Patients First
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04 Patients First PATIENTS FIRST THE CLEVELAND CLINIC 2004 ANNUAL REPORT 1 “Patients First” > On Oct. 1, 2004, The Cleveland Clinic welcomed Delos M. Cosgrove, M.D., as its new Chief Executive Offi cer and President. With the inauguration of Dr. Cosgrove, The Cleveland Clinic has rededicated itself to one of the most sacred principles of medicine: “Patients First.” This prin- ciple declares the primacy of patient care, patient comfort and patient communication in every activity undertaken by The Cleveland Clinic. It affi rms the importance of research and education for their contributions to clinical medicine and the improvement of patient care. At the same time, “Patients First” demands a relentless focus on measurable quality. By setting standards, collecting data and analyzing results, The Cleveland Clinic puts patients fi rst through improved outcomes, better service and by providing a healthier future for all. PATIENTS FIRST THE CLEVELAND CLINIC 2004 ANNUAL REPORT 2 Dear Friends: In 2004, The Cleveland Clinic enjoyed the best year in its and visitor spending. We are currently the largest employer history. We helped more patients and contributed more in Northeast Ohio, and the third largest non-governmental to our local and regional economies than ever before. The employer in the state. Our economic activities create ad- number of patient visits, surgeries and hospital admis- ditional jobs in the community, for a total of 65,000 jobs sions at The Cleveland Clinic and Cleveland Clinic Health overall. We are responsible for direct and indirect state System have surpassed all previous years. Working as a and local taxes totaling $300 million – including one out team, we are building, educating and innovating for the of every 10 tax dollars collected in the city of Cleveland. future. We also are engaging a world of new opportunities In recent years, our contribution of uncompensated and with confi dence and hope. charity care has risen to $350 million annually. It is a privilege to work in the fi eld of medicine. Ours is a The Cleveland Clinic and its community have grown profession whose contributions to society are real, perma- together. We believe that education is the future of our city nent and ongoing. Advances in modern medicine not only and we have made support of our schools our number one add years and vigor to our lives, they build our commu- charitable activity. We will be expanding our partnership nities and strengthen nearly every sector of our national with the Cleveland Municipal School District. In addition economy. Thanks to medical and preventive advances, the to strengthening our long-standing partnership with John death rate from heart attacks, strokes and breast cancer Hay High School, we will initiate summer internships for have gone down substantially over the past 20 years. Men top science students, and recruit 300 additional volunteer and women are living longer, more active lives. Increased mentors. Finally, we will provide $10 million over the next life expectancy alone has added an estimated $57 trillion fi ve years to support school initiatives focused on improv- dollars to the economy. Every dollar invested in medicine ing math and science skills, and expanding distance learn- yields a positive return. ing capabilities. The Cleveland Clinic and Cleveland Clinic Health System Innovation is key to the future of medicine and the national have a substantial economic presence in our community. economy as a whole. We are proud of the growth and In 2004, we released an economic impact study show- stature of the Cleveland Clinic Lerner Research Institute, ing that The Cleveland Clinic and Cleveland Clinic Health where more than 1,050 scientists and support person- System contribute $2.5 billion annually to Northeast Ohio. nel explore everything from cancer to infectious disease Eighty-fi ve percent of this total is generated by patient in state-of-the-art labs. NIH-funding, the most common care. The rest is associated with research, construction yardstick of quality for research programs, was more than $72 million at the Lerner Research Institute in 2004. “It is a privilege to work in the fi eld of medicine. Ours is a profession whose contributions to society are real, permanent and ongoing. Advances in modern medicine not only add years and vigor to our lives, they build our communities and strengthen nearly every sector of our national economy.” PATIENTS FIRST THE CLEVELAND CLINIC 2004 ANNUAL REPORT 3 3 It is important that research should lead to clinical ap- With a “Patients First” ethos, we have made quality, plications. For that reason, we are energetically pursuing innovation, teamwork and service the cornerstones of the creation of new products based on our own scientifi c our future. In 2004, The Cleveland Clinic and Cleveland discoveries. CCF Innovations, our translational research Clinic Health System enjoyed dramatic increases in patient arm, has already spun off 13 new companies. These new satisfaction scores – clearly the product of our enhanced businesses are creating jobs and establishing Cleveland as service initiatives and idea programs. a center of the biotechnology industry. Finally, we have undertaken a task that will bring signifi - New ideas are generated at all levels of an organization, cant changes to the world of medicine in years to come. and over the past several years, we have enlisted the I have asked every department at The Cleveland Clinic to entire Cleveland Clinic in the quest for new ways of gather yearly statistics on their clinical outcomes. This improving service and enhancing care. This “World Class exercise will enable us to measure and improve results. Ideas” program has generated tens of thousands of ideas, We will publish these outcomes annually in easy-to-read thousands of which have already been implemented. brochures. These outcomes guides will enable health care consumers to assess the quality of Cleveland Clinic depart- We are preparing our main campus to accommodate the mental services at a glance, and make their health choices largest construction project in our history: The new Cleve- based on sound information and reliable statistics. land Clinic Heart Center. A new parking garage and offi ce building has been completed at East 93rd Street and I am extremely excited by what the future holds for this great Euclid Avenue. It is connected to the main campus by organization. We need to take advantage of our considerable a 170-foot long concourse beneath the street. A new strengths, and seize every opportunity to make The Cleveland hospital entrance has been built at East 96th Street off Clinic the premier health care provider in the world. Carnegie Avenue. Our power plant has been expanded and upgraded, and steps have been taken to signifi cantly enhance our emergency generating capacity. To provide Sincerely, additional parking capacity, another parking garage will be built adjacent to the new garage on 93rd Street. Construction on the new Heart Center is expected to begin in June 2005, with completion and opening of the lower fl oors in 2007, and complete services operational by 2008. Delos M. Cosgrove, M.D. Our academic enterprise grows in stature. 2004 saw the Chief Executive Offi cer and President completion of our new Center for Genomics Research at The Cleveland Clinic the Cleveland Clinic Lerner Research Institute. The fi rst class of the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University is enrolled, and applica- tions for next year’s class have surpassed last year’s high levels. We are collaborating with other local institutions to increase the stature and funding of biomedical research throughout the region. PATIENTS FIRST THE CLEVELAND CLINIC 2004 ANNUAL REPORT 4 200404 was a notable year for The Cleveland Clinic. PATIENTS FIRST THE CLEVELAND CLINIC 2004 ANNUAL REPORT 5 The Cleveland Clinic Heart Center celebrated ten years as America’s No. 1 cardiac care center (U.S.News & World Report); the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University enrolled its fi rst class; and Delos M. Cosgrove, M.D., was welcomed as the new Chief Execu- tive Offi cer and President of The Cleveland Clinic and Cleveland Clinic Health System. These are just some of the many highlights from the year, a sample of which are captured in the following pages. Here, also, are stories and pictures of some Cleveland Clinic patients and professionals. They have been singled out to represent the everyday teamwork that allows The Cleveland Clinic to fi nd answers to complex medical questions. They are case studies in service, collaboration and medical excellence, and examples of The Cleveland Clinic’s unwavering dedication to the patient – fi rst and always. “Extremely confi dent” > A QUICK RESPONSE BRINGS NFL CHEERLEADER LORI RUMBERG TO CLEVELAND TO TREAT HER BRAIN ANEURYSM. ori Rumberg has been called “fi reball.” A private in- L vestigator and Tampa Bay Buccaneers cheerleader, Rumberg packs a lot into 24 hours. So when she passed out on the bathroom fl oor, “I tried to convince myself that it was nothing, but in my heart I knew something was wrong,” she says. An MRI at her local hospital revealed a brain aneurysm the size of a kidney bean. Rumberg’s boyfriend went on the Internet and learned about the treatment options for this condition, but local specialists made confl icting recommendations. A family friend, who also is a physician, suggested they e-mail The Cleveland Clinic and make an appointment for an independent opinion. Less than an hour after e-mailing, they were called by Cleveland Clinic nurse Sue Jaeger, R.N., who “made me feel extremely confi dent about going there,” says Rumberg. “She answered all my questions.” Cleveland Clinic Neurosurgeon Peter Rasmussen, M.D., determined that Rumberg would benefi t from a procedure known as “coiling.” This involves placing a stent, via catheter, at the mouth of the bulge, and inserting coiled platinum wires into the aneurysm itself.