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CLEVELAND CLINIC:
HEALTHCARE BEYOND INSTITUTIONAL BOUNDARIES
COMPETITIVE
INTRODUCTION   DIAGNOSTIC
                                EDGE
                                           BRAND DNA



 EVALUATION
                SUCCESS       FAILURES
  CRITERIA


    NEW         CANYON         CANADA      ABU DHABI
 INITIATIVES     RANCH          CLINIC       CLINIC



  WHAT WE        OTHER
RECOMMEND      INITIATIVES



CONCLUSIONS



Q&A SESSION


                                           ANATOMY
Cleveland Clinic                 Traditional Hospitals

  Multidisciplinary Approach to      Individual Medical Departments
         Curing Diseases                   Work Independently


    Patients Enjoy One-Stop         Patients are Referred to Different
       Coordinated Care              Divisions that Work Separately


Financial Incentives Removed for    Doctors are Financially Motivated
             Doctors                   to Provide Expensive Care


Doctors Focus on Delivering World   Doctors Focus on Productivity and
  Class Health Care for Patients                 Tenure




                                              DIAGNOSTICS
COMPETITIVE EDGE
BRAND DNA
Focus on Areas   Organizational    Understand
     with          Structure       the Market      Brand
 Competitive        Must Fit       (Patients &   Consistency
    Edge            Culture       Government)




                          EVALUATION CRITERIA
Very
 Specialty
                                             Successful
  Institute
                                             Outcomes.
Partnerships
                                               Why?




Competitive    Organizational   Understand       Brand
   Edge          Structure      the Market     Consistency


                                                120/80
Major
CLEVELAND
                                            Financial
  CLINIC
                                             Losses.
 FLORIDA
                                              Why?




Competitive   Organizational   Understand      Brand
   Edge         Structure      the Market    Consistency


                                            FLATLINE
CANYON RANCH ARIZONA
THE EXECUTIVE PROGRAM
The Executive
                Program



Cleveland Clinic’s      Canyon Ranch’s
    Offering               Offering



        Diagnostic            Wellness
        Expertise             Expertise



       Preventative
        Medicine


                         CANYON RANCH
Threats
                                • Consumer Expectations
                                  About Pre-Care
Opportunities                   • May Change Brand Image
                                  (Elite Clients)
• Brand Extension: End-to-End
  Health Care
• Improve the Care Team’s
  Capability
• Research and New
  Perspectives




                                CANYON RANCH
POST CARE




                 TREATMENT




                                   PRE-CARE




Competitive   Organizational         Understand     Brand
   Edge         Structure            the Market   Consistency


                                         CANYON RANCH
CLEVELAND CLINIC CANADA
POST CARE
            • Many Canadians Go
              to the States for
Reason 1      Surgery and Would
              Like to Come Home
              for Post-Op Care.


            • Decrease Rate of
Reason 2      Complications After
              Surgery




           CANADA CLINIC
TREATMENT
                  • Long Wait Times in Canada
   Reasons        • No Existing High Quality
                    Health Care



                  • Ontario had NOT yet lifted
                    the ban, however it was
                    anticipated it would since
Caution Points      many provinces were
                    adopting this private /
                    public health care.




                 CANADA CLINIC
Opportunities


                1. International Exposure           1. Not Sure if the Market Will
                2. Correct Mistakes from Florida    Open and How Long
                3. Similar Cultural Demographics    2. Large Need for Privatized
                                                    Health Care?
                4. Close in Distance to Cleveland
                                                    3. Many People in Canada are
                5. Can Raise the Bar for Quality    Used to the Public System
                and Service of Health Care in
                Canada                              4. Not Familiar with Making
                                                    Claims Through Insurance
                                                    Providers




                                                                                     Threats
                                                         CANADA CLINIC
Post-Op Care          Open Post-Op Care
     Centers               Centers First.


    Treatment              As Legislation Passes, Open
     Centers                 Disease Specific Clinics


                         Step in Internationalizing the Cleveland Clinic
   International
                        Brand by Giving them Exposure and Experience
     Exposure                from Working in Different Countries



Competitive        Organizational       Understand             Brand
   Edge              Structure          the Market           Consistency


                                            CANADA CLINIC
CLEVELAND CLINIC ABU DHABI
Opportunities


                1. Government Heavily Invest    1. Skill and Cultural Fit of
                in Health Care                  Doctors in Abu Dhabi
                2. An Opportunity to Cater to   2. Effort and Costs
                All of Asia                     3. No Experience of Setting Up
                3. Opportunities to Research    Operations in New Country
                and Treat Different Diseases
                4. Make the Brand Global




                                                                                 Threats
                                                                 ABU DHABI
Incidence of                        Infant Mortality
            Tuberculosis                              Rate
150                                 20
                                                                   15.6
                            98      15
100
                                    10                 7
                                          6
50                24                5
       3
 0                                  0
      USA        UAE       Global        USA          UAE          Global

      Cardiovascular Disease               Life Expectancy At age 60
            Mortality               23   22.6
300              243       261.6    22
      179                                              21
200                                 21                             20.6
100                                 20
  0                                 19
      USA        UAE       Global        USA          UAE          Global
• Study the Abu Dhabi Market Before
                    Implementing the American
                    Cleveland Clinic Model in Abu Dhabi

Recommendations   • Open Specialty Clinics First and then
                    Expand to Other Healthcare Areas

                  • Train Potential Doctors in Cleveland
                    First Before Going to Abu Dhabi




                                        ABU DHABI
Continued
 Specialty
                                             Opportunities
  Institute
                                             to Expand in
Partnerships
                                                 USA




Competitive    Organizational   Understand        Brand
   Edge          Structure      the Market      Consistency


                                SPECIALTY CLINICS
Consulting
                                        Potential Risks

                                             BUT
Innovative
Techniques
                          IT Systems     Reputation
                                        Patient Value
                                        Diversification

              Quality




                                       CONSULTING
RECOMMENDATIONS
BRAND CONSOLIDATION


Specialty Centers: Patients First, Innovation




Consulting: Patients First, Innovation, Education




                           SECURING USA
BRAND EXPANSION

Canada Post-Care: Patients First, Education



  Canada Expansion: Brand Quality Risks



Abu Dhabi: Brand Quality Risks (Proceed with Caution)



                            NEW MARKETS
BRAND EXTENSION



 Canyon Ranch: Patients First, Education
 Brand Risks in Patient Targeting but can be Overcome




               END-TO-END CARE
Thank You for Your Time




                 Q&A SESSION
GAME OVER
BROUGHT TO YOU BY THE WINNERS OF LINKS SIMULATION




                                   Q&A SESSION

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Cleveland Clinic

  • 1. CLEVELAND CLINIC: HEALTHCARE BEYOND INSTITUTIONAL BOUNDARIES
  • 2. COMPETITIVE INTRODUCTION DIAGNOSTIC EDGE BRAND DNA EVALUATION SUCCESS FAILURES CRITERIA NEW CANYON CANADA ABU DHABI INITIATIVES RANCH CLINIC CLINIC WHAT WE OTHER RECOMMEND INITIATIVES CONCLUSIONS Q&A SESSION ANATOMY
  • 3. Cleveland Clinic Traditional Hospitals Multidisciplinary Approach to Individual Medical Departments Curing Diseases Work Independently Patients Enjoy One-Stop Patients are Referred to Different Coordinated Care Divisions that Work Separately Financial Incentives Removed for Doctors are Financially Motivated Doctors to Provide Expensive Care Doctors Focus on Delivering World Doctors Focus on Productivity and Class Health Care for Patients Tenure DIAGNOSTICS
  • 6. Focus on Areas Organizational Understand with Structure the Market Brand Competitive Must Fit (Patients & Consistency Edge Culture Government) EVALUATION CRITERIA
  • 7. Very Specialty Successful Institute Outcomes. Partnerships Why? Competitive Organizational Understand Brand Edge Structure the Market Consistency 120/80
  • 8. Major CLEVELAND Financial CLINIC Losses. FLORIDA Why? Competitive Organizational Understand Brand Edge Structure the Market Consistency FLATLINE
  • 11. The Executive Program Cleveland Clinic’s Canyon Ranch’s Offering Offering Diagnostic Wellness Expertise Expertise Preventative Medicine CANYON RANCH
  • 12. Threats • Consumer Expectations About Pre-Care Opportunities • May Change Brand Image (Elite Clients) • Brand Extension: End-to-End Health Care • Improve the Care Team’s Capability • Research and New Perspectives CANYON RANCH
  • 13. POST CARE TREATMENT PRE-CARE Competitive Organizational Understand Brand Edge Structure the Market Consistency CANYON RANCH
  • 15. POST CARE • Many Canadians Go to the States for Reason 1 Surgery and Would Like to Come Home for Post-Op Care. • Decrease Rate of Reason 2 Complications After Surgery CANADA CLINIC
  • 16. TREATMENT • Long Wait Times in Canada Reasons • No Existing High Quality Health Care • Ontario had NOT yet lifted the ban, however it was anticipated it would since Caution Points many provinces were adopting this private / public health care. CANADA CLINIC
  • 17. Opportunities 1. International Exposure 1. Not Sure if the Market Will 2. Correct Mistakes from Florida Open and How Long 3. Similar Cultural Demographics 2. Large Need for Privatized Health Care? 4. Close in Distance to Cleveland 3. Many People in Canada are 5. Can Raise the Bar for Quality Used to the Public System and Service of Health Care in Canada 4. Not Familiar with Making Claims Through Insurance Providers Threats CANADA CLINIC
  • 18. Post-Op Care Open Post-Op Care Centers Centers First. Treatment As Legislation Passes, Open Centers Disease Specific Clinics Step in Internationalizing the Cleveland Clinic International Brand by Giving them Exposure and Experience Exposure from Working in Different Countries Competitive Organizational Understand Brand Edge Structure the Market Consistency CANADA CLINIC
  • 20. Opportunities 1. Government Heavily Invest 1. Skill and Cultural Fit of in Health Care Doctors in Abu Dhabi 2. An Opportunity to Cater to 2. Effort and Costs All of Asia 3. No Experience of Setting Up 3. Opportunities to Research Operations in New Country and Treat Different Diseases 4. Make the Brand Global Threats ABU DHABI
  • 21. Incidence of Infant Mortality Tuberculosis Rate 150 20 15.6 98 15 100 10 7 6 50 24 5 3 0 0 USA UAE Global USA UAE Global Cardiovascular Disease Life Expectancy At age 60 Mortality 23 22.6 300 243 261.6 22 179 21 200 21 20.6 100 20 0 19 USA UAE Global USA UAE Global
  • 22. • Study the Abu Dhabi Market Before Implementing the American Cleveland Clinic Model in Abu Dhabi Recommendations • Open Specialty Clinics First and then Expand to Other Healthcare Areas • Train Potential Doctors in Cleveland First Before Going to Abu Dhabi ABU DHABI
  • 23. Continued Specialty Opportunities Institute to Expand in Partnerships USA Competitive Organizational Understand Brand Edge Structure the Market Consistency SPECIALTY CLINICS
  • 24. Consulting Potential Risks BUT Innovative Techniques IT Systems Reputation Patient Value Diversification Quality CONSULTING
  • 26. BRAND CONSOLIDATION Specialty Centers: Patients First, Innovation Consulting: Patients First, Innovation, Education SECURING USA
  • 27. BRAND EXPANSION Canada Post-Care: Patients First, Education Canada Expansion: Brand Quality Risks Abu Dhabi: Brand Quality Risks (Proceed with Caution) NEW MARKETS
  • 28. BRAND EXTENSION Canyon Ranch: Patients First, Education Brand Risks in Patient Targeting but can be Overcome END-TO-END CARE
  • 29. Thank You for Your Time Q&A SESSION
  • 30. GAME OVER BROUGHT TO YOU BY THE WINNERS OF LINKS SIMULATION Q&A SESSION