Health Care

Assessment : Developing Value in Health Care


The purpose of this assignment is to analyze the case study which is based upon the Transformation and Growth 2015 in context to Cleveland Clinic. This is one of the clinics in Cleveland, Ohio which provide specialized healthcare services to patients.

However, the clinic worked in 50 conditions of the USA and 147 nations (Thomopoulos et al., 2015). This clinic is quite famous because of its quality services. Moreover, the patient care and innovation approach play a significant role in the growth of Cleveland Clinic in regards to add value to the customer.

However, the firm continual involvement in the development of innovation in the medical line is the major area which pushes the firm towards growth. In concern to this clinic, there are different questions solution will be provided in the form of the Cleveland clinic approach for creating high-value health services (Askar, 2014).

Alongside, there are three recommendation will be provided for incorporation in Cleveland Clinic approach followed by mention the factors that could affect the implementation of the given recommendation. Thus, this study addresses the case study questions based on the case study “Cleveland Clinic: Transformation and Growth 2015”.

1. Determine the approaches of Cleveland Clinic for creating high-value health services and analyze the Clinic’s rationale for each aspect of their approach

While concerns about the different approaches related to the Cleveland Clinic that is used by it for developing the high-value health services, it is determined that Cleveland Clinic was introduced as the multi-specialty health care system that is based on Cleveland, Ohio which is renowned especially for the patients care and the medicine-related innovations (Ubel and Asch, 2015).

In this manner, it is determined clearly that the Cleveland Clinic adopts two approaches mainly in which the first one if customer-centric approach and the second one is innovation in the medical sector. As per the customer-centric approach, the clinic serves its patients from all 50 states in 147 countries. In a similar manner, it is also reflected that due to its customer-centric approach, international patients are also visited here.

In order to provide services to its patients, Cleveland Clinic Health System employed around 43,000 employees in which 3,200 staff physicians, 10,965 nurses and 1,710 affiliated community physicians were included as of 2015. With the help of its huge staffs, Cleveland Clinic could be capable to put its patients on the priority that created the high-value health services.

At the same time, because of its customer-centric approach, Cleveland Clinic Health System was capable to generate total operating revenue of $ 6.7 billion in 2014 along with the $ 466 million in operating income. In this manner, clinic kept its patient’s first but it also had the limitation of lack of communication techniques that could prove as the restriction in creating the high-value health services (Barrett et al., 2016).

In a similar manner, there was also a requirement of focus on measurable quality through improving the structure, different procedures, and effective outcomes. These things are essential for including respect for the dignity of the patients, excellences under the housekeeping services as well as facilities.

Additionally, the genuine concern for the emotional wellbeing of the patients and care experiences were also helpful for Cleveland Clinic to develop high-value health services (Artto et al., 2016).

Apart from this, Cleveland Clinic also adopted the innovative approach in its medication procedure through which the ultimate measures of quality were determined as the patient outcomes.

In addition, Dr. Cosgrove the CEO of Cleveland Clinic also asked to all the departments to measures their health outcomes as well as prepares the report outcomes and prints them publicly on the internet so that all the clinical teams can consider them carefully in order to improve the health of its patients (Van Alstyne et al., 2016).

In addition to this, with the help of its innovative services, Cleveland Clinic was capable to recognize the services under the institutes structured around the diseases as well as organ systems in against of around the traditional medical and the surgical departments.

In this similar manner, these innovations had also contained the limitation of a healthcare culture that is by it was quite difficult to deal with the patients who were from the different cultures (de Andrade et al., 2015).

2. Recommendation of three specific initiatives associated with Cleveland Clinic’s approach for creating high-value health services which are relevant for implementing the Leading Better Value Care Program in NSW

After analyzing all the important approaches of Cleveland Clinic above in relation of creating the high value health services under the healthcare, there are several tools and techniques or some initiatives that are associated with the Cleveland Clinic’s approaches for developing high value health services that can be adopted by it under the health care center (Elshaug et al., 2017).

As per these initiatives, Cleveland Clinic can be capable to create high-value health services that are associated with implementing the Leading Better Value Care Program in NSW. In concern of these initiatives, these are defined below:

  1. Gene Editing Technologies will Advance

It is considered as the diagnostic platform that is adopted under the healthcare centers in respect of making to the change the face of disease detection and bio-sensing and at the same time, the Gene Editing Technologies is also beneficial for diagnostics in 2019 and beyond 2019.

Apart from this, with the help of this initiative, Cleveland Clinic can gain several of benefits from it as Gene Editing Technology can be proved equally feasible in different fields too such as agriculture, forensics, and bio-manufacturing, etc (Tsai et al., 2015). By applying this initiative, Cleveland Clinic can create high-value health services to its patients as it is helpful to detect the diseases of the patients.

  1. Digital Challenges will Manage Healthcare

In respect of cloud technology, it is found that cloud technology is part of everyone’s life. In this way, with the help of cloud technology initiatives, Cleveland Clinic will be capable to get the cloud storage by clicking the single button.

Although, it is a quite challenging system in concern of healthcare system for transforming it as it owns the huge number of the legacy system, inconsistent data monitoring legislation and the highly sensitive data, etc (Rollins et al., 2016). Similarly, with this digital system, there is the increasing pressure on the healthcare providers for decreasing the costs and at the same time, to improve the patient care too.

After that, it is quite beneficial for Cleveland Clinic to adopt this initiative that is related to its approaches.

  1. Precision Medicine

This initiative is also helpful as this approach of patient care has deeper success under the oncology through concerning a patient’s protein interaction as well as genetic makeup in respect of better treatment prescription. By this initiative, Cleveland Clinic can produce the medicine as per the patient’s requirements (Barrett et al., 2016).

3. Discuss the factors that could potentially impede the implementation of recommended actions/changes

In respect to the implementation of given recommendation such as Gene Editing Technologies, Digital Challenges Manage Healthcare and Precision Medicine, etc, there is a various factor that hinders the execution (McCann and Pearlman, 2015).

However, the availability of technical and skilled staff is one of the factors that give rise to the issue of less successful implementation of innovation. Similarly, the gene editing technology demand for the skilled staff to manage this technology, so the unavailability of skilled staff give rise to the problem of improper management of Gene editing technologies.

Moreover, the implementation of cloud technology tend to offer varied challenges in the form of proper management of different cloud of clinic so that they can store and retrieve large data, However, the increasing rate of fraud and misleading activities also challenge the successful implementation of cloud technology as unauthorized access from the hackers can rampant the clinic effectiveness (Jameson and Longo, 2015).

Thus, false actions are the major area that gives rise to the limitation of the execution of cloud computing technology.

Furthermore, the challenges of cloud computing do not stick with the security concern but the cloud technology also raises the concern for the future scenario equally (Agusti et al., 2016). It includes access to healthcare confidential information, medication adherence, Drug theft & counterfeit problem and personal data privacy problem and uniform medical records, etc.

There is recommendation offered in context to adopt the precision medicine approach and this is one of the approaches in which focus is on patient protein interaction and genetic makeup for a better treatment prescription. However, this is personalization medical treatments which provide customized services to individual (Matsu-ura et al., 2015).

In regards to the implementation of this approach, the demographics and patient characteristics factor may affect a a change in age and health status of the population can make significant differences in healthcare spending. Likewise, the aging boom population has a major driver of spending growth so this approach may affect the demographic situation of patients.

In addition to this study, health insurance coverage is another factor that could affect the implementation of quality healthcare. It includes that insurances coverage helps the patients to reduce the burden of high healthcare cost.

However, the recent trend of employers and insurers placing more fiscal responsibility on patients shoulders in the form of high coinsurance, deductibles and copayments, etc, which contributed to slower growth rates recently.

Moreover, the low economic growth tends to also affect the healthcare sector as economy welfare indicates the purchasing power of people. So an individual with high capacity can spend more on the healthcare services.

This is because the healthcare services are quite expensive which demand for the insurances coverage or high income. The improper income of individual affect the healthcare services in an adverse manner. Therefore, these are the factors that affect the implementation of innovation in the healthcare sector.


From the above discussion, it is concluded that patient care and innovation are major approaches of Cleveland Clinic in regards to adding value in the healthcare services. However, these approaches contribute quality into the patient services and push the satisfaction level of patients.

Moreover, there is various recommendation are offered to Cleveland Clinic in regards to bring the best healthcare services and it can be done through Gene Editing Technologies, Digital Challenges Manage Healthcare and Precision Medicine, etc.

Other than that, there are various factors that affect the implementation of these recommendations such as the high cost of healthcare services alongside the less availability of skilled staff. Besides that, high-security risk involved in the implementation of cloud technology is another factor that affects the recommendation related to adopting digital technology.

Thus, these factors need to focus on successful implementation of recommendation for healthcare services.


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