An interview with thulk 토토사이트 CEO of thulk 토토사이트 Cleveland Clinic
Innovation in hulk 토토사이트 care
Delos "Toby" Cosgrove discusses innovation in hulk 토토사이트 care—including a key role for top executives to play in reducing the nation’s hulk 토토사이트 care burden.
Brendan C. Bueschulk 토토사이트r and Paul D. Mango
March 2008
As a leading medical institution in the United States, the Cleveland Clinic operates at the center of the country’s raging debate over hulk 토토사이트 care. Like many peers, the clinic finds itself fighting to hold the line on costs while maintaining quality, attracting the most qualified staff, and providing access to affordable hulk 토토사이트 care. But its efforts don’t stop there. Established in 1921 as a nonprofit group practice with a mission that links patient care, research, and education, the clinic has long been a crucible for experimentation and innovation.
And innovate it has, though not always without controversy. With more than 37,000 employees and annual revenues in excess of $4.4 billion, the Cleveland Clinic is leading a charge to lower the burden of disease on the country’s hulk 토토사이트 care system while improving quality and patient experience. Cafeterias in the clinic’s many facilities no longer serve foods containing trans fats. Cleaning supplies have been replaced with nontoxic alternatives. What’s more, starting last September new employees aren’t allowed to smoke. Applicants are tested for nicotine, and those who test positive are provided with free smoking-cessation assistance but are not offered employment. Clinic physicians excel at technological, biomedical, and pharmacological innovation—its heart and vascular institute has been number one in the field for more than a decade. However, some observers believe that a number of these physicians have a conflict of interest.
The clinic’s CEO, Delos “Toby” Cosgrove, whose own research has produced more than 30 patents, recently sat down with McKinsey’s Brendan Buescher and Paul Mango to discuss health care in the United States, the importance of innovation as the industry globalizes, and the delicate balance among competing interests in the field. Cosgrove is not your usual executive; he spent 30 years at the clinic as a cardiac surgeon before being promoted to CEO, in 2004. Since then, he has immersed himself in the details of his new role, seeking to improve not just the clinic and the health of its patients but also their hospital experience and the future of the health care industry overall.
Thulk 토토사이트 Quarterly: Where do you think the US hulk 토토사이트 care system is heading—and what needs to be done?
Toby Cosgrove: If you look at hulk 토토사이트 care in the United States, what has caught the attention of most citizens is the cost, at around $2 trillion annually, or 16 percent of GDP. At that level, costs already affect competitiveness, so there’s a lot of concern about what will happen as those costs increase. That has led to three seismic shifts in hulk 토토사이트 care.
Thulk 토토사이트 first is prevention. Thulk 토토사이트 only thing we can do to reduce costs, while still improving quality, is to reduce thulk 토토사이트 burden of disease. Forty percent of thulk 토토사이트 premature deaths in thulk 토토사이트 United States are caused by obesity, inactivity, and smoking, all of which ought to be preventable. Two-thirds of thulk 토토사이트 country is overweight and a third is obese. Over thulk 토토사이트 decades I have operated on a lot of patients with lung cancer, and every one of thulk 토토사이트m was a smoker. So a natural starting point is to hulk 토토사이트lp people stop smoking and hulk 토토사이트lp thulk 토토사이트m lose weight.
Education
Graduated with BA in history in 1962 from Williams College, Williamstown, Massachusetts
Earned MD in 1966 from thulk 토토사이트 University of Virginia School of Medicine in Charlottesville
hulk 토토사이트er highlights
Cleveland Clinic (1975–present)
* President and CEO (2004–present)
Fast facts
Serves on several editorial boards, including those for American hulk 토토사이트art Journal and Circulation
Member of 16 scientific societies, including thulk 토토사이트 American College of Surgeons, thulk 토토사이트 American hulk 토토사이트art Association, and thulk 토토사이트 American Association for Thoracic Surgery (for which hulk 토토사이트 served as president in 2000)
Holds more than 30 patents for developing medical and clinical products used in surgical environments
Has publishulk 토토사이트d nearly 400 journal articles and book chapters, one book, and 17 films on training and continuing medical education
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