Physician Leadership Development at Cleveland Clinic

Robert Lorenz, M.D., M.B.A.Chief Medical Officer

Cleveland Clinic Abu Dhabi

Physician Leadership Development at Cleveland Clinic

• Rationale for physician leadership development

• Physician leadership development within Cleveland Clinic

• Executive education healthcare executive offerings- Executive Visitors Program- Samson Global Leadership Academy

for Healthcare Executives

About Cleveland Clinic

History• Cleveland Clinic was

founded in 1921 by four renowned physicians

• Providing outstanding patient care based upon the principles of cooperation, compassion and innovation.

Original Cleveland Clinic building

Cleveland Clinic founders (Drs. Bunts, Crile, Lower, Phillips)

3.2 million patient visits 36,000 employees 2,800 physicians$252M in research funding

FHCElyria FamilyHealth Center

Westlake FamilyHealth Center

FHC

Lorain Family HealthAnd Surgery Center

FHCLakewood

Family HealthCenter

FHC

Strongsville Family Health and Surgery Center

FHC

Brunswick FamilyHealth Center

FHCWooster FamilyHealth Center

FHC

Independence FamilyHealth Center

FHCSolon FamilyHealth Center

FHC

Chagrin Falls FamilyHealth Center

FHC

Beachwood FamilyHealth and Surgery Center

FHC

Willoughby HillsFamily Health Center

FHC

HFairview Hospital

Lakewood Hospital

H

Lutheran Hospital

H

Ashtabula County Medical Center

H

Euclid Hospital

H

Huron Hospital

H

Hillcrest Hospital

H

South PointeHospital

H

Marymount Hospital

H

ClevelandClinic

Integrated Health Systemserving 5.1 million patients

Cleveland Clinic Abu Dhabi

Images provided by HDR Architecture

Why Leadership Development?

• We are a physician-lead organization with a strong, differentiating culture

• Competencies to lead in health care differ from clinical and investigative skills and can be learned

• The Cleveland Clinic Academy in the Education Institute (EI) is a forum for teaching and learning leadership and management skills

Why Clinical Executives?• Raffaella Sadun : HBS- Good hospital management correlated with better clinical and

financial performance- Those hospitals with higher percentage of degreed clinicians

as managers have the best management practices- There is significant variation in the quality of hospital

management practices within a country, which is much greater than the average differences across countries

- "If you look at the data, you'll see that improvement is possible”

• Amanda Goodall- Top US 100 hospitals: Cancer, DD, Heart & Heart Surgery- CEO’s classified as clinical-leaders and non-clinicians- America’s best hospitals disproportionately have clinicians as

leaders

CCLCM Center for GME

Dept. of Medicinein the EI

Dept. of Surgeryin the EI

ScientificPublications

Cleveland ClinicAcademy

Ctr. for ContinuingEducation

Ctr. for InternationalMedical Education

COMET

Ctr. for ConsumerHealth Information

Ctr. for AlliedHealth Education

Ctr. for Medical Art &Photography

cSITE/Ctr. for Advanced

Skills Training

Alumni Library

Chair

Finance andAdministration

Ctr. for Med. Ed. Research &

Development

Education Institute

Center for Multidisciplinary

Clinical Simulation

N = 16 departmentsN = ~200 people, 162.6 FTEs

Physician Leadership Development at Cleveland Clinic

• Rationale for physician leadership development

• Physician leadership development within Cleveland Clinic

• Executive education healthcare executive offerings- Executive Visitors Program- Samson Global Leadership Academy

for Healthcare Executives

The Cleveland Clinic Academy (CCA)

• Innovative center within the EI which provides leadership development training to Clinic physicians, nurses, and administrators and to executive visitors

• Programs within the CCA- CCA courses- Leading in Health Care- New Leader On-Boarding Program- Leadership Rotation- Academic partnerships- “Inside the Cleveland Clinic” - Samson Global Leadership Academy

The Cleveland Clinic Academy (CCA)

• Aligns with organizational goals- Helps develop a pipeline of capable leaders- Supports on-boarding activities for new

Staff and for new leaders- Facilitates networking among physicians,

nurses, and administrators- Offers this training to visitors (through

executive education programs), supporting global footprint

Cleveland Clinic Academy

• Offers a curriculum of “a la carte” courses to physicians, nurses, and administrators

• Goal is to confer leadership skills• Courses in leadership, business, etc. are

informed by competency matrices in leadership and management

• Very well-attended and very well-received

New Cleveland Clinic Academy Catalog is Issued Quarterly

Cleveland Clinic Academy

Courses (N = 186)

0

10

20

30

40

50

60

2006 2007 2008 2009 2010*

Cleveland Clinic Academy:High Satisfaction

• 2006 – 2007: 1 – 4 Likert scale, 4 = Best• 2008 – 2010: 1 - 5 Likert scale, 5 = Best

0

1

2

3

4

5

2006 2007 2008 2009 2010*

Leading in Health Care Course• Cohort-based course offered annually for

high-potential Staff nominees • 10 months (1 full day/month) for N = 35/yr• Currently beginning 9th year• Offers curriculum around leadership

competencies- Business, finance, marketing- Org development skills (communication,

emotional intelligence, teambuilding)

• Basis for Samson Global Leadership Academy curriculum

Leading In Health Care2003-2010

25

30

35

40

2004 2005 2006 2007 2008 2009 2010

#

N = 259

Physician Leadership Development at Cleveland Clinic

• Rationale for physician leadership development

• Physician leadership development within Cleveland Clinic

• Executive education healthcare executive offerings- Executive Visitors Program- Samson Global Leadership Academy

for Healthcare Executives

Executive Visitors Program

• 2-day course at Cleveland Clinic• Focus on the culture and operations of

the Clinic- Presentations by and interactions

with Clinic leadership regarding “how we do it”- Very well-received (June course is

full)

http://my.clevelandclinic.org/about/executive-education-programs/default.aspx

Physician Leadership Development at Cleveland Clinic

• Rationale for physician leadership development

• Physician leadership development within Cleveland Clinic

• Executive education healthcare executive offerings- Executive Visitors Program- Samson Global Leadership Academy

for Healthcare Executives

Samson Global Leadership Academy for Healthcare Executives

• Newest offering of the CCA• Offers leadership development and Clinic

awareness to healthcare executives (physicians, nurses, administrators) from around the world

• Two-week residency course- 10/23 – 11/4/11- 4/22/12 – 5/4/12- 10/7/12 – 10/19/12

• Unique executive education offering with multiple learning formats- Participatory, didactic (e.g., business,

leadership)- Experiential, immersion experiences- Mentorship and networking opportunities

• http://my.clevelandclinic.org/about/executive-education-programs/default.aspx

Samson Global Leadership Academy for Healthcare Executives

http://my.clevelandclinic.org/about/executive-education-programs/default.aspx

• Web site available since October 2010

• Dates set:10/23/11 – 11/4/11 4/22/12 – 5/4/1210/7/12 – 10/19/12

Summary

• Leadership development is key to organizational success.

• The Clinic has a longstanding commitment to health executive (physician, nurse, administrator) leadership development through the

Cleveland Clinic Academy• We invite you to participate in our

executive education offerings

http://my.clevelandclinic.org/about/executive-education-programs/default.aspx