Organizational Feasibility Study of Integrated Practice Units Implementation at Cleveland Clinic
Overview
This feasibility study examines the Cleveland Clinic's organizational challenge of inconsistently implementing integrated, multidisciplinary, patient-condition-centered care across its 16 clinical institutes. The paper analyzes the gap between the organization's strategic goal of becoming 'One Cleveland Clinic' and the reality that only four Integrated Practice Units (IPUs) have been officially launched despite selecting 106 care paths for development.
What this feasibility study covers
- Organization Background: Overview of Cleveland Clinic's history, structure, financial performance, and strategic mission under CEO Dr. Delos Cosgrove
- Objectives of the Proposed Program: Identification of the specific organizational gap in full implementation of Integrated Practice Units across all clinical institutes
- Current State Analysis: Assessment of uneven adoption of multidisciplinary care models across the institute structure
Preview
Part 1: Feasibility Study
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Feasibility Study
Organization Background
The Cleveland Clinic is a nonprofit multi-specialty academic health System, based in Cleveland, Ohio. The Clinic was established in 1921 by four physicians who believed in cooperative and patient-centered medicine and became one of the most well-known health systems in the world (Porter & Teisberg, 2019). By mid-2015, the health system had 43,000 employees, 3,200 staff physicians, and almost 11,000 nurses, and 6.4 million patients each year. The company has a total operating revenue amounting to 6.7 billion in 2014, underpinned by an investment portfolio amounting to 6.5 billion and alongside huge contributions to philanthropy.
The organizational structure of the Clinic consists of one main campus in Cleveland, ten community hospitals around northeastern Ohio, 18 family health and ambulatory surgery facilities, and 59 primary care facilities, as well as international ones in Abu Dhabi, Toronto, and Florida. The Clinic is a nonprofit and is tax-exempt (Porter & Teisberg, 2019). In 2015, about 29 percent of its revenue was through Medicare, 3 percent was through Medicaid, 61 percent was through managed care and commercial payers, and the rest was through self-pay and charity care.
In 2015, U.S. News & World Report listed the Cleveland Clinic fifth among American hospitals in general, with 13 specialties in the top ten in the nation. Its Heart and Vascular Institute had been number one nationally for 21 years in succession. The Clinic adopted a new mission dubbed “Patients First,” and under CEO Dr.