Santé - Un exemple intéressant : la clinique de Cleveland

La clinique de Cleveland est l’un des centres les plus performants au niveau mondial. Elle est numéro 1 aux USA en cardiologie depuis 15 ans :

- 4,2 millions de visites par an
- Un budget de 5,5 milliard de $
- 40.000 employés
- 4000 opérations cardiaques (la plus importante activité des USA)
- 170 transplantations de poumons
- Localisation : Cleveland, West Palm Beach, Las Vegas, Toronto, Abu Dhabi (en 2012)

Selon le Président Obama, "la meilleure qualité a un coût inférieur à la moyenne nationale".

Voici quelques extraits d’une interview récente du docteur Cosgrove, directeur de la clinique^[1] :

“I tell people at our hospital that we have to figure out how to treat people more efficiently with a higher quality. At the end of the day, quality always brings down cost.”

“Most people don’t realize that we are organized in a very different way – very few hospitals are organized the way we are. First, all of us have salaries. It doesn’t make any difference, if I’m a cardiac surgeon, whether I do two heart operations a day or four. I take home the same amount of money at the end of the week. So there’s no incentive to do extra tests or any of that. Second, we all have one-year contracts, an we have annual professional reviews. So the quality of the doctors is controlled, there’s no tenure, and if you don’t make it, you don’t get a pay raise or you may not stay. That is one of the most important things we do. It’s quite different from most places, where doctors can practice for as long as they want to practice.”

“Also, interestingly, we are physician led, which is quite different from most medical organizations, which may have an administrator running the hospital and a dean running the medical school. This is more like a corporation, and the CEO is a doctor. The chief of staff is a doctor, and the CIO is a doctor.”

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