"One of the best healthcare systems in the world." President Barack Obama American healthcare is in crisis. It doesn't have to be. The Cleveland Clinic Way is a blueprint for fixing what's wrong with healthcare―and is a must-read for every leader seeking to transform his or her organization. There's a revolution going on right now. On the frontiers of medicine, some doctors have developed an approach for treating people that is more effective, more humane, and more affordable. It's an approach to healthcare that has captured the attention of the media and business elite--and the President of the United States. It's all happening at Cleveland Clinic, one of the most innovative, forward-looking medical institutions in the nation. In this groundbreaking book, the man who leads this global organization, Toby Cosgrove, MD, reveals how the Clinic works so well and argues persuasively for why it should be the model for the nation. He details how Cleveland Clinic focuses on the eight key trends that are shaping the future of medicine. Readers will learn: At its core is Cleveland Clinic's emphasis on patient care and patient experience. A refreshingly positive and practical vision of healthcare, The Cleveland Clinic Way is essential reading for healthcare and business executives, medical professionals, industry analysts, and policymakers. It gives leaders lessons they can apply to their own organizations to achieve results and empowers average Americans to make more informed healthcare decisions. PRAISE FOR THE CLEVELAND CLINIC WAY "A brilliant doctor and leader lays out practical and thought-provoking prescriptions for America's healthcare future. A must-read." -- Jack Welch, former Chairman and CEO of General Electric Company " The Cleveland Clinic Way is what the healthcare system in this country needs: honesty about the challenges, optimism about our ability to address them, and a focus on solutions. A must-read for healthcare leaders, it's written in clear, inclusive language that makes it just as valuable for the rest of us." -- John Chambers, Chairman and CEO of Cisco "A pioneer in American healthcare, Toby Cosgrove shows just how the diligence and innovative thinking behind Cleveland Clinic has helped solve fundamental problems most other places barely touch. There are lessons here for everyone--patient, physician, and policymaker alike." -- Atul Gawande, MD, professor at Harvard Medical School and bestselling author of The Checklist Manifesto "Toby Cosgrove frames the eight important trends that will transform the U.S. healthcare system. The Cleveland Clinic Way is a good road map for those who want to make the U.S. healthcare system better." -- Jeffrey Immelt, Chairman and CEO of General Electric Company
I feel as though, while this book does touch on some interesting issues surrounding the MIC and solutions to fix some of the issues within it such as the promotion of group care and bundled payments as opposed to FFS, it sometimes came across as an advertising campaign for Cleveland Clinic, spearheaded by Cosgrove. I think that Cosgrove did, however, provide useful information regarding medicare and medicaid reimbursements to providers and a lot of issues on the public health crisis in America. Lastly, tying in to the previous criticism, the book tended to repeat itself - mainly on the topic of self-promotion. However, I think the book overall was still worth the read.
Very good summary of, well, the Cleveland Clinic Way for delivering improved care and better service for patients (and staff). Good descriptions of programs and practices. The only down side is that it, at times, was an infomercial for Cleveland Clinic, but with a title like this, that shoudl be expected.
Good introductory read to value based and evidenced based healthcare. Each chapter had at least one patient story, which made the read more enjoyable. Would be more credible if it was written by someone that wasn’t the ceo of CC.
I was super on board with everything in here until they got to the moralistic policy of charging people more for healthcare if they have preventable conditions. Calm down, friend-os.
Cosgrove's advocacy for the way the Cleveland Clinic runs healthcare is compelling. It is an argument that size matters because the critical mass permits specialization which permits improved quality. Size matters because it permits the right resource allocations to drive cost out. Size matters because it provides connectivity in both physical and virtual ways to ensure that large populations have access to the right care at the right time. Size matters because it permits enough big data to drive optimal healthcare pathways for most patients and discovers new pathways for patients who are not well-served.
It is a compelling model that describes how to research, develop, and deliver high quality healthcare. It is not a discussion of healthcare reform as commonly understood. (The common understanding is really about insurance reform.)
I don't understand his argument that the large group-practice model led by physicians is the only workable model. He infers -- at one point outrightly states -- that people with other disciplines could not run healthcare without the medical education. To be sure, engineers cannot sign-up on Saturday and be doctors, but to rule out the skills of anyone who cannot prescribe morphine seems too arbitrary for me.
The rest of the book is a very encouraging look at healthcare as it can be. Those whose reflexes are anti-corporate, anti-big, anti-standardization, will hate the model. But I think I'd like to be treated in a place that thinks like Toby Cosgrove thinks.
My opinion: As healthcare changes continue at lightening speed, Dr. Cosgrove presents a concisely formatted book for what has made The Cleveland Clinic a healthcare best practice. These changes range from physician alignment to partnerships within the continuum of care, as a manner to preventive medicine. Effective measures in supply chain management are discussed to curb out of control costs, which impact hospitals and are frequently brought into the media.
In my humble opinion, the majority, if not all, of America's health systems are on the path to Cleveland Clinic's business model; however, Dr. Cosgrove lays out what has made their model work for them with the ability to do "best practice" applications for one's own system.
As someone who has worked in the area of physician relations for well over a decade, I must admit that I found the section on the "group practice model" to be most fascinating to me, particularly as we see the trend for alignment in full force. Furthermore, Dr. Cosgrove discusses the need for medical leadership boards. Again, something common in the majority of health systems, but he discusses how have Cleveland Clinic's physicians have assisted in curbing costs in regards to preventative medicine to curbing medical equipment costs.
Today's US healthcare system is in the process of being deconstructed and reconstructed. A large healthcare system, The Cleveland Clinic, has made great progress in optimizing the health care of its patients by encouraging innovation on the part of its staff, helping the staff to be healthier, and standardizing care paths for many conditions as much as possible, using evidence-based sources as well as drawing on its large pool of expert clinicians.
I am a medical librarian with over 25 years experience, including hospital employment. What I have read in this book rings very true in identifying areas where care can be radically improved by redesigning care processes and organizational thinking about what's best for patients and staff. Patients can benefit too, from understanding how a topnotch healthcare system does things, so as to be able to recognize when they are getting excellent care and when they are not, and to be able to speak knowledgeably about it with their caregivers.
This book was exactly what I needed to read in my profession. I work in Healthcare Quality and the Cleveland Clinic is always cited as the paragon of best in class treatment and innovative medicine. It was very interesting to hear about the way that they operate, the new treatments and initiatives that they are working on, and how they integrate with other centers.
It was frustrating as well to read knowing how much we would like to do and how the infrastructure at most organizations will not support the same innovation and outcomes. I enjoyed reading about their focus on Patient Experience including same day appointments. If i lived in Cleveland, I would definitely go there.
We will be discussing this book more at work for a long time to come.
No one would question the success and leadership of the Cleveland Clinic in American Healthcare. There is much for other healthcare organizations to learn from them. They jumped on board the Presidents healthcare plan and started changing their system with measurable outcomes to show for it. I feel a little petty when I point out considerable arrogance on the part of Toby Cosgrove, MD, but I admit I will bring some questions to my own healthcare system as a result of reading this book.
First half of the book was just self-serving PR drivel ("Look at how good we are", "Our business model is far superior"). We know Cleveland Clinic is world-class, without having to be reminded every few pages. But then the second half (starting with Ch. 5) was pretty good! Much more nuts-and-bolts of how Cleveland Clinic puts the pieces together and pushes the envelope.
I was expecting something different. I felt like this was a book about how wonderful they think they are, more than anything else. I didn't really learn anything new.