This is an archive of past discussions. Do not edit the contents of this page. If you wish to start a new discussion or revive an old one, please do so on the current talk page. |
Archive 1 | Archive 2 |
I added a few resprected doctors that I am aware of. However, I'm sure there are more at a hospital as large as the Clinic. If anyone knows of more, feel free to add. 69.40.240.140 23:52, 8 January 2007 (UTC)
Can anyone confirm that the Cleveland Clinic's Emergency Department is a Level-II trauma center, as it says in the article? As far as I know, the ER at the Main Campus is not accredited as a trauma center. The only trauma centers in the Clinic system are Huron Hospital, Hillcrest Hospital and Fairview Hospital.
This article may need a bit of a cleanup. It has figures without citation ($2.7 billion endowment...where did this number come from?) and broken links among the references, including my favorite reference #5: "Story Not Found". No kidding.
Does this deserve the cleanup tag, or can someone who is familiar with the Clinic address some of the issues with the article?
User:Saerko —Preceding undated comment was added at 15:01, 8 January 2009 (UTC).
It is notable that three top-level heart researchers have recently been let go from this well-respected research institution. The article currently reads as a puff piece without any depth of information. I tried very hard to make the addition from a neutral point of view but would welcome suggestions on holding the article to the highest standard of neutrality. Chicagolive ( talk) 15:35, 6 August 2009 (UTC)
We need to clarify what is meant by affiliation. Case Western's teaching hospital is Case Western University Hospital, the Cleveland Clinic's largest local competitor. The connection between the university and the Cleveland Clinic is that medical students can rotate at the hospital. 2,3-DPG ( talk) 21:14, 13 February 2010 (UTC)
I think all cleveland sports players go to the Cleveland Clinic. LeBron, to me, would only be notable if he came back to the Clinic now that he's no longer playing in cleveland. Dizzizz ( talk) 04:00, 28 October 2010 (UTC)
I think the article should be expanded in order to allow more of the historical actions of the Cleveland Clinic, which could include pictures like this 1. Anyone agree with me?
IBHMC 01:43, 8 December 2006 (UTC)
This section ends by claiming that Cleveland Clinic "is currently the second-largest medical group practice in the world, after the Mayo Clinic." The Wikipedia article titled "Group medical practice in the United States" actually lists it as larger than Mayo Clinic, but also lists two even larger group practices in the United States, let alone what might exist in the rest of the world.
So apart from the fact that "currently" is not historical information, the statement seems to be of very questionable veracity. (It is quite possible that at one time in the past it may have been the second largest in the world.)
RayTrimble ( talk) 09:18, 1 March 2010 (UTC)
I can't find a good, public/free, online, secondary source which provides the Cleveland Clinic's size rank relative to other similar organizations. I did find this from 2009 which doesn't even put Cleveland in the top 20: http://www.darkdaily.com/large-medical-groups-are-best-positioned-to-provide-integrated-care-113#axzz28Gf2Kqx5
The Grumpy Hacker ( talk) 20:40, 3 October 2012 (UTC)
Is there a reason why the citations for this section don't work? 2,3-DPG 21:09, 1 June 2007 (UTC)
This seems to have been renamed notable patients, and goes on to list The Prince Charles of Wales. Yet searching only reveals evidence of a 1970s visit to the hospital - i can't see anything about him attending as a patient. The citation does not suggest he received treatment, only that he visited. I haven't checked the others, but it's possible that more than one of these was a visitor, not a patient. — Preceding unsigned comment added by 75.75.4.251 ( talk) 03:07, 2 July 2014 (UTC)
I will need to keep rolling back the edits that blank so much comment unless the anonymous user is better able to explain its deletion. Without an edit summary that makes sense, it appears to resemble vandalism.
Cleveland Clinic “Reputation” needs some “clarification to provide readers accurate and unbiased information.
The documents in link below are the cover letters attached to each CMS Survey Form 2567 describing the survey findings shown in the Modern Healthcare article. These cover letters are the ONLY documents of CMS issuing to the Cleveland Clinic notice of termination date of Medicare/Medicaid reimbursement.
Patient 32 (
talk)
14:21, 4 June 2015 (UTC)
{{
cite web}}
: More than one of |work=
and |website=
specified (
help)
Reference to termination notice to the Cleveland Clinic is made in several articles:
1. The violations were all reported to Cosgrove. According to the report he was cited for systemic management failure after not informing patients that a robot would be used in procedures. http://www.washingtonpost.com/blogs/post-politics/wp/2014/06/07/ceo-of-cleveland-clinic-withdraws-name-from-consideration-as-va-secretary/
2. Last year, the Cleveland Clinic was cited for 23 health and safety issues. Plus, it received two letters warning that reimbursements for Medicare patients would be stopped if corrective action wasn't taken within days. http://www.ideastream.org/news/cleveland-clinic-cited-federal-safety-violations
3. A three-month Modern Healthcare analysis of hundreds of pages of federal inspection reports reveals the 1,268-bed hospital spent 19 months on “termination track” with Medicare between 2010 and 2013 as a result of more than a dozen inspections and follow-up visits triggered by patient complaints. http://www.modernhealthcare.com/article/20140607/MAGAZINE/306079939/cleveland-clinic-cases-highlight-safety-oversight-flaws
4. The chief quality officer of the Cleveland Clinic Health System says he was startled the first time he read a formal threat from Medicare saying the government might cut off the funding for the system's flagship hospital for management failures that limited the hospital's capacity to render safe and adequate care. “The first time I got one of those, I said, 'Oh my God, what's all this about?'” Dr. Michael Henderson, the system's top quality executive, said in an interview with northeast Ohio's National Public Radio affiliate, WCPN. Over time, though, Henderson came to learn that such language in Medicare's termination warnings is just a part of "the standard forms" following hospital inspections with adverse findings. The Cleveland Clinic declined to make Henderson or any other executive available for interviews for Modern Healthcare's June 9 cover story, "Cleveland Clinic cases highlight flaws in safety oversight." The story reported that Medicare's only recourse for failing hospitals is to cut them out of the program, which officials are loath to do. The result, experts say, is that some hospitals end up cited repeatedly for the same types of violations, even after claiming to have resolved the problems. Medicare threatened the Cleveland Clinic with termination at least four times between 2010 and 2013, CMS documents say. http://www.modernhealthcare.com/article/20140613/BLOG/306139998/medicare-termination-really
Each one of the articles above refers to the CMS notification letters sent to the Cleveland Clinic found in this shared link. Patient 32 ( talk) 15:36, 16 June 2015 (UTC)
The Rankings section was taken out, both the U.S. News and the Leapfrog and CMS, for promoting apples and oranges comparisons. Johns Hopkins' Wikipedia page does not include its U.S. News rankings. HealthMonitor (==Affiliation with Cleveland Clinic== August 28, 2015)
A new paragraph has been inserted to provide a more substantial introduction to the organization. I work for Cleveland Clinic and am voluntarily fixing up this page to make it as useful as possible to Wikipedia users. There will be more to come. I am a Wikipedia editorial neophyte and look forward to the help of other editors and the those who have already given this page such thoughtful consideration. HealthMonitor (==Affiliation with Cleveland Clinic== August 25, 2015)
Bluerasberry: Thanks for the advice. There is in fact a lot of material from the book that is unflattering enough to establish its credibility. There is still a lot to add to this article. Thanks again. — Preceding unsigned comment added by HealthMonitor ( talk • contribs) 21:28, 29 August 2015 (UTC)
An employee of the organization just added some beautiful facility images with uncertain copyright status. I am discussing this on that person's userpage at User_talk:HealthMonitor#About_those_images. Blue Rasberry (talk) 15:37, 16 September 2015 (UTC)
Elvey: May I ask, why the reversion? — Preceding unsigned comment added by HealthMonitor ( talk • contribs) 01:36, 13 October 2015 (UTC)
Elvey: Please point out where the content was not factual or poorly sourced, and I will be happy to correct or remove those sentences. — Preceding unsigned comment added by HealthMonitor ( talk • contribs) 23:13, 13 October 2015 (UTC)
Would anyone object to the restoration of the article as it stood on (I believe) October 13, 2015? That was a version that was shorn of any references that sourced books, magazines, or websites controlled by the subject of the article, in response to editor Elvey's comments. HealthMonitor —Preceding undated comment added 14:17, 15 October 2015 (UTC)
This edit request by an editor with a conflict of interest has now been answered. |
Propose to add this content from HealthMonitor Blue Rasberry (talk) 00:08, 19 October 2015 (UTC)
This edit request by an editor with a conflict of interest has now been answered. |
Let's start with this. Thoughts, anyone?
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== History == Early Beginnings Cleveland Clinic grew out of the surgical practice of Frank J. Weed, MD, at 16 Church Street on the near west side of Cleveland. [1] Dr. Weed died in 1891. [2] The practice was purchased by his two assistants, Frank E. Bunts, MD, and George Washington Crile, MD. In 1892, they brought Dr. Crile’s cousin, William E. Lower, MD, into the practice. [3] In 1897, they moved their practice to the Osborn Building on Prospect Avenue in downtown Cleveland. [1] [4] Crile, Lower and Bunts all became professors at Cleveland medical schools, and each would be elected president of the Academy of Medicine. [5]Dr. Crile organized the American military hospital in Paris in 1915, and later led the United States Army Base Hospital No. 4, in Rouen, France. It was the first contingent of the United States Army to see active duty in Europe during the First World War. [6] [7] Dr. Bunts and Dr. Lower also served in the Rouen hospital. Dr. Lower later wrote of his admiration for the "teamwork and efficient organization" of military medicine. [8] In his autobiography, Dr. Crile reports that while in France, the three doctors discussed starting a new medical center in Cleveland upon their return. [7] [9] First years of operation. A four-story outpatient building was constructed on the purchased land. Cleveland Clinic was dedicated at a private ceremony on February 26, 1921. [10] William Benson Mayo, MD, of the Mayo Clinic, delivered the main address. [9] [11] On February 28, 1921, Cleveland Clinic opened its doors to the public and registered 42 patients. [5] In April 1921, Cleveland Clinic had 60 employees, including 14 physicians, four nurses, a telephone operator, six cleaners, 22 clerical workers, an art department, and an unknown number of laboratory technicians. In 1922, the founders purchased four private homes nearby for hospitalization, radiation treatment, and administration. [12] A fifth house was acquired as a residence for patients with diabetes receiving insulin treatments. [12] [13] To meet rising patient volume, a 184-bed hospital was built in 1924, located at East 90th Street and Carnegie Avenue. [14] A power plant, laundry, and ice plant were also built. [12] [15] A research laboratory was constructed in 1928. [12] [16] Disaster and Recovery On May 15, 1929, nitrocellulose x-ray films stored in the basement of the outpatient building ignited. [17] [18] [19] An explosion sent a cloud of toxic oxides of nitrogen and carbon though the building. One hundred and twenty-three people lost their lives, including founder Dr. Phillips. A dozen investigating agencies were not able to determine a single cause for the Cleveland Clinic fire of 1929. [18] Cleveland Clinic’s own inquiry narrowed the possible causes down to three: spontaneous combustion caused by heat; a discarded cigarette or match; contact with an extension cord light hung over a stack of films. [18] Philanthropist Samuel Mather formed a committee of 36 community leaders to help Cleveland Clinic reestablish itself in temporary quarters across the street. [18] [20] [21] Patient care services resumed five days later. [20] The 1921 building was completely renovated, and a new three story clinic building, with a new main entrance, was added in 1931. [18] All debts were repaid by 1941. [22] The years 1941-1989 Dr. Crile and Dr. Lower relinquished their administrative duties in 1941. [15] In 1942, Cleveland Clinic’s Naval Reserve Unit, which included George Crile, Jr., MD, son of one of the founders, established a mobile hospital in New Zealand to treat wounded from the Guadalcanal Campaign. [23] Growth of Specialization Leadership In 1954, Cleveland Clinic formally adopted governance by a physician-led Board of Governors. The nine physician governors are elected by the physician staff. They work with the CEO and lay administrators to formulate and carry out policy, overseen by a board of directors and board of trustees [25] [22] This is a list of the chairman of the Board of Governors, and their terms of office:
Organization Up until 2007, Cleveland Clinic's the largest organizational unit was the division, with the hierarchy being: division > department > section. There was a Division of Medicine, Division of Surgery, Division of Anesthesiology, etc. [27] Within each division were departments (Department of Infectious Disease, Department of Cell Biology, etc.). [27] Within each department were sections, (Section of Headache and Facial Pain, Section of Metastatic Disease, etc.). Divisions and departments were led by chairs, and section were led by heads. [27] In 2007, Cleveland Clinic reorganized patient care services around disease and organ-system-based institutes. [27] [28] [29] Growing Facilities Cleveland Clinic built new operating rooms in the early 1970s to accommodate the growth of cardiac surgery. [15] The Martha Holding Jennings Education Building opened in 1964, with an auditorium named for Dr. Bunts. A new hospital building (currently home to Cleveland Clinic Children’s) was opened in 1966, and a new research building went up in 1974 (demolished in 2007). [15] A pathology and laboratory medicine building was constructed on Carnegie Avenue in 1980. [27] Dr. Kiser 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 including a 14-story outpatient building (now known as the Crile Building), designed by architect Cesar Pelli, [30].
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Blue Rasberry (talk) 10:28, 19 October 2015 (UTC)
I requested comment at Wikipedia_talk:WikiProject_Hospitals#development_of_Cleveland_Clinic. Blue Rasberry (talk) 23:59, 20 October 2015 (UTC)
Done I added the history section.
The following paragraph in this article could be made more factual and up to date: "The Clinic has since then expanded overseas, with the phased opening in 2015 of Cleveland Clinic Abu Dhabi, constructed at the cost of approximately 1.5 billion USD. After completion, the Cleveland Clinic Abu Dhabi will become one of the largest medical centers in the Middle East. October 2015, The Cleveland Clinic will lease a building in London, United Kingdom creating Cleveland Clinic Europe."
Here are the reasons I think this paragraph should be changed: According to the source cited below, Cleveland Clinic Abu Dhabi is now fully open and operational. Cleveland Clinic Abu Dhabi and Shaikh Khalifa Medical City have their own substantial Wikipedia articles that cover their cost, services and ownership in detail. No reference to a "Cleveland Clinic Europe" can be found on the internet or Nexis.
May I suggest that an editor to replace the paragraph cited above with the paragraph below (or something like it):
I cannot do this myself because of a perceived conflict of interest.
Thank you HealthMonitor ( talk) 19:40, 29 October 2015 (UTC)
I hope someone (Elvey?) can remove the reference to "Cleveland Clinic Europe" in the article. There is no such thing as "Cleveland Clinic Europe". As the referenced paragraph above states, the Cleveland Clinic has "signed a long-term lease for a six-story office building at 33 Grosvenor Place in London, England." That is all. The reference is cited above. Thanks HealthMonitor ( talk) 14:19, 4 November 2015 (UTC)
Nine days ago, I proposed that some editor replace this paragraph:
"It's expanding overseas with Cleveland Clinic Abu Dhabi (2015) built for 1.5 billion USD and Cleveland Clinic Europe (2016) in London. [4]"
with this:
"Cleveland Clinic has expanded overseas. Since 2007, Cleveland Clinic has managed Shaikh Khalifa Medical City (SKMC), in Abu Dhabi, for SEHA, the Abu Dhabi Health Services Company. [1] Cleveland Clinic Abu Dhabi, a specialty hospital and clinic, opened in 2015. [2] [3] In October, 2015, Cleveland Clinic signed a long-term lease for a six-story office building at 33 Grosvenor Place in London, England. [4]"
Here's the reason I believe this change would be appropriate: Cleveland Clinic Abu Dhabi is now open and up and running. The action has been completed, and the hospital has been opened. The verb tense should reflect that. Also, there is an inaccuracy in the current paragraph. It mentions something called "Cleveland Clinic Europe", but the article it cites does not mention anything called "Cleveland Clinic Europe", and there is in fact no source that I can find anywhere cited the existence of a "Cleveland Clinic Europe". This new paragraph would correct that mistake. I hope some editor can help and make this change. Thank you. HealthMonitor ( talk) 15:11, 6 November 2015 (UTC)
Thanks, Blue Raspberry. Once ten days has elapsed, I'll execute the action and see how it goes over with everybody. HealthMonitor ( talk) 16:25, 6 November 2015 (UTC)
These are not the most recent U.S. News & World Report rankings. May I request that some editor update them? Thank you. HealthMonitor ( talk) 18:34, 20 November 2015 (UTC)
Specialty | National ranking |
---|---|
Cancer | 13 |
Cardiology and CT surgery | 1 |
Diabetes and endocrinology | 2 |
Ear, nose and throat | 6 |
Gastroenterology and GI surgery | 2 |
Geriatrics | 9 |
Gynecology | 3 |
Nephrology | 2 |
Neurology and neurosurgery | 6 |
Ophthalmology | 7 |
Orthopedics | 3 |
Pulmonology | 3 |
Rheumatology | 2 |
Urology | 1 |
Thanks SarahSV. Here are the new rankings, taken from the U.S. News website:
Specialty | National ranking |
---|---|
Cancer | 12 |
Cardiology and CT surgery | 1 |
Diabetes and endocrinology | 3 |
Ear, nose and throat | 7 |
Gastroenterology and GI surgery | 2 |
Geriatrics | 10 |
Gynecology | 3 |
Nephrology | 2 |
Neurology and neurosurgery | 8 |
Ophthalmology | 6 |
Orthopedics | 3 |
Pulmonology | 3 |
Rheumatology | 2 |
Urology | 2 |
These updated data can replace the current table. HealthMonitor ( talk) 20:27, 9 December 2015 (UTC)
I look forward to your proposal, Blue Raspberry. HealthMonitor ( talk) 20:57, 9 December 2015 (UTC)
While waiting for Blue Raspberry's recommendations, I restored some public domain pictures of Cleveland Clinic from Wikimedia Commons, and replaced the incumbent image (pale, beige and uncharacteristic). I also added mention of the acquisition of the Akron General Health System. HealthMonitor ( talk) 23:31, 31 December 2015 (UTC)
May I propose that the current section headed Reputation in the Cleveland Clinic article be replaced with a section headed Quality and Safety. This could report current CMS, Joint Commission, Leapfrog, UniversityHospitals Consortium data relating to quality and safety. This would be more current and objective than copy that is now under the Reputation heading, some of which is out of date. So for instance:
Quality & Safety
As of 2015, Cleveland Clinic meets or exceeds CMS benchmarks in four of six hospital acquired infection measures and has active projects underway improving performance across all measures. [1] Cleveland Clinic’s Leapfrog Group Hospital Safety score was C in 2015. [2] The Joint Commission currently accredits Cleveland Clinic hospital with its Gold Seal of Approval. Cleveland Clinic participates in Joint Commission improvement initiatives for reducing clostridium difficile infections, surgical site infections and venous thromboembolism prevention. [3] [4] [5]In 2014, the University HealthSystem Consortium gave Cleveland Clinic its Quality and Accountability study Leadership Award. [6] Past safety issues at Cleveland Clinic were analyzed in a 2014 article in Modern Healthcare. [7] [8] In 2012 Consumer Reports gave Cleveland Clinic and some other large academic medical centers low scores for hospital acquired infections. [9] What do people think of this? HealthMonitor ( talk) 20:17, 13 January 2016 (UTC)
I'm planning to update the U.S. News rankings for this page. They are out of date. The accuracy of this update can be easily checked by going to the U.S. News website. I am merely updating the data that is already there. It is not an attempt to promote and aggrandize the subject of this article. If one feels that this is inappropriate, please indicate what information in this update may be incorrect or unsourced, so that I or someone else may be able to post the correct information. If this information is correct, does not promote or aggrandize the subject of the article, and is soundly sourced, I hope it will be allowed to remain on the page. — Preceding unsigned comment added by HealthMonitor ( talk • contribs) 14:52, 16 February 2016 (UTC)
Quality and Safety[edit] May I propose that the current section headed Reputation in the Cleveland Clinic article be replaced with a section headed Quality and Safety. This could report current CMS, Joint Commission, Leapfrog, UniversityHospitals Consortium data relating to quality and safety. This would be more current and objective than copy that is now under the Reputation heading, some of which is out of date. (The current quality and safety data could be kept as a note. ) So for instance:
Quality & Safety
As of 2015, Cleveland Clinic meets or exceeds CMS benchmarks in four of six hospital acquired infection measures and has active projects underway improving performance across all measures. [1] Cleveland Clinic’s Leapfrog Group Hospital Safety score was C in 2015.[2] The Joint Commission currently accredits Cleveland Clinic hospital with its Gold Seal of Approval. Cleveland Clinic participates in Joint Commission improvement initiatives for reducing clostridium difficile infections, surgical site infections and venous thromboembolism prevention.[3][4][5]In 2014, the University HealthSystem Consortium gave Cleveland Clinic its Quality and Accountability study Leadership Award.[6] Past safety issues at Cleveland Clinic were analyzed in a 2014 article in Modern Healthcare.[7][8] In 2012 Consumer Reports gave Cleveland Clinic and some other large academic medical centers low scores for hospital acquired infections.[9]
What do people think of this?
Jump up ^ http://www.medicare.gov/hospitalcompare/profile.html#profTab=0&ID=360180&cmprID=360180&dist=25&loc=CLEVELAND%2C%20OH&lat=41.4994954&lng=-81.6954088&cmprDist=5.0&Distn=5.0 Jump up ^ http://www.hospitalsafetyscore.org/about-us/newsroom/display/50703 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=11 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=4 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=13 Jump up ^ https://www.uhc.edu/membership/quality-accountability-study Jump up ^ Carlson J. Cleveland Clinic cases highlight flaws in safety oversight. Modern Healthcare. June 7, 2014. Jump up ^ Carlson J. Selected Cleveland Clinic hospital inspection reports. Modern Healthcare. June 7, 2014. Jump up ^ http://www.cleveland.com/healthfit/index.ssf/2012/07/northeast_ohio_hospital_get_lo.html
References
- HealthMonitor (talk) 20:17, 13 January 2016 (UTC)
This is an archive of past discussions. Do not edit the contents of this page. If you wish to start a new discussion or revive an old one, please do so on the current talk page. |
Archive 1 | Archive 2 |
I added a few resprected doctors that I am aware of. However, I'm sure there are more at a hospital as large as the Clinic. If anyone knows of more, feel free to add. 69.40.240.140 23:52, 8 January 2007 (UTC)
Can anyone confirm that the Cleveland Clinic's Emergency Department is a Level-II trauma center, as it says in the article? As far as I know, the ER at the Main Campus is not accredited as a trauma center. The only trauma centers in the Clinic system are Huron Hospital, Hillcrest Hospital and Fairview Hospital.
This article may need a bit of a cleanup. It has figures without citation ($2.7 billion endowment...where did this number come from?) and broken links among the references, including my favorite reference #5: "Story Not Found". No kidding.
Does this deserve the cleanup tag, or can someone who is familiar with the Clinic address some of the issues with the article?
User:Saerko —Preceding undated comment was added at 15:01, 8 January 2009 (UTC).
It is notable that three top-level heart researchers have recently been let go from this well-respected research institution. The article currently reads as a puff piece without any depth of information. I tried very hard to make the addition from a neutral point of view but would welcome suggestions on holding the article to the highest standard of neutrality. Chicagolive ( talk) 15:35, 6 August 2009 (UTC)
We need to clarify what is meant by affiliation. Case Western's teaching hospital is Case Western University Hospital, the Cleveland Clinic's largest local competitor. The connection between the university and the Cleveland Clinic is that medical students can rotate at the hospital. 2,3-DPG ( talk) 21:14, 13 February 2010 (UTC)
I think all cleveland sports players go to the Cleveland Clinic. LeBron, to me, would only be notable if he came back to the Clinic now that he's no longer playing in cleveland. Dizzizz ( talk) 04:00, 28 October 2010 (UTC)
I think the article should be expanded in order to allow more of the historical actions of the Cleveland Clinic, which could include pictures like this 1. Anyone agree with me?
IBHMC 01:43, 8 December 2006 (UTC)
This section ends by claiming that Cleveland Clinic "is currently the second-largest medical group practice in the world, after the Mayo Clinic." The Wikipedia article titled "Group medical practice in the United States" actually lists it as larger than Mayo Clinic, but also lists two even larger group practices in the United States, let alone what might exist in the rest of the world.
So apart from the fact that "currently" is not historical information, the statement seems to be of very questionable veracity. (It is quite possible that at one time in the past it may have been the second largest in the world.)
RayTrimble ( talk) 09:18, 1 March 2010 (UTC)
I can't find a good, public/free, online, secondary source which provides the Cleveland Clinic's size rank relative to other similar organizations. I did find this from 2009 which doesn't even put Cleveland in the top 20: http://www.darkdaily.com/large-medical-groups-are-best-positioned-to-provide-integrated-care-113#axzz28Gf2Kqx5
The Grumpy Hacker ( talk) 20:40, 3 October 2012 (UTC)
Is there a reason why the citations for this section don't work? 2,3-DPG 21:09, 1 June 2007 (UTC)
This seems to have been renamed notable patients, and goes on to list The Prince Charles of Wales. Yet searching only reveals evidence of a 1970s visit to the hospital - i can't see anything about him attending as a patient. The citation does not suggest he received treatment, only that he visited. I haven't checked the others, but it's possible that more than one of these was a visitor, not a patient. — Preceding unsigned comment added by 75.75.4.251 ( talk) 03:07, 2 July 2014 (UTC)
I will need to keep rolling back the edits that blank so much comment unless the anonymous user is better able to explain its deletion. Without an edit summary that makes sense, it appears to resemble vandalism.
Cleveland Clinic “Reputation” needs some “clarification to provide readers accurate and unbiased information.
The documents in link below are the cover letters attached to each CMS Survey Form 2567 describing the survey findings shown in the Modern Healthcare article. These cover letters are the ONLY documents of CMS issuing to the Cleveland Clinic notice of termination date of Medicare/Medicaid reimbursement.
Patient 32 (
talk)
14:21, 4 June 2015 (UTC)
{{
cite web}}
: More than one of |work=
and |website=
specified (
help)
Reference to termination notice to the Cleveland Clinic is made in several articles:
1. The violations were all reported to Cosgrove. According to the report he was cited for systemic management failure after not informing patients that a robot would be used in procedures. http://www.washingtonpost.com/blogs/post-politics/wp/2014/06/07/ceo-of-cleveland-clinic-withdraws-name-from-consideration-as-va-secretary/
2. Last year, the Cleveland Clinic was cited for 23 health and safety issues. Plus, it received two letters warning that reimbursements for Medicare patients would be stopped if corrective action wasn't taken within days. http://www.ideastream.org/news/cleveland-clinic-cited-federal-safety-violations
3. A three-month Modern Healthcare analysis of hundreds of pages of federal inspection reports reveals the 1,268-bed hospital spent 19 months on “termination track” with Medicare between 2010 and 2013 as a result of more than a dozen inspections and follow-up visits triggered by patient complaints. http://www.modernhealthcare.com/article/20140607/MAGAZINE/306079939/cleveland-clinic-cases-highlight-safety-oversight-flaws
4. The chief quality officer of the Cleveland Clinic Health System says he was startled the first time he read a formal threat from Medicare saying the government might cut off the funding for the system's flagship hospital for management failures that limited the hospital's capacity to render safe and adequate care. “The first time I got one of those, I said, 'Oh my God, what's all this about?'” Dr. Michael Henderson, the system's top quality executive, said in an interview with northeast Ohio's National Public Radio affiliate, WCPN. Over time, though, Henderson came to learn that such language in Medicare's termination warnings is just a part of "the standard forms" following hospital inspections with adverse findings. The Cleveland Clinic declined to make Henderson or any other executive available for interviews for Modern Healthcare's June 9 cover story, "Cleveland Clinic cases highlight flaws in safety oversight." The story reported that Medicare's only recourse for failing hospitals is to cut them out of the program, which officials are loath to do. The result, experts say, is that some hospitals end up cited repeatedly for the same types of violations, even after claiming to have resolved the problems. Medicare threatened the Cleveland Clinic with termination at least four times between 2010 and 2013, CMS documents say. http://www.modernhealthcare.com/article/20140613/BLOG/306139998/medicare-termination-really
Each one of the articles above refers to the CMS notification letters sent to the Cleveland Clinic found in this shared link. Patient 32 ( talk) 15:36, 16 June 2015 (UTC)
The Rankings section was taken out, both the U.S. News and the Leapfrog and CMS, for promoting apples and oranges comparisons. Johns Hopkins' Wikipedia page does not include its U.S. News rankings. HealthMonitor (==Affiliation with Cleveland Clinic== August 28, 2015)
A new paragraph has been inserted to provide a more substantial introduction to the organization. I work for Cleveland Clinic and am voluntarily fixing up this page to make it as useful as possible to Wikipedia users. There will be more to come. I am a Wikipedia editorial neophyte and look forward to the help of other editors and the those who have already given this page such thoughtful consideration. HealthMonitor (==Affiliation with Cleveland Clinic== August 25, 2015)
Bluerasberry: Thanks for the advice. There is in fact a lot of material from the book that is unflattering enough to establish its credibility. There is still a lot to add to this article. Thanks again. — Preceding unsigned comment added by HealthMonitor ( talk • contribs) 21:28, 29 August 2015 (UTC)
An employee of the organization just added some beautiful facility images with uncertain copyright status. I am discussing this on that person's userpage at User_talk:HealthMonitor#About_those_images. Blue Rasberry (talk) 15:37, 16 September 2015 (UTC)
Elvey: May I ask, why the reversion? — Preceding unsigned comment added by HealthMonitor ( talk • contribs) 01:36, 13 October 2015 (UTC)
Elvey: Please point out where the content was not factual or poorly sourced, and I will be happy to correct or remove those sentences. — Preceding unsigned comment added by HealthMonitor ( talk • contribs) 23:13, 13 October 2015 (UTC)
Would anyone object to the restoration of the article as it stood on (I believe) October 13, 2015? That was a version that was shorn of any references that sourced books, magazines, or websites controlled by the subject of the article, in response to editor Elvey's comments. HealthMonitor —Preceding undated comment added 14:17, 15 October 2015 (UTC)
This edit request by an editor with a conflict of interest has now been answered. |
Propose to add this content from HealthMonitor Blue Rasberry (talk) 00:08, 19 October 2015 (UTC)
This edit request by an editor with a conflict of interest has now been answered. |
Let's start with this. Thoughts, anyone?
Extended content
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== History == Early Beginnings Cleveland Clinic grew out of the surgical practice of Frank J. Weed, MD, at 16 Church Street on the near west side of Cleveland. [1] Dr. Weed died in 1891. [2] The practice was purchased by his two assistants, Frank E. Bunts, MD, and George Washington Crile, MD. In 1892, they brought Dr. Crile’s cousin, William E. Lower, MD, into the practice. [3] In 1897, they moved their practice to the Osborn Building on Prospect Avenue in downtown Cleveland. [1] [4] Crile, Lower and Bunts all became professors at Cleveland medical schools, and each would be elected president of the Academy of Medicine. [5]Dr. Crile organized the American military hospital in Paris in 1915, and later led the United States Army Base Hospital No. 4, in Rouen, France. It was the first contingent of the United States Army to see active duty in Europe during the First World War. [6] [7] Dr. Bunts and Dr. Lower also served in the Rouen hospital. Dr. Lower later wrote of his admiration for the "teamwork and efficient organization" of military medicine. [8] In his autobiography, Dr. Crile reports that while in France, the three doctors discussed starting a new medical center in Cleveland upon their return. [7] [9] First years of operation. A four-story outpatient building was constructed on the purchased land. Cleveland Clinic was dedicated at a private ceremony on February 26, 1921. [10] William Benson Mayo, MD, of the Mayo Clinic, delivered the main address. [9] [11] On February 28, 1921, Cleveland Clinic opened its doors to the public and registered 42 patients. [5] In April 1921, Cleveland Clinic had 60 employees, including 14 physicians, four nurses, a telephone operator, six cleaners, 22 clerical workers, an art department, and an unknown number of laboratory technicians. In 1922, the founders purchased four private homes nearby for hospitalization, radiation treatment, and administration. [12] A fifth house was acquired as a residence for patients with diabetes receiving insulin treatments. [12] [13] To meet rising patient volume, a 184-bed hospital was built in 1924, located at East 90th Street and Carnegie Avenue. [14] A power plant, laundry, and ice plant were also built. [12] [15] A research laboratory was constructed in 1928. [12] [16] Disaster and Recovery On May 15, 1929, nitrocellulose x-ray films stored in the basement of the outpatient building ignited. [17] [18] [19] An explosion sent a cloud of toxic oxides of nitrogen and carbon though the building. One hundred and twenty-three people lost their lives, including founder Dr. Phillips. A dozen investigating agencies were not able to determine a single cause for the Cleveland Clinic fire of 1929. [18] Cleveland Clinic’s own inquiry narrowed the possible causes down to three: spontaneous combustion caused by heat; a discarded cigarette or match; contact with an extension cord light hung over a stack of films. [18] Philanthropist Samuel Mather formed a committee of 36 community leaders to help Cleveland Clinic reestablish itself in temporary quarters across the street. [18] [20] [21] Patient care services resumed five days later. [20] The 1921 building was completely renovated, and a new three story clinic building, with a new main entrance, was added in 1931. [18] All debts were repaid by 1941. [22] The years 1941-1989 Dr. Crile and Dr. Lower relinquished their administrative duties in 1941. [15] In 1942, Cleveland Clinic’s Naval Reserve Unit, which included George Crile, Jr., MD, son of one of the founders, established a mobile hospital in New Zealand to treat wounded from the Guadalcanal Campaign. [23] Growth of Specialization Leadership In 1954, Cleveland Clinic formally adopted governance by a physician-led Board of Governors. The nine physician governors are elected by the physician staff. They work with the CEO and lay administrators to formulate and carry out policy, overseen by a board of directors and board of trustees [25] [22] This is a list of the chairman of the Board of Governors, and their terms of office:
Organization Up until 2007, Cleveland Clinic's the largest organizational unit was the division, with the hierarchy being: division > department > section. There was a Division of Medicine, Division of Surgery, Division of Anesthesiology, etc. [27] Within each division were departments (Department of Infectious Disease, Department of Cell Biology, etc.). [27] Within each department were sections, (Section of Headache and Facial Pain, Section of Metastatic Disease, etc.). Divisions and departments were led by chairs, and section were led by heads. [27] In 2007, Cleveland Clinic reorganized patient care services around disease and organ-system-based institutes. [27] [28] [29] Growing Facilities Cleveland Clinic built new operating rooms in the early 1970s to accommodate the growth of cardiac surgery. [15] The Martha Holding Jennings Education Building opened in 1964, with an auditorium named for Dr. Bunts. A new hospital building (currently home to Cleveland Clinic Children’s) was opened in 1966, and a new research building went up in 1974 (demolished in 2007). [15] A pathology and laboratory medicine building was constructed on Carnegie Avenue in 1980. [27] Dr. Kiser 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 including a 14-story outpatient building (now known as the Crile Building), designed by architect Cesar Pelli, [30].
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Blue Rasberry (talk) 10:28, 19 October 2015 (UTC)
I requested comment at Wikipedia_talk:WikiProject_Hospitals#development_of_Cleveland_Clinic. Blue Rasberry (talk) 23:59, 20 October 2015 (UTC)
Done I added the history section.
The following paragraph in this article could be made more factual and up to date: "The Clinic has since then expanded overseas, with the phased opening in 2015 of Cleveland Clinic Abu Dhabi, constructed at the cost of approximately 1.5 billion USD. After completion, the Cleveland Clinic Abu Dhabi will become one of the largest medical centers in the Middle East. October 2015, The Cleveland Clinic will lease a building in London, United Kingdom creating Cleveland Clinic Europe."
Here are the reasons I think this paragraph should be changed: According to the source cited below, Cleveland Clinic Abu Dhabi is now fully open and operational. Cleveland Clinic Abu Dhabi and Shaikh Khalifa Medical City have their own substantial Wikipedia articles that cover their cost, services and ownership in detail. No reference to a "Cleveland Clinic Europe" can be found on the internet or Nexis.
May I suggest that an editor to replace the paragraph cited above with the paragraph below (or something like it):
I cannot do this myself because of a perceived conflict of interest.
Thank you HealthMonitor ( talk) 19:40, 29 October 2015 (UTC)
I hope someone (Elvey?) can remove the reference to "Cleveland Clinic Europe" in the article. There is no such thing as "Cleveland Clinic Europe". As the referenced paragraph above states, the Cleveland Clinic has "signed a long-term lease for a six-story office building at 33 Grosvenor Place in London, England." That is all. The reference is cited above. Thanks HealthMonitor ( talk) 14:19, 4 November 2015 (UTC)
Nine days ago, I proposed that some editor replace this paragraph:
"It's expanding overseas with Cleveland Clinic Abu Dhabi (2015) built for 1.5 billion USD and Cleveland Clinic Europe (2016) in London. [4]"
with this:
"Cleveland Clinic has expanded overseas. Since 2007, Cleveland Clinic has managed Shaikh Khalifa Medical City (SKMC), in Abu Dhabi, for SEHA, the Abu Dhabi Health Services Company. [1] Cleveland Clinic Abu Dhabi, a specialty hospital and clinic, opened in 2015. [2] [3] In October, 2015, Cleveland Clinic signed a long-term lease for a six-story office building at 33 Grosvenor Place in London, England. [4]"
Here's the reason I believe this change would be appropriate: Cleveland Clinic Abu Dhabi is now open and up and running. The action has been completed, and the hospital has been opened. The verb tense should reflect that. Also, there is an inaccuracy in the current paragraph. It mentions something called "Cleveland Clinic Europe", but the article it cites does not mention anything called "Cleveland Clinic Europe", and there is in fact no source that I can find anywhere cited the existence of a "Cleveland Clinic Europe". This new paragraph would correct that mistake. I hope some editor can help and make this change. Thank you. HealthMonitor ( talk) 15:11, 6 November 2015 (UTC)
Thanks, Blue Raspberry. Once ten days has elapsed, I'll execute the action and see how it goes over with everybody. HealthMonitor ( talk) 16:25, 6 November 2015 (UTC)
These are not the most recent U.S. News & World Report rankings. May I request that some editor update them? Thank you. HealthMonitor ( talk) 18:34, 20 November 2015 (UTC)
Specialty | National ranking |
---|---|
Cancer | 13 |
Cardiology and CT surgery | 1 |
Diabetes and endocrinology | 2 |
Ear, nose and throat | 6 |
Gastroenterology and GI surgery | 2 |
Geriatrics | 9 |
Gynecology | 3 |
Nephrology | 2 |
Neurology and neurosurgery | 6 |
Ophthalmology | 7 |
Orthopedics | 3 |
Pulmonology | 3 |
Rheumatology | 2 |
Urology | 1 |
Thanks SarahSV. Here are the new rankings, taken from the U.S. News website:
Specialty | National ranking |
---|---|
Cancer | 12 |
Cardiology and CT surgery | 1 |
Diabetes and endocrinology | 3 |
Ear, nose and throat | 7 |
Gastroenterology and GI surgery | 2 |
Geriatrics | 10 |
Gynecology | 3 |
Nephrology | 2 |
Neurology and neurosurgery | 8 |
Ophthalmology | 6 |
Orthopedics | 3 |
Pulmonology | 3 |
Rheumatology | 2 |
Urology | 2 |
These updated data can replace the current table. HealthMonitor ( talk) 20:27, 9 December 2015 (UTC)
I look forward to your proposal, Blue Raspberry. HealthMonitor ( talk) 20:57, 9 December 2015 (UTC)
While waiting for Blue Raspberry's recommendations, I restored some public domain pictures of Cleveland Clinic from Wikimedia Commons, and replaced the incumbent image (pale, beige and uncharacteristic). I also added mention of the acquisition of the Akron General Health System. HealthMonitor ( talk) 23:31, 31 December 2015 (UTC)
May I propose that the current section headed Reputation in the Cleveland Clinic article be replaced with a section headed Quality and Safety. This could report current CMS, Joint Commission, Leapfrog, UniversityHospitals Consortium data relating to quality and safety. This would be more current and objective than copy that is now under the Reputation heading, some of which is out of date. So for instance:
Quality & Safety
As of 2015, Cleveland Clinic meets or exceeds CMS benchmarks in four of six hospital acquired infection measures and has active projects underway improving performance across all measures. [1] Cleveland Clinic’s Leapfrog Group Hospital Safety score was C in 2015. [2] The Joint Commission currently accredits Cleveland Clinic hospital with its Gold Seal of Approval. Cleveland Clinic participates in Joint Commission improvement initiatives for reducing clostridium difficile infections, surgical site infections and venous thromboembolism prevention. [3] [4] [5]In 2014, the University HealthSystem Consortium gave Cleveland Clinic its Quality and Accountability study Leadership Award. [6] Past safety issues at Cleveland Clinic were analyzed in a 2014 article in Modern Healthcare. [7] [8] In 2012 Consumer Reports gave Cleveland Clinic and some other large academic medical centers low scores for hospital acquired infections. [9] What do people think of this? HealthMonitor ( talk) 20:17, 13 January 2016 (UTC)
I'm planning to update the U.S. News rankings for this page. They are out of date. The accuracy of this update can be easily checked by going to the U.S. News website. I am merely updating the data that is already there. It is not an attempt to promote and aggrandize the subject of this article. If one feels that this is inappropriate, please indicate what information in this update may be incorrect or unsourced, so that I or someone else may be able to post the correct information. If this information is correct, does not promote or aggrandize the subject of the article, and is soundly sourced, I hope it will be allowed to remain on the page. — Preceding unsigned comment added by HealthMonitor ( talk • contribs) 14:52, 16 February 2016 (UTC)
Quality and Safety[edit] May I propose that the current section headed Reputation in the Cleveland Clinic article be replaced with a section headed Quality and Safety. This could report current CMS, Joint Commission, Leapfrog, UniversityHospitals Consortium data relating to quality and safety. This would be more current and objective than copy that is now under the Reputation heading, some of which is out of date. (The current quality and safety data could be kept as a note. ) So for instance:
Quality & Safety
As of 2015, Cleveland Clinic meets or exceeds CMS benchmarks in four of six hospital acquired infection measures and has active projects underway improving performance across all measures. [1] Cleveland Clinic’s Leapfrog Group Hospital Safety score was C in 2015.[2] The Joint Commission currently accredits Cleveland Clinic hospital with its Gold Seal of Approval. Cleveland Clinic participates in Joint Commission improvement initiatives for reducing clostridium difficile infections, surgical site infections and venous thromboembolism prevention.[3][4][5]In 2014, the University HealthSystem Consortium gave Cleveland Clinic its Quality and Accountability study Leadership Award.[6] Past safety issues at Cleveland Clinic were analyzed in a 2014 article in Modern Healthcare.[7][8] In 2012 Consumer Reports gave Cleveland Clinic and some other large academic medical centers low scores for hospital acquired infections.[9]
What do people think of this?
Jump up ^ http://www.medicare.gov/hospitalcompare/profile.html#profTab=0&ID=360180&cmprID=360180&dist=25&loc=CLEVELAND%2C%20OH&lat=41.4994954&lng=-81.6954088&cmprDist=5.0&Distn=5.0 Jump up ^ http://www.hospitalsafetyscore.org/about-us/newsroom/display/50703 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=11 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=4 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=13 Jump up ^ https://www.uhc.edu/membership/quality-accountability-study Jump up ^ Carlson J. Cleveland Clinic cases highlight flaws in safety oversight. Modern Healthcare. June 7, 2014. Jump up ^ Carlson J. Selected Cleveland Clinic hospital inspection reports. Modern Healthcare. June 7, 2014. Jump up ^ http://www.cleveland.com/healthfit/index.ssf/2012/07/northeast_ohio_hospital_get_lo.html
References
- HealthMonitor (talk) 20:17, 13 January 2016 (UTC)