Ohio. ^[80] In February 2021, Mercy Medical Center in Canton, Ohio became a full member of the Cleveland Clinic health system, while retaining its Catholic affiliation through sponsorship with the Sisters of Charity of St. Augustine. ^[81]

Cleveland Clinic Akron General

Main article: Cleveland Clinic Akron General

Cleveland Clinic Akron General, formerly known as Akron General Medical Center, and commonly known as Akron Gen, is a nationally ranked, 511-bed non-profit, teaching hospital located in Akron, Ohio. ^[82] In August 2015, the Akron General Health System joined the Cleveland Clinic Health System. Akron General includes Akron General Hospital, Visiting Nurse Service and Affiliates, Hospice of VNS, Akron General Lodi Hospital, the Edwin Shaw Rehabilitation Institute, and three health and wellness centers. ^[83] As the hospital is a teaching hospital, it is affiliated with the Northeast Ohio Medical University and the Ohio University Heritage College of Osteopathic Medicine. ^[84] Cleveland Clinic Akron General’s Paramedic Education Program was initiated in 1976 as a commitment to the community in providing pre-hospital care to citizen within Summit County and adjoining areas. ^[85] The hospital is also an American College of Surgeons verified Level 1 Trauma Center, the one of three in the region and one of 11 in Ohio, the other two in Cleveland. ^[86] Additionally, the hospital has a rooftop helipad to handle the emergent transport of critical patients to and from the hospital. ^[87]

Cleveland Clinic Children's

Main article: Cleveland Clinic Children's

Cleveland Clinic Children's (CCC) is a pediatric acute care children's teaching hospital located in Cleveland, Ohio on the main campus of Cleveland Clinic. The hospital has 389 pediatric beds ^[88] and is affiliated with Cleveland Clinic Lerner College of Medicine, ^[13] Case Western Reserve University School of Medicine, Heritage College of Osteopathic Medicine and Kent State University College of Podiatric Medicine. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–21 throughout Cleveland and the wider northern Ohio region. ^{[89] [90]} Cleveland Clinic Children's Hospital also sometimes treats adults that require pediatric care. The hospital is a few blocks away from the Ronald McDonald House of Cleveland. ^[91]

Ohio regional hospitals

• Akron General
• Akron General Lodi Hospital
• Avon Hospital
• Children's Hospital for Rehabilitation
• Euclid Hospital
• Fairview Hospital
• Hillcrest Hospital
• Lutheran Hospital
• Marymount Hospital
• Medina Hospital
• Mentor Hospital
• Mercy Hospital
• South Pointe Hospital
• Union Hospital

Former Ohio hospitals

• Grace Hospital (affiliate)
• "Hope Hospital" ^[92]
• Huron Hospital
• Lakewood Hospital

Cleveland Clinic Florida

• Indian River Hospital
• Martin North Hospital
• Martin South Hospital
• Tradition Hospital
• Weston Hospital

Former Florida hospitals

• Florida Hospital (North Beach)
• Naples Hospital

Cleveland Clinic Nevada

Frank Gehry-designed Lou Ruvo Center for Brain Health, Las Vegas, Nevada

Main article: Lou Ruvo Center for Brain Health

In May 2010, Cleveland Clinic's Lou Ruvo Center for Brain Health opened in a unique structure designed by architect Frank Gehry in Las Vegas, Nevada. ^[93] In 2018, the Indian River Medical Center in Vero Beach, Florida, and Martin Health, consisting of a hospital in Port St. Lucie and two hospitals in Stuart, Florida, joined the Cleveland Clinic system. ^[94]

International locations

Cleveland Clinic Canada

In 2006, the Cleveland Clinic opened Cleveland Clinic Canada, a 26,000-square-foot outpatient clinic in downtown Toronto, offering both Ontario Health Insurance Plan (OHIP) and non-OHIP services. ^[95] In 2017, Cleveland Clinic Canada acquired the Sports Medicine Specialists located in midtown Toronto.

Cleveland Clinic Abu Dhabi

An overseas location, Cleveland Clinic Abu Dhabi, opened in 2015. ^[96]

Cleveland Clinic London

The organization began work renovating an historic building at 33 Grosvenor Place in central London, England, in 2018. Demolition of the interior of the six-story, 198,000-square-foot building allowed for the conversion to a hospital, ^{[97] [7]} with Cleveland Clinic London opening in March 2022. ^[98]

Finances

In 2011 Cleveland Clinic was second on the Becker's Hospital Review list of top-grossing hospitals in the United States, with total patient revenue of $9.14 billion. ^[99] The hospital posted $243 million operating income on $8 billion revenue in 2016. Operating income fell about 50% from 2015, which it said was due to shrinking reimbursements and rising drug costs. ^{[100] [101]} In 2017 its operating income was $330M on $8.4B in revenue. ^[12]

In 2015, the Clinic's endowment stood at more than $12 billion. ^[102] During the coronavirus pandemic, the Cleveland Clinic received a $199 million grant from the United States Department of Health and Human Services under the CARES Act, funding that was intended to prevent health care providers from going under. In 2019, the Cleveland Clinic reported having $7 billion in cash reserves, with investment profits of $1.2 billion. ^[103]

In addition, Cleveland Clinic plays a significant role in the regional economy of Cleveland and the statewide economy. As of 2019, it is Ohio's largest employer, and generates $17.8 billion for the state. ^{[104] [105]}

See also

• List of hospitals in the United States
• Medical centers in the United States
• List of hospitals by capacity
• List of hospitals by staff

References

1. "AirNav: 6OI8 - Cleveland Clinic Foundation Heliport" . Retrieved July 8, 2017.
2. "Affiliated Hospitals < Case Western Reserve University". bulletin.case.edu. Retrieved August 31, 2023.
3. "Dr. Tarek Elsawy named new president of Reliant Medical". telegram.com.
4. Kelly Gooch (August 14, 2015). "Cleveland Clinic to hire 500 RNs at 3 job fairs: 6 things to know".
5. "Facts & Figures", Cleveland Clinic.
6. Christ, Ginger (August 15, 2018). "Cleveland Clinic London opening will coincide with system's centennial", cleveland.com.
7. Washington, Julie (September 23, 2021). "Cleveland Clinic London's outpatient center opens, followed by London hospital in 2022". cleveland.com.^{[ permanent dead link ]}
8. "Tomislav Mihaljevic", Cleveland Clinic.
9. "Cleveland Clinic Named No. 2 Hospital in Nation and No. 1 Hospital for Heart Care by U.S. News & World Report". Cleveland Clinic Newsroom (Press release). July 27, 2021. Retrieved October 23, 2023.
10. "U.S. News Rankings". Cleveland Clinic. Retrieved April 10, 2019.
11. "U.S. News & World Report". April 9, 2019.
12. Ellison, Ayla (March 1, 2018). "Cleveland Clinic's operating income rebounds to $330M". Beckers Hospital Review.
13. "Cleveland Clinic Lerner College of Medicine". portals.clevelandclinic.org. Retrieved April 10, 2019.
14. "Graduate Medical Education".
15. "About Cleveland Clinic Journal of Medicine". Cleveland Clinic Journal of Medicine.
16. "Largest Doctors Groups in the United States" . Retrieved October 21, 2022.
17. Kazi, R. A. (2003). "The life and times of George Washington Crile". Journal of Postgraduate Medicine. 49 (3): 289–290. PMID   14597804.
18. English, Peter C. (1980). Shock, Physiological Surgery and George Crile. Greenwood Press, p. 62.
19. Clough, John D. (2004). To Act as a Unit: The Story of the Cleveland Clinic (PDF). Cleveland, Ohio: The Cleveland Clinic Foundation. pp. 21–23. ISBN   9781596240001.
20. Smith, Dale, C. (1986). "Modern Surgery and the Development of Group Practice in the Midwest". Caduceus. 2 (3): 27. PMID   3297262.
21. Sajadi, Kamran P.; Goldman, Howard B. (2010). "The History of Urology in Cleveland, Ohio". Urology. 76 (6): 1293–7. doi:10.1016/j.urology.2010.05.039. PMID   20810152.
22. "George Crile". Whonamedit? - A dictionary of medical eponyms. Retrieved August 25, 2015.
23. "Mission Vision and Values", Cleveland Clinic. Accessed May 17, 2015.
24. Retrieved from http://blog.cleveland.com/medical/2008/09/07CGCLINICTIME.pdf, August 26, 2015 Archived March 4, 2016, at the Wayback Machine ^{[ full citation needed ]}
25. Clifton, Brad and Carmosino, Jessica (April 10, 2013). "Creating Cleveland Clinic". Center for Public History and Digital Humanities, Cleveland State University.
26. Rowland, Amy; Feather (1938). The Cleveland Clinic Foundation.
27. "Ohio Memory, a product of the Ohio Historical Society and the State Library of Ohio: View Image". server16007.contentdm.oclc.org.
28. "Cleveland Clinic Foundation". Encyclopedia of Cleveland History. Case Western Reserve University. May 11, 2005.
29. Sheldon, William C. (2008). Pathfinders of the Heart, the History of Cardiology at Cleveland Clinic. Xlibris, p. 60.
30. Rose, William Ganson (1950). Cleveland: The Making of a City. Kent State University Press, p. 1011.
31. Brown, Gary. "The Monday After: X-ray films burn noxious fumes at Cleveland Clinic". CantonRep.com, July 14, 2014.
32. Bellamy, John Stark II (1995). They Died Crawling: And other Tales of Cleveland Woe. Cleveland: Gray & Company, 218–232.
33. "National Affairs: Cleveland Clinic". Time . May 27, 1929. pp. 15–16.
34. Bellamy, John Stark (2009). Cleveland's Greatest Disasters!: 16 Tragic True Tales of Death and Destruction: An Anthology. Gray & Co. pp. 87–104. ISBN   9781598510584. OCLC   472202926.
35. "Encyclopedia of Cleveland History: Cleveland Clinic Disaster" . Retrieved May 7, 2011.
36. Plain Dealer123 Die in Clinic Disaster; Poison Gas Seeps into System; Explosion Rocks Building, August 23, 1998
37. Reading Times , May 17, 1929, p2
38. Profiles in Performance: Business Intelligence Journeys and the Roadmap for Change, Howard Dresner, Wiley & Sons, 2010, p. 57
39. Porter, Michael; Teisberg, Elizabeth (2014). Cleveland Clinic: Growth Strategy 2014. Harvard Business School, pp. 4–5.
40. Kastor, John A (2005). Specialty care in the Era of managed care: Cleveland clinic versus, University hospitals of Cleveland. J. Jopkins University Press. p. 236. ISBN   0801881749. OCLC   875711188.
41. retrieved from http://pcparch.com/project/crile-clinic, on August 26, 2015 Archived August 22, 2018, at the Wayback Machine
42. Townsend, Angela (September 22, 2014). "Cleveland Clinic to open Center for Functional Medicine; Dr. Mark Hyman to be director". Cleveland.com. Archived from the original on December 22, 2020. Retrieved December 22, 2020.
43. Parker-pope, Tara (October 26, 2009). "Cleveland Clinic Lerner Research Institute". Barber & Hoffman Inc. Archived from the original on October 20, 2020. Retrieved July 27, 2017.
44. "Lerner Donates $100 Million To Clinic". Cleveland 19 News. June 20, 2002. Retrieved June 13, 2020.
45. "Graduate Programs: Research Education and Training". Cleveland Clinic Lerner Research Institute. Cleveland Clinic. Retrieved July 9, 2020.
46. Drees, Jackie (July 2, 2020). "Cleveland Clinic receives $1.2M to recruit minority, underrepresented students in biomedical research program". Becker's Hospital Review. Retrieved July 9, 2020.
47. Boulian, Tracy (December 26, 2010). "The biggest gift they ever got". Plain Dealer. Retrieved June 13, 2020.
48. Robbins, Gary (September 15, 2012). "Eric Topol's tough prescription for improving medicine". San Diego Union-Tribune. Retrieved June 14, 2020.
49. Mortland, Shannon (February 9, 2006). "Topol leaving for Case". Crain's Business Cleveland. Retrieved June 14, 2020.
50. Wang, Shirley (May 15, 2008). "Cleveland Clinic's Medical School To Offer Tuition-Free Education". Wall Street Journal.
51. Bednar, Laura (August 26, 2016). "Paths to a Ph.D." JCU Alumni Magazine. Archived from the original on August 17, 2019. Retrieved July 27, 2017.
52. Fishleder, AJ; Henson, LC; Hull, AL (April 2007). "Cleveland Clinic Lerner College of Medicine: An Innovative Approach to Medical Education and the Training of Physician Investigators". Academic Medicine. 82 (4): 390–6. doi: 10.1097/ACM.0b013e318033364e . PMID   17414197.
53. Litt, Steven (July 21, 2020). "Is CWRU-Cleveland Clinic Health Education Campus end of big-box era as Clinic shifts focus?". Plain Dealer. Retrieved June 13, 2020.
54. Litt, Steven (October 1, 2015). "Cleveland Clinic, CWRU break ground on $515M Health Education Campus including dental clinic in Hough". Plain Dealer. Retrieved June 13, 2020.
55. Coutre, Lydia (September 8, 2016). "UH dropping 'Case' from flagship medical center name". Crain's Cleveland Business. Retrieved June 13, 2020.
56. "About Cleveland Clinic Journal of Medicine". Cleveland Clinic. 2017. Retrieved April 9, 2017.
57. Adler, Jerry (November 26, 2009). "What Health Reform Can Learn From Cleveland Clinic". Newsweek.
58. "FAQ: How and Why We Rank and Rate Hospitals. U.S. News & World Report". April 9, 2019.
59. "U.S. News & World Report, Cleveland Clinic. Procedures & Conditions". April 9, 2019.
60. "World's Best Hospitals 2021". Newsweek. February 22, 2021. Retrieved March 6, 2021.
61. "Gartner Announces Rankings of the Gartner Healthcare Supply Chain Top 25 for 2021". Gartner. Retrieved November 17, 2021.
62. Diaz, Naomi (May 18, 2022). "The top 20 hospital brands in the US". www.beckershospitalreview.com.
63. staff (December 18, 2014). "Penalties For Hospital Acquired Conditions" (PDF). Kaiser Health News . Kaiser Family Foundation.
64. Carlson, Joe. "Cleveland Clinic cases highlight flaws in safety oversight", Modern Healthcare. June 7, 2014.
65. Carlson, Joe. "Selected Cleveland Clinic hospital inspection reports". Modern Healthcare. June 7, 2014.
66. Vaidya, Anuja (January 29, 2020). "The 407 hospitals with 5 stars from CMS". Becker's Hospital Review. Retrieved February 21, 2020.
67. Masson, Gabrielle (January 30, 2020). "228 hospitals with a 1 star rating from CMS". Becker's Hospital Review. Retrieved February 21, 2020.
68. Richtel, Matt (March 31, 2020). "Frightened Doctors Face Off With Hospitals Over Rules on Protective Gear". The New York Times . Retrieved March 31, 2020.
69. "Yes, You Can (and Should) Still Go to the ER for Emergencies During the COVID-19 Pandemic". Cleveland Clinic Health Essentials. May 1, 2020. Retrieved May 15, 2020. At Cleveland Clinic, for example, the following protocols are in place: ... Caregivers wear masks. All patients and visitors are also given cloth masks to wear to help prevent spread of the virus from anyone who has symptoms as well as those who might be infected but don't have symptoms. In the emergency department, workers wear protective masks and goggles.
70. Williamson, Elizabeth (April 9, 2020). "In Ohio, the Amish Take on the Coronavirus". The New York Times. Retrieved May 15, 2020.
71. Bona, Marc (April 22, 2020). "Cleveland Clinic receives 15,000 masks from sports-apparel manufacturer Fanatics". Plain Dealer. Retrieved May 15, 2020.
72. Washington, Julie; clevel; .com (December 2, 2021). "University Hospitals, Cleveland Clinic reverse orders; will allow unvaccinated caregivers to stay on the job". cleveland. Retrieved December 12, 2021.
73. "Cleveland Clinic Canada".
74. Exner, Rich (March 23, 2020). "How many hospital beds are near you? Details by Ohio county". Cleveland.com. Cleveland OH: AdvanceOhio.
75. Kimmell, Jackie (September 16, 2019). "Cleveland Clinic wants to double its patient population in 5 years. Can it do it?". Advisory Board.com. Washington DC: The Advisory Board.
76. Steven Litt for The Plain Dealer. January 22, 2012 Cleveland Clinic's new master plan envisions bigger, greener campus with ample room to grow for decades
77. Solov, Diane (October 5, 1996). "Clinic is winner in competition for merger with Meridia System". The Plain Dealer. Retrieved October 10, 2019.
78. Tribble, Sarah Jane (June 6, 2011). "Cleveland Clinic closing Huron Hospital". The Plain Dealer. Retrieved October 10, 2019.
79. Magaw, Timothy (May 8, 2015). "University Hospitals plans to launch regional trauma network". Crain's Business Cleveland. Retrieved May 15, 2020.
80. Coutré, Lydia (June 11, 2017). "Cleveland Clinic continues its march south". Crain's Cleveland Business. Crain Publishing. Retrieved June 13, 2017.
81. Vanac, Mary (December 8, 2020). "Mercy Medical Center in Canton joins Cleveland Clinic family of hospitals". Cleveland Business Journal. Retrieved April 6, 2021.
82. "10 Things to Know About Akron General Medical Center". www.beckershospitalreview.com. Archived from the original on March 15, 2016. Retrieved December 8, 2020.
83. "Cleveland Clinic Exercises Option to take full Ownership of Akron General". Akron Beacon Journal. August 28, 2015. Archived from the original on June 20, 2017. Retrieved December 31, 2015.
84. "Department of Medical Education | Akron General". Cleveland Clinic Akron General. Archived from the original on December 14, 2019. Retrieved December 8, 2020.
85. "Education and Training Opportunities – EMT & Paramedic Education | Akron General". Cleveland Clinic. Retrieved November 16, 2021.
86. "Ohio Trauma Centers". American College of Surgeons. Archived from the original on October 7, 2020. Retrieved December 8, 2020.
87. "AirNav: OH05 - Cleveland Clinic, Akron General Hospital Heliport". www.airnav.com. Archived from the original on December 8, 2020. Retrieved December 8, 2020.
88. "Cleveland Clinic Children's". www.childrenshospitals.org. Retrieved May 13, 2020.
89. "Pediatric Rehabilitation & Therapy | Cleveland Clinic Children's". Cleveland Clinic. Retrieved May 13, 2020.
90. "Specialties | Amherst Family Health Center". Cleveland Clinic. Retrieved May 13, 2020.
91. "House Guest FAQs". Ronald McDonald House Cleveland. Archived from the original on July 28, 2020. Retrieved May 13, 2020.
92. "How We Created a Hospital for COVID-19 Patients in Less Than a Month". Cleveland Clinic Consult QD. Retrieved January 22, 2024.
93. Strain, Eric (April 4, 2010). "Lou Ruvo Center design defines purpose of facility, Las Vegas Sun". Las Vegas Sun. Las Vegas, NC: Greenspan Media Group. Retrieved March 20, 2018.
94. Vogel, Mike (December 18, 2018). "Expansion spree: Cleveland Clinic is opening new facilities and buying others". Florida Trend. Retrieved February 21, 2020.
95. Svensson, Lars; Donley, Brian; Falcone, Tomosso (September 7, 2018). "Cleveland Clinic comes to London". European Heart Journal. 39 (34): 3161–3163. doi: 10.1093/eurheartj/ehy450 . PMID   30202967.
96. "Sheikh Mohammed and Moroccan king inaugurate Cleveland Clinic Abu Dhabi". The National. December 4, 2015. Retrieved December 4, 2015.
97. Christ, Ginger (January 30, 2019). "Cleveland Clinic London opening will coincide with system's centennial". The Plain Dealer. Cleveland, OH: AdvanceOhio. Retrieved March 21, 2021.
98. Shehadi, Lemma (March 29, 2023). "Cleveland Clinic London to expand amid dissatisfaction with NHS". The National.
99. Oh J. (August 29, 2011). "100 Top Grossing Hospitals in America". Becker's Hospital Review.
100. Coutre, Lydia (February 15, 2017). "2016 was a tough year for Cleveland Clinic finances". Crain's Cleveland Business . Retrieved August 25, 2017.
101. Zeltner, Brie (February 15, 2017). "Cleveland Clinic CEO Toby Cosgrove reports rough financial year for hospital in 2016". The Plain Dealer . Retrieved August 25, 2017.
102. "Cleveland Clinic Creates Internal CIO Role - Chief Investment Officer". www.ai-cio.com.
103. Drucker, Jesse; Silver-Greenberg, Jessica; Kliff, Sarah (May 25, 2020). "Wealthiest Hospitals Got Billions in Bailout for Struggling Health Providers". The New York Times. ISSN   0362-4331 . Retrieved May 25, 2020.
104. Mihaljevic, Tom (September 27, 2018). "Cleveland Clinic Injects $17.8 Billion into Ohio's Economy". Clevelandclinic.org. Cleveland Clinic. Retrieved September 27, 2018.
105. Exner, Rich (June 17, 2019). "Ohio's 100 largest employers - 2019 rankings led by Cleveland Clinic, Walmart, others". Cleveland.com. The Plain Dealer. Retrieved June 17, 2019.

Further reading

• Ewart Grabowski, Diane (1996). Without Whose Aid: Nursing and the Cleveland Clinic. Cleveland: The Cleveland Clinic Foundation. ISBN   9780961542429.
• Cosgrove, Toby (2014). The Cleveland Clinic Way: Lessons in Excellence From One of the World's Leading Healthcare Organizations. New York: McGraw-Hill Education. ISBN   9780071827249. OCLC   862041447.