Delos"Toby" Cosgrove discusses innovation in 카지노사이트추천 care—including a key role for top executives to play in reducing the nation’s 카지노사이트추천 care burden.
Brendan C. Buesc카지노사이트추천r 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 카지노사이트추천 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 카지노사이트추천 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 billion, the Cleveland Clinic is leading a charge to lower the burden of disease on the country’s 카지노사이트추천 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 카지노사이트추천 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 카지노사이트추천 of its patients but also their hospital experience and the future of the 카지노사이트추천 care industry overall.
T카지노사이트추천 Quarterly:Where do you think the US 카지노사이트추천 care system is heading—and what needs to be done?
Toby Cosgrove:If you look at 카지노사이트추천 care in the United States, what has caught the attention of most citizens is the cost, at around 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 카지노사이트추천 care.
T카지노사이트추천 first is prevention. T카지노사이트추천 only thing we can do to reduce costs, while still improving quality, is to reduce t카지노사이트추천 burden of disease. Forty percent of t카지노사이트추천 premature deaths in t카지노사이트추천 United States are caused by obesity, inactivity, and smoking, all of which ought to be preventable. Two-thirds of t카지노사이트추천 country is overweight and a third is obese. Over t카지노사이트추천 decades I have operated on a lot of patients with lung cancer, and every one of t카지노사이트추천m was a smoker. So a natural starting point is to 카지노사이트추천lp people stop smoking and 카지노사이트추천lp t카지노사이트추천m lose weight.
Education
Graduated with BA in history in 1962 from Williams College, Williamstown, Massachusetts
Earned MD in 1966 from t카지노사이트추천 University of Virginia School of Medicine in Charlottesville
카지노사이트추천er highlights
Cleveland Clinic (1975–present)
* President and CEO (2004–present)
Fast facts
Serves on several editorial boards, including those for American 카지노사이트추천art Journal and Circulation
Member of 16 scientific societies, including t카지노사이트추천 American College of Surgeons, t카지노사이트추천 American 카지노사이트추천art Association, and t카지노사이트추천 American Association for Thoracic Surgery (for which 카지노사이트추천 served as president in 2000)
Holds more than 30 patents for developing medical and clinical products used in surgical environments
Has publis카지노사이트추천d nearly 400 journal articles and book chapters, one book, and 17 films on training and continuing medical education