Institutes & Services

The Anesthesiology Institute is an academically oriented group of more than 250 anesthesiologists who perform more than 200,000 anesthetics and procedures annually. Cleveland Clinic's Anesthesiology Institute unites specialists in pain management, critical care medicine and anesthesia within one fully integrated model of care to improve diagnosis, medical management and quality of life for our patients.

Departments & Centers

• Cardiothoracic Anesthesia is part of one of the largest, most experienced cardiac and thoracic surgery groups in the world, caring for patients from all 50 states and around the globe. The institute has more use of transesophageal echo for cardiac procedures to guide minimally invasive (percutaneous) valve replacement procedures than anywhere in the world.
• With more than 116,000 patient encounters a year, our pain management department is one of the busiest in the United States.
• The Pediatric & Congenital Heart Anesthesia Department is a partner of Cleveland Clinic's nationally ranked Children's Hospital, ranked among the "Best Children's Hospitals" by U.S.News and World Report in 2010.
• The Outcomes Research group typically runs about 100 simultaneous studies and publishes more than 35 full papers per year. Research activity has resulted in the issuance of more than 20 U.S. patents.
• We have one of the largest residency training programs in the country and accept about 30 new residents annually. Cleveland Clinic has sub-specialized anesthesiology fellowships in cardiac, vascular, transplant, obstetrics, pain, pediatrics, neuroanesthesiology, critical care, and outpatient and advanced anesthesiology training.

Patient Experience with Anesthesia Care

Postoperative patient experience data is collected on the second postoperative day via direct interview by clinical personnel using the Iowa Satisfaction with Anesthesia Survey. Some patients may not be interviewed (e.g., admitted to an ICU). Responses are available for more than 2,300 patients from Jan., 2008-Sept., 2008.

Data source: Perioperative Health Documentation Systems (PHDS)

• Intervertebral Disc Biacuplasty

  To relieve back pain caused by degeneration, or wearing out, of the lumbar intervertebral discs, heat is used to destroy the overgrowth of the nerve fibers in the disc, which significantly reduces the pain.

• Supraorbital Nerve Stimulation

  To treat facial pain that can follow an episode of shingles, a condition called intractable postherpetic trigeminal neuralgia, a surgical flat “paddle” lead is implanted, which provides better current distribution, fewer surges and better pain control for patients.

Anesthesiology Institute

9500 Euclid Avenue
Cleveland, OH 44195
1.800.223.2273

The AMI was created to integrate the visual arts, therapeutic arts - art therapy and music therapy -, and performing arts, with research and education, to promote healing and enhance people's lives. The Institute collaborates with local, national and international organization to benefit patients, families, employees and the community.

Art Therapy

Art therapy utilizes art media to help patients in their healing and recovery. It can help decrease anxiety, manage stress and deal with emotional issues.

Music Therapy

Music therapy combines music and therapeutic techniques to aid in the physiological, psychological and emotional well being of patients.

Patient and Employee-oriented Activities

The Arts and Medicine Institute collaborates with local organizations to offer artistic performances to patients and employees.

• Performing Arts in the Hospital Environment

  Musical performances are held each weekday in four locations on the main campus. Local music students and musicians perform in public lobbies to uplift and entertain patients, families and employees. When patients and families were surveyed 98% said they wanted more music and 95% said it made a difference in their hospital stay.

• Research into the Arts and Medicine

  The Arts & Medicine Institute is committed to practice and investigate the use of the arts in healing. Current research involves music therapy with bone marrow transplant patients; visual arts and the hospital experience; and art therapy with cancer patients.

Arts & Medicine Institute

1950 Richmond Road, TR-308
Lyndhurst, Ohio 44124
216.448.8330
Fax: 216.448.8335
Email: artsandmedicine@ccf.org

At Taussig Cancer Institute, more than 250 highly skilled doctors, nurses and other healthcare professionals provide advanced cancer care to more than 14,000 patients with cancer each year. Clinical trials and internationally known cancer research efforts ensure that patients have access to the latest advances in cancer treatment. A range of support programs are available to help patients navigate the changes and challenges associated with cancer.

Access a comprehensive list of what we treat.

Departments & Centers

Cleveland Clinic Taussig Cancer Institute is recognized by U.S.News & World Report as one of the top cancer hospitals in the country and is top ranked in Ohio in its annual survey.

We ask our patients about their experiences and satisfaction with the services provided by our staff. Although our patients are already indicating we provide excellent care, we are committed to continuous improvement.

Overall rating of care as ranked by patients in 2010-2011

309,838

The number of patient visits to Taussig Cancer Institute in 2011.

320

The number of publications in 2011 by Taussig Cancer Institute staff physicians

31

The number Cleveland Clinic physicians included in Cleveland Magazine's Top Docs listing for cancer care, more than any other healthcare provider in Northeast Ohio.

340+

Clinical trials active and open to patient accrual in 2011

68

Research grants awarded in 2011

1MM+

Visits per month to Chemocare.com (over 1 million)

Since its inception in 1921, Cleveland Clinic has been at the forefront of cancer breakthroughs. Cleveland Clinic physicians and scientists have developed new surgical techniques, discovered new treatments and uncovered key information about cancer cells that have resulted in significant changes in the way patients are screened, diagnosed and treated. Here are some of the most significant breakthroughs in cancer Cleveland Clinic has contributed since the 1990s:

1990s

Cleveland Clinic researchers pioneered the application of novel growth factors to stimulate hematopoietic stem cells, revolutionizing autologous bone marrow transplants.

2008-2011

Researchers in Cleveland Clinic's Genomic Medicine Institute, under the direction of Charis Eng, MD, PhD, revealed many genetic discoveries related to cancer including:
- Genetic mutations of the tumor suppressor gene PTEN
- Discovery of KILLIN as a novel predisposition gene for Cowden syndrome and Cowden-like syndrome, which predisposes these individuals to breast and kidney cancer
- The role of androgen receptor (AR) in breast and prostate cancer
- The effect of germline homozygosity (having two identical copies of the same gene) on predisposition to cancer

2010

Jaroslaw Maciejewski, MD, PhD, discovers mutations in a gene (TET2 ten-eleven translocation 2) and other processes associated with myeloid malignancies that disrupt normal enzyme activity during gene transcription creating conditions favorable to growth of myeloid tumor cells.

Today

Our oncologists, under the direction Brian Rini, MD, have been responsible for developing several new drugs for kidney cancer. Cleveland Clinic participated in the trials of five out of the six current treatments for kidney cancer and led three of the trials.

Cleveland Clinic Taussig Cancer Institute

9500 Euclid Avenue/R35
Cleveland, OH 44195

Cancer Answer Line

866.223.8100

A clinical nurse specialist is available from 8:00 a.m. - 5:00 p.m., Monday through Friday.

The goal of the Center for Personalized Healthcare is to empower patients and the community towards greater health through the identification, analysis, adoption and integration of select new services and technologies that will allow for personalized care of patients.

Center for Personalized Healthcare

Desk NE50
Cleveland Clinic
9500 Euclid Avenue
Cleveland, OH 44195
216.444.8802
800.223.2273 ext. 4-8802 (toll-free)

Cleveland Clinic Children's Hospital provides primary pediatric care at Family Health Centers throughout the community as well as specialized and subspecialty pediatric care for the most complex cases at Cleveland Clinic Main Campus, Hillcrest and Fairview Hospitals. Our team includes board-certified pediatricians, nurses, nurse practitioners, therapists, social workers and other specialists who provide comprehensive, family-centered care for a wide variety of acute, chronic and complex children's illnesses.

More information:

U.S. News & World Report ranks us among the nation's best children's hospitals in 10 of 10 rated specialties.

In addition, more than 100 of our pediatricians and pediatric specialists are listed in "Best Doctors" (2010-2011) or Top Doctors by Castle Connolly Medical, Ltd. (2011 edition).

Cleveland Clinic Children’s Hospital for Rehabilitation received the accreditation by CARF for meeting strict requirements of staff knowledge, operational procedures, safety and effectiveness . Our pediatric pain rehabilitation program is the only one of its kind in the world to be CARF accredited.

Cleveland Clinic Children's Hospital is the only comprehensive pediatric transplant center in Northern Ohio, performing heart, lung, liver, kidney transplantation and bone marrow transplants.

Children's Hospital Shaker Campus is Northern Ohio's only long-term care pediatric rehabilitation hospital and is also home to the region's only pediatric dialysis unit.

Cleveland Clinic Children's Hospital pain rehabilitation program is the only CARF accredited program in the world

300+

Pediatric specialists and subspecialists within our Children’s Hospital provide state-of-the-art care for complex medical problems

1MM+

The number of total outpatient visits to Cleveland Clinic Children's Hospital in 2011

210

The number of congenital heart operations performed in 2011, including complex cases referred from around the world

100

The number of investigational cancer therapies our patients have access to at any given time

12,000

The number of children who received state-of-the-art care in pediatric epilepsy and neurology each year

Center for Autism

Cleveland Clinic Center for Autism continues to be expanded and has been recognized throughout the United States, receiving various awards for excellence.

Special Delivery Unit

The Special Delivery Unit at Cleveland Clinic Children’s Hospital offers women who are carrying babies with known birth defects a compassionate, family-centered setting for labor and delivery, with access to world-class adult and pediatric specialists.

Pectus Excavatum

Among the numerous diseases and conditions our pediatric team treats, Children's Hospital is a nationally recognized Center of Excellence in the treatment of Pectus Excavatum. Our pediatric surgeons are leaders in employing the Nuss Procedure, the minimally invasive repair of Pectus Excavatum. Over 98% of the cases we see are treated in this fashion, with less pain and a shorter hospital stay.

Pediatric Institute and Children’s Hospital

9500 Euclid Avenue
Cleveland, OH 44195

• To make an appointment: 216.444.KIDS (5437)
• Referring physicians: 216.444.DOCS (3627)

Cleveland Clinic Children’s Hospital for Rehabilitation
Shaker Campus

2801 Martin Luther King Jr., Blvd.
Cleveland, OH 44104
216.448.6400

The Dermatology & Plastic Surgery Institute offers patients a full range of dermatologic, reconstructive and aesthetic services at numerous locations throughout northeast Ohio. Our physicians and staff are dedicated to continuously improving the quality of these medical and surgical procedures, to creating new standards of innovation, and to adding value to the patient care experience. The Institute strives to put patients first by offering the most up-to-date procedures performed by specialists in state-of-the-art facilities.

We offer the following services and treatments:

Dermatology Services          Plastic Surgery Services

Cleveland Clinic's Dermatology and Plastic Surgery Institute is dedicated to the creation of new standards in superior patient care and to continuous improvement of our patients' satisfaction.

• Overall rating of care as ranked by patients in 2008 (71% excellent; 20% very good)
• Overall rating of provider care as ranked by patients in 2008 (78% excellent; 23% very good)
• Percentage of patients who would recommend provider in 2008 (62% extremely likely; 28% very likely)

Mohs Micrographic Surgery

Mohs surgery is one of our fastest growing services. By streamlining our Mohs laboratory processes, extending surgical hours, and making the surgery available at our Beachwood and Independence offices, we have significantly increased the number of cases performed in 2007 over the previous year.

Yearly Number of Mohs Procedures

Microsurgical Breast Reconstruction (DIEP)

Cleveland Clinic is one of only a few centers in the United States to perform large numbers of the unique and innovative Microsurgical Breast Reconstruction (DIEP) technique. Our plastic surgeons performed more than 80 DIEP reconstruction surgeries in 2007, with a superior rate of success.

Yearly Number of DIEP Flap Reconstruction Surgeries

Success/Failure Rates for DIEP

Laser Treatments

With one of the most comprehensive and advanced laser programs in Northeast Ohio, the Department of Dermatology performs more than 9,000 laser treatments annually. Services offered include: treatment of scars and wrinkles, skin contouring and resurfacing, treatment of vascular lesions, pigmented lesions, tattoos and blood vessels of the face and legs, hair removal, and treatment for varicose veins and spider veins.

Yearly Number of Laser Treatments

• Face Transplant

  On December 17, 2008 a multi-disciplinary team of doctors and surgeons performed the first near total face transplant. In a 23-hour procedure performed over two weeks, surgeons transplanted 80 percent of a woman’s face who suffered facial trauma – essentially replacing her entire face, except for her upper eyelids, forehead, lower lip and chin. This is the largest and most complex face transplant in the world, integrating different functional components such as nose and lower eyelids, as well as different tissue types including, skin, muscles, bony structures, arteries, veins and nerves. Cleveland Clinic Dermatology and Plastic Surgery Institute led the face transplant surgery, partnering with the Cleveland Clinic Head & Neck Institute.

• Mohs Micrographic Surgery

  Mohs surgery provides the highest cure rate for high-risk melanoma skin cancers, while sparing the maximum amount of normal skin. Cleveland Clinic dermatologists performed approximately 2,100 Mohs procedures in 2007 and now offer the surgery in Independence and Beachwood, as well as Cleveland Clinic Main Campus. This expanded access at more locations affords patients more timely treatment of skin cancer.

• Microsurgical Breast Reconstruction (DIEP)

  Our plastic surgeons have pioneered recent advances in breast reconstruction, including the innovative DIEP technique. The benefit of this procedure, a variation of the more commonly performed TRAM operation, is that it preserves abdominal muscle, so most patients experience less discomfort.

• Minimally Invasive Techniques in Facial Cosmetic Surgery

  Our Department of Plastic Surgery has focused on alternatives to face and necklift surgery, short-scar facelifts and minimally-invasive facelift techniques, with the emphasis on pain reduction, improved recovery times, and longer-term enhancements.

  Laser Treatments

  Cleveland Clinic's Department of Dermatology continues to upgrade and improve our laser services, providing one of the most advanced and comprehensive laser programs in Northeast Ohio. We offer the latest advances in technology and care, with a dozen ablative and non-ablative lasers, including the state-of-the-art Fraxel laser, used for treatment of scars and wrinkles, tattoo removal, treatment of vascular lesions, hair removal and pigmented lesion removal.

Dermatology and Plastic Surgery Institute

Main Campus
9500 Euclid Avenue
Cleveland, OH 44195
216.444.5725

Regional Locations, Department of Dermatology:

• Beachwood 216.839.3000
• Chagrin Falls 440.893.9393
• Elyria 440.366.9444
• Independence 216.986.4000
• Lorain 440.204.7400
• Richard E. Jacobs Health Center (Avon)440.899.5555
• Strongsville 440.878.2500
• Twinsburg330.888.4000
• Westlake 440.899.5555
• Willoughby Hills 440.943.2500
• Wooster 330.287.4500

Regional Locations, Department of Plastic Surgery:

• Beachwood 216.839.3000
• Elyria440.366.9444
• Lorain 440.204.7400
• Lutheran Hospital 216.363.2120
• Richard E. Jacobs Health Center (Avon)440.899.5555
• Solon 440.519.6800
• Stephanie Tubbs Jones Health Center216.767.4242
• Strongsville 440.878.2500
• Twinsburg330.888.4000
• Westlake 440.899.5555

Cleveland Clinic's Digestive Disease Institute (DDI) is the first to unite all specialists within one unique, fully integrated model of care aimed at optimizing patient experience. At DDI, we offer patients the most advanced, safest and proven medical and surgical treatments focused primarily on the gastrointestinal tract.

Our Institute includes:

2011-2012 U.S.News & World Report Rankings

U.S.News & World Report has consistently ranked Cleveland Clinic's Digestive Disease Institute #2 in the nation in gastroenterology as part of their “America's Best Hospitals” survey.

Nationally: No.2 since 2003
Ohio: No.1 since 1990

2012 Digestive Disease Patient Experience Data

The Digestive Disease Institute’s Endoscopy Units were recognized by the American Society for Gastrointestinal Endoscopy (ASGE) for high quality of care and promoting the highest standards of safety for their patients.

Cleveland Clinic continues to place emphasis on improving the patient experience by establishing the role of Chief Experience officer. In August 2009, Digestive Disease Vice-Chairman James Merlino, MD, was named by the Clinic to lead the office.

As Chief Patient Experience Officer, Dr. Merlino helps ensure that all aspects of the patient experience meet the highest standards. Committed to patient-centered care, Dr. Merlino has helped spearhead initiatives to improve access and communication within the Digestive Disease Institute.

DDI’s advanced endoscopy team opened a brand-new 15,000-square-foot facility in 2011 built to improve both access and patient experience. Located in the Glickman Tower on Cleveland Clinic’s main campus, the state-of-the-art facility emphasizes both safety and quality. The four-suite unit doubles the amount of therapeutic endoscopy space for performing endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS) and deep enteroscopy. Specialized fluoroscopic equipment allows for the generation of 3-D cholangiography, which is available at only a handful of units nationally. New Provations software provides improved reporting for patients, allowing referring physicians to pull up images from their patients’ visit.

“Providing excellent patient experience isn’t centered on one or two executives. It takes every doctor, every nurse, every employee to make sure patients leave here with a good experience,” Merlino said. “It’s a culture. My goal is that when people hear Cleveland Clinic, they think of great patient experience.”

Our colorectal surgeons are highly experienced in laparoscopic procedures, having performed more than 2,100 laparoscopic intestinal resections and averaging 8 to 10 cases each week.

Our liver transplant program is one of the nation's largest, performing 148 liver transplants in 2008.

Cleveland Clinic has an international reputation for excellence in IBD, including: more operations for Crohn’s disease than any other institution, including the bowel-conserving strictureplasty, the world’s highest volume of J-pouch procedure, and the nation’s largest referral center for repairing pelvic pouches.

For more than 25 years, Cleveland Clinic has been using its David G. Jagelman Inherited Colorectal Registries to follow high-risk colorectal cancer patients and families. The registries are the largest of their kind in the United States and second largest in the world.

The Digestive Disease Institute recently opened a new multidisciplinary, education and research-focused center for hereditary colorectal cancers in which the Jagelman Registries now reside. The Sanford R. Weiss Center for Hereditary Neoplasia allows Cleveland Clinic institutes involved in the research and treatment of colon cancer to join forces and expand our research efforts to provide more efficient care, focused on hereditary colon cancer as well as education to caregivers, patients and families.

2011 Digestive Disease Institute Statistics

7,499

The total number of admissions

16,635

Total number of surgical cases

60,947

Total number of endoscopic cases

• Sacral Nerve Stimulation Reduces Fecal Incontinence Symptoms

  Cleveland Clinic and Cleveland Clinic Florida co-investigated a novel technique to treat fecal incontinence – sacral nerve stimulation (SNS). Approved by the FDA in March 2011, SNS is like a cardiac pacemaker for the anal sphincter. Surgeons first implant temporary subcutaneous stimulators into the sacral nerve, testing their effectiveness with the patient awake. For those patients who experience more than a 50 percent improvement in the number of fecal incontinence episodes or in the Cleveland Clinic Incontinence score during a two-week trial, surgeons implant the permanent stimulator in a second procedure. Treatment with SNS, which was piloted at both Cleveland Clinic sites in clinical trials, can reduce the number of bowel accidents that a patient experiences. In some cases, patients become totally continent. The National Association For Continence (NAFC) has designated the Colorectal Surgery in the Digestive Disease Institute at the Cleveland Clinic as a Center of Excellence (COE): Continence Care for Women. The COE designation is based on evidence of extensive training, clinical experience, interdisciplinary resources and patient satisfaction statistics. There are only four programs in the country with this distinction, two of which are Cleveland Clinic and Cleveland Clinic Florida.

• First Robotic Single-Port Laparoscopic Cholecystectomy

  Pioneered by Cleveland Clinic general surgeon Matthew Kroh, MD, and now approved by the FDA, robotic single-port laparoscopic cholecystectomy has opened the door for a paradigm shift in the way general surgical procedures are performed. The use of the DaVinci robot to perform single-port cholecystectomy overcomes the limitations of the manual single-port approach and is a safe, reproducible procedure, says Dr. Kroh, MD. “Although a learning curve certainly exists, this is certainly a more desirable way to perform a standard operation,” he says. Dr. Kroh had performed the procedure without robotic assistance, but found using the robot overcame technical challenges. “I think this is the first in a series of steps to develop new robotic technologies for operations that we do routinely laparoscopically now. It’s a very exciting time,” say Dr. Kroh.

• Surgeon Pioneers "Natural Orifice" Approach to Endoscopic Submucosal Dissection (ESD)

  Interluminal lesions can be successfully removed “en bloc” through the anus using endoscopic submucosal dissection (ESD). Once the surgeon is comfortable with the procedure, it can be performed on an outpatient basis with general anesthesia, says colorectal surgeon Emre Gorgun, MD, the first U.S. colorectal surgeon to take this approach in the lower gastrointestinal tract. “The anal approach to ESD is technically challenging, but provides a less-traumatic method for removing colon and rectal lesions. The procedure is particularly useful for patients, who might have difficulty recovering from a major surgical procedure, or even a laparoscopic procedure, due to age or presence of comorbidities, ” he says. According to Dr. Gorgun, tumors as large as 4-5 centimeters, or obstructing up to 50 percent of the bowel lumen, can be resected in this fashion. “I think this will be a very important technique for surgical treatment and management of these lesions in the future,” he says.

• HIPEC Cancer Treatment Available

  HIPEC, or Hyperthermic (or Heated) Intraoperative Peritoneal Chemotherapy, is used to treat cancers that have spread to the lining of the abdominal cavity, such as those of the appendix, colon, stomach and ovaries. HIPEC is an alternative and innovative method of delivering chemotherapy. Unlike traditional chemotherapy that is delivered intravenously, HIPEC delivers chemotherapy directly into the abdomen, making it a good option for cancers that originated in or have spread to the abdominal cavity. Cleveland Clinic’s DDI is one of few programs in the country that perform the HIPEC procedure and the first program in Ohio with FDA approval to perform the procedure. Benefits also include being cared for by a multidisciplinary program that unites all of the physicians you need for your cancer care, including specialists from Cleveland Clinic’s Taussig Cancer Institute and OB/GYN & Women’s Health Institute.

• Knowledge Program© Captures Self Assessment Electronically

  Digestive Disease Institute is one of the few Cleveland Clinic institutes in the Knowledge Program, a system which allows patients to record a self-assessment directly into their electronic medical record (EMR) on an electronic tablet. The assessment, which takes five to ten minutes, is conducted at the beginning of each appointment and can be reviewed immediately by those with access rights. The information collected provides updates in patient status and insight into clinically relevant issues that may be otherwise overlooked. Additionally, the initiative allows staff to consistently measure the severity of each patient’s illness over time and access the efficacy of treatment protocols while accelerating the collection of electronic data.

Digestive Disease Institute

Main Campus
9500 Euclid Avenue
Cleveland, OH 44195
Appointments: 800.223.2273, ext. 47000

Digestive Disease Institute Regional Locations:

• Beachwood Family Health and Surgery Center
• Brunswick Family Health Center
• Euclid Medical Building
• Fairview Hospital
• Hillcrest Hospital Atrium
• Independence Family Health Center
• Lakewood Hospital
• Marymount Hospital
• Medina Hospital
• Richard E. Jacobs Health Center (Avon)
• Stephanie Tubbs Jones Health Center
• Strongsville Family Health and Surgery Center
• Twinsburg Family Health and Surgery Center
• Willoughby Hills Family Health Center
• Wooster Family Health and Surgery Center

The Education Institute oversees many of the world-class educational programs Cleveland Clinic offers to physicians, nurses, medical students, residents and fellows, allied health professionals and outside healthcare executives. Our Lerner College of Medicine and graduate medical education and continuing medical education programs are fully accredited.

Related Content

1,758

The number of residents and fellows.

568

The number of medical students.

1,711

The number of allied health student rotations.

1,473

The number of CME activities with 233,600 participants.

2,000

The number of articles within our consumer health information database.

41

The number of community Health Talk programs.

Senior executives from around the world are taking advantage of Cleveland Clinic’s executive education programs for healthcare leadership and management training.

A 10,000-square-foot simulation center allows healthcare teams to gain hands-on experience and skill building around communication and teamwork.

Live, online computer chats with a health educator offer patients personalized help in finding credible health information.

Cleveland Clinic offers a five-year medical school program with a unique curriculum that combines clinical medicine, research and medical humanities.

Education Institute

Cleveland Clinic – NA22
9500 Euclid Avenue
Cleveland, OH 44195
216.444.5678
education@ccf.org

• Advanced Skills Training 216.445.5601
• Allied Health Education 216.986.4312
• Center for Online Medical Education and Training 216.444.4566
• Cleveland Clinic Academy 216.445.9412
• Cleveland Clinic Journal of Medicine 216.444.2661
• Consumer Health Information 216.444.3054
• Continuing Medical Education 216.448.0770
• Executive Education216.445.8898
• Graduate Medical Education 216.444.5690
• International Medical Education 216.445.8417
• Lerner College of Medicine216.445.7435
• Library Services 216.444.5697

The Emergency Services Institute provides caring, competent treatment of sick or injured patients, conducts research of emergency conditions, and trains physicians, nurses and other health professionals in emergency care. As one of the busiest in emergency department services in Northeast Ohio, the Institute sees approximately 86,600 adult and pediatric patients per year, and is staffed by specialists in emergency medicine.

Emergency Services

Cleveland Clinic – NA22
9500 Euclid Avenue
Cleveland, OH 44195
216.445.4500
800.CCF.CARE (223.2273) ext. 54500

The Cleveland Clinic Endocrinology & Metabolism Institute treats patients in all major disease categories such as diabetes, thyroid disorders, sexual hormone disorders, metabolism, pituitary disorders and more. For patients with severe obesity we provide bariatric surgery through minimally invasive surgical approaches, such as laparoscopic procedures.

Departments & Centers

• Bariatric & Metabolic Institute
• Diabetes Center
• Thyroid Center
• Department of Endocrine Surgery
• Pancreas Transplant Clinic/Post-transplant Diabetes Mellitus
• Transition Clinic (Pediatrics to Adult)

Access a comprehensive list of diseases that we treat.

U.S.News & World Report's “America's Best Hospitals” survey consistently has ranked the Cleveland Clinic's endocrinology program in the top ten as one of “America's Best,” making it the No.1 program in Ohio.

Patient Experience

We ask our patients about their experiences and satisfaction with the services provided by our staff. Although our patients are already indicating we provide excellent care, we are committed to continuous improvement.

Overall Rating of Care as Ranked by Patients in 2008

With over 1,000 endocrine surgical procedures performed each year, Cleveland Clinic's Endocrine Surgery program is the largest in Ohio and the 5 surrounding states.

Cleveland Clinic's Bariatric and Metabolic Institute, which treats over 125 cases annually, was named a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery and the American College of Surgeons.

Statistics for 2008

19,143

Total number of patient visits

1,697

Total number of endocrine surgeries

1,047

Total Major Surgeries: Thyroid / Parathyroid

389

Complex / Reoperative Surgeries

558

Total Bariatric Cases

306

Bypass Surgeries

16-77

Age range of bariatric patients

89

Lap Band Surgeries

86

Lap Sleeve Surgeries

3.5 days

Lap Gastric Bypass Mean Length of Stay (LOS)

1.4 days

Lap Adjustable Gastric Band Mean LOS

98%+

Percentage of bariatric surgeries performed at Cleveland Clinic using minimally invasive techniques

• Laparoscopic Liver Resection

  Over the last year, Cleveland Clinic Endocrinology & Metabolism Institute (EMI) surgeons have developed techniques for laparoscopic liver resection, a procedure that enables removal of liver tumors through small incisions in the abdomen, resulting in less operative blood loss, fewer analgesic requirements, quicker advance to a regular diet, and decreased hospital stay and overall cost compared with conventional open liver resection.

• Robotic Liver Resection

  In line with the laparoscopic liver resection program, the EMI surgeons have started a robotic liver resection program. The use of the robot increases dexterity and versatility in laparoscopic procedures. Four patients have undergone robotic liver resection to date, all with good results.

• Laparoscopic Radiofrequency Ablation (RFA) of Adrenal Tumors

  Some patients are not candidates for adrenalectomy due to unresectable cancer or medical comorbidities that preclude a long anesthesia time. The endocrine surgery team has applied laparoscopic RFA for the management of such patients. To date, three patients with adrenal malignancies and one patient with an enlarging benign adenoma have received this new treatment, without complications. This is the first laparoscopic RFA experience in the world for managing adrenal tumors.

• Thyroid-Stimulating Hormone Receptor (TSHR) mRNA Assay Steps

  Since 2001, we have studied the clinical applications of detecting TSHR mRNA in circulation. This marker was developed at Cleveland Clinic, and represents a novel diagnostic tool in that it detects circulating thyroid cancer cells, rather than thyroid related proteins or hormones. It is undetectable in people who have normal thyroids and can distinguish among patients who have benign thyroid disease and initial and recurrent thyroid cancer. After multiple clinical studies, TSHR mRNA became a routinely available clinical test in 2008, offered to patients locally, nationally and internationally. Cleveland Clinic has the only specialized reference lab to provide this test.

• Parathyroid/Calcium/Osteoporosis

  Primary hyperparathyroidism is a strong risk factor for bone disease. Results of a study undertaken by endocrine surgeons at Cleveland Clinic indicated that this association has been underappreciated in men. With improved screening practices, surgeons were able to determine that the prevalence of osteoporosis in this population of men with primary hyperparathyroidism was very similar to that of women, a finding not previously recognized.

• Gastric Plication Procedure for Severe Obesity

  Bariatric and Metabolic Institute surgeons have been developing a less invasive surgical procedure for longterm weight loss. Gastric plication offers important advantages over other bariatric procedures in that it involves no stapling, cutting or removal of tissue. Therefore, it is minimally invasive and can be performed in an outpatient setting and can be easily reversed.

Cleveland Clinic Endocrinology & Metabolism Institute

Main Campus
9500 Euclid Avenue, S13
Cleveland, OH 44195
216.444.6568

• Endocrinology, Diabetes
  and Metabolism Appointments 800.223.2273
  ext. 46568
• Bariatric & Metabolism
  Institute Appointments 800.223.2273
  ext. 52224
• Endocrinology Surgery
  Appointments 800.223.2273
  ext. 46664

The Cleveland Clinic Center for Personalized Genetic Healthcare (CPGH) is among the nation’s leading authorities in Genetic and Genomic Medicine, and is recognized worldwide for excellence in patient care and patient-oriented clinical research. Our physicians and genetic counselors are active in research, education, public policy and patient advocacy.

Center for Personalized Genetic Health

Desk NE50
Cleveland Clinic
9500 Euclid Avenue
Cleveland, OH 44195
216.636.1768
800.998.4785 (toll-free)

The specialists at the Cleveland Clinic Head & Neck Institute have been recognized nationally and internationally by their peers as leaders in their field. Our team of experts continues to lead the nation in experience and innovative techniques that translate into improved outcomes and care for patients. With more than 30 full-time faculty members caring for adult and pediatric patients with complex ear, nose and throat disorders, the Institute is one of the largest otolaryngology programs in the United States.

The restructuring of Cleveland Clinic specialties around organ and disease systems led to the addition of general dentistry, oral and maxillofacial surgery, prosthodontics and periodontics into the Head & Neck Institute. Our dental staff employs the latest techniques and most advanced technologies to solve complex oral and dental problems.

Related areas:

Cleveland Clinic's Head & Neck Institute is ranked the No.1 ear, nose and throat program in Ohio and also ranks as the No. 8 best program in the United States by U.S.News & World Report in its 2011-2012 “America's Best Hospitals” survey. The survey also recognized Cleveland Clinic as one of the nation's best hospitals overall, ranking the hospital No. 4 in the country.

Patient Experience

We ask our patients about their experiences and satisfaction with the services provided by our staff. Although our patients are already indicating we provide excellent care, we are committed to continuous improvement.

Overall Rating of Care as Ranked by Patients in 2010

95,458

Total Patient Visits

2,926

Total New Patients

5,382

Primary Surgical Cases

763

Admissions

• Osteoradionecrosis

  Our studies of surgical resection and vascularized bone reconstruction of refractory radiation-induced jaw deterioration, commonly termed “osteoradionecrosis” (ORN) of the mandible, is the largest reported in the literature. In a group of 33 end-stage patients, we had a 100% flap survival rate and a 94% cure rate for the infectious complications.

• Wegener's Disease

  We have developed a novel extramucosal approach to nasal reconstruction in Wegener's patients with the use of bone taken from the outer layer of the skull. The avoidance of incisions in the nasal lining hypothetically limits the risk of Wegener’s flare-ups.

• Endoscopic Management of Anterior Skull-Base Neoplasms

  The Section of Nasal and Sinus Disorders has been an international leader in the development and refinement of surgical techniques for minimally invasive management of anterior skull-base neoplasms.

Head & Neck Institute

9500 Euclid Avenue, Desk A71
Cleveland, OH 44195
216.444.8500

The Sydell and Arnold Miller Family Heart & Vascular Institute is one of the largest, most experienced cardiovascular specialty groups in the world. Our physicians are committed to providing the most advanced diagnostic and treatment options, better outcomes and improved quality of life. U.S.News & World Report has ranked Cleveland Clinic as the No.1 heart program in America every year since 1995.

Departments & Centers:

Cleveland Clinic has been ranked as the No.1 heart program in the nation in U.S.News & World Report's “America's Best Hospitals” survey every year since 1995.

Patient Experience

We ask our patients about their experiences and satisfaction with the services provided by our staff. Although our patients are already indicating we provide excellent care, we are committed to continuous improvement.

89

The number of countries patients traveled from for cardiovascular care at the Sydell and Arnold Miller Family Heart & Vascular Institute in 2008.

3,606

The number of open heart surgeries Cleveland Clinic physicians performed in 2008.

2,355

The number of valve operations performed by Cleveland Clinic surgeons, the largest number in the United States (with mortality well below industry benchmarks).

60

The number of heart transplants Cleveland Clinic surgeons performed in 2008 (with wait times consistently lower than the national average).

57

The number of lung transplants Cleveland Clinic surgeons performed in 2008 (with wait times consistently lower than the national average).

• 

  1958

  Cardiologist F. Mason Sones, Jr., MD, develops coronary angiography, which allows doctors to view the heart and its vessels through moving X-rays.

• 

  1967

  Cardiac surgeon Rene Favaloro, MD, pioneers coronary bypass surgery, grafting a vein removed from the leg to diseased coronary arteries in order to increase blood flow to the heart.

• 

  1980

  Cardiac surgeon, Delos M. Cosgrove, MD, develops a mitral valve retractor and annuloplasty ring that enables more effective heart valve repairs.

• 1996

  Cardiac surgeon, Delos M. Cosgrove, MD, performs the world's first minimally invasive heart valve surgery.

• 2008

  The Heart and Vascular Institute moved into the Sydell and Arnold Miller Family Pavilion. At 1 million square feet, it is the largest facility in the country dedicated to cardiovascular care.

9500 Euclid Avenue
Cleveland, OH 44195
1.800.659.7822

The Imaging Institute at Cleveland Clinic ranks among the world’s leading radiological academic centers. Our subspecialized radiologists interpret more than 2.1 million images each year, offering patients the most up-to-date technological advances and innovative treatment options. In addition, our radiologists pursue pioneering research in areas such as acute stroke treatment, 3-D imaging, digital mammography and intravascular ultrasound.

Departments & Centers:

2.1M

The number of exams performed and interpreted by Cleveland Clinic radiologists each year.

65,000

The number of pediatric exams performed and interpreted by Cleveland Clinic pediatric radiologists each year.

40

The number of imaging centers for which Cleveland Clinic radiologists interpret exams.

500 lbs.

The weight limit of large bore scanners offered by Nuclear Medicine. The larger scanners support heavier patients and reduce claustrophobia.

• Uterine Fibroid Embolization

  This minimally invasive, non-surgical method is an alternative to the traditional treatment of a hysterectomy, a major surgery.

• Cardiovascular Imaging Lab (CVIL)

  CVIL coronary CT exams are performed routinely in patients with low to intermediate risk factors for coronary artery disease. State-of-the-art CT equipment also minimizes radiation.

• Vascular Anomalies Imaging

  Patients of all ages with congenital soft tissue masses, birthmarks and hemangiomas can consider multi-modality imaging using ultrasound and MRI. This treatment is now available to make correct diagnosis, determine the extent of involvement and effect management.

Cleveland Clinic Imaging Institute

9500 Euclid Avenue – P34
Cleveland, OH 44195
800.720.1194

Lorain Institute comprises Cleveland Clinic locations throughout Lorain County, Ohio, where patients can choose a primary care physician from internal medicine, family medicine, pediatrics or geriatrics.

Our facilities also offer specialty care including cancer, infertility (both male and female), orthopaedics, ophthalmology, retail eyewear and high-tech imaging. We also have various medical, surgical and imaging specialties at our facilities and three outpatient surgery centers.

Lorain Institute physicians offer the highest quality preventive care for the entire family.

Family Health Centers

Medical Office Buildings

• North Ridgeville
• Wellington

Cleveland Clinic / Lakeland Eye

• Complete eye care services at 13 convenient locations in Ashland, Cuyahoga, and Lorain Counties

18,200

The number of surgical cases our outpatient surgery center managed in 2012.

55

The number of years the sports injury physicians at the Kolczun Orthopaedics have been helping injured athletes return to competition.

60,000

The number of patient visits each year who seek a comprehensive range of ophthalmic services from the ophthalmology specialists of Lakeland Eye.

At the Lorain Institute:

The Elyria Family Health and Surgery Center is home to our Women’s Breast Health Program. This program is personalized for patients through a dedicated team of caregivers that includes board-certified breast imagers, breast health navigators, mammographers, OB/GYN physicians, general surgeons and plastic surgeons. The team is with the patient from detection through treatment, offering supportive care.

We’ve taken the reason patients travel to Cleveland Clinic - renowned specialists, exceptional resources and state-of-the-art equipment - and brought it to Lorain County, close to you.

Cleveland Clinic Lorain

5700 Cooper Foster Park Road
Lorain, OH 44053
440.204.7400

Cleveland Clinic Elyria

303 Chestnut Commons Drive
Elyria, OH 44035
440.366.9444

Cleveland Clinic Avon Lake

450 Avon-Belden Road
Avon Lake, OH 44012
440.930.6800

Richard E. Jacobs Health Center

33100 Cleveland Clinic Blvd.
Avon, OH 44011
440.695.4000

Cleveland Clinic North Ridgeville Medical Office

35105 Center Ridge Road
North Ridgeville, OH 44039
440.327.1050

Cleveland Clinic Wellington Medical Office

805 Patriot Drive, Unit E
Wellington, OH 44090
440.647.0004

Established in fall 2007, Cleveland Clinic Medicine Institute brought together departments that provide coordinated patient care across the practices of adult primary care, hospital care and infectious disease. From establishing care with a new physician at one of our family health centers or main campus location to inpatient care through our hospital medicine and infectious disease consultants, the Medicine Institute has the expertise to deliver outstanding care and achieve superior outcomes.

Our institute strives to be the medical home for accessible, comprehensive, coordinated care for patients. At the same time, institute research is focused on improving outcomes in the care of chronic diseases, prevention, better care processes and outcomes for hospitalized patients, as well as advancing the science of infection diagnosis and management, particularly in medically or surgically complex patients.

Primary Care Women’s Health

This program is supported by more than 40 internal medicine and family medicine physicians at main campus and family health center locations. Primary Care Women’s Health provides an organized framework for coordinating and improving primary care related services for female patients throughout the health system. This program allows the Medicine Institute to exceed national quality targets and promote women’s health and wellness in the community.

Departments & Centers:

Cleveland Clinic Center for Geriatric Medicine is ranked #7 in the country and #1 in Ohio by U.S. News and World Report.

In our outpatient practice quality monitoring and improvement efforts, we have focused on measures to improve:

• Access to your Primary Care Physician
• Screening for common preventable or treatable conditions, such as breast cancer, colorectal cancer, cervical cancer and diabetes
• Management of common chronic conditions, such as diabetes and high blood pressure
• Care for common childhood illnesses, such as colds and sore throats
• Prevention of infectious diseases via immunizations

An independent research firm asked our patients about their experiences and satisfaction with the services provided by our staff.

• 87% of patients rated their overall care as excellent or very good.
• 98% rated their provider care as excellent or very good.

Patient Experience

Overall Rating of Care as Ranked by Patients in 2009

Overall Rating of Provider Care as Ranked by Patients in 2009

Percentage of Patients Who Would Recommend Provider in 2009

280,000

The number of patient visits completed by internal medicine and internal medicine/pediatric physicians at Cleveland Clinic family health centers

9,590

The number of outpatient visits by members of the Infectious Disease Clinic

53,000

The number of patient visits to the Department of Internal Medicine

3.2

The average number of minutes it takes our Medical Emergency Teams to reach a patient

137

The number of Institutional Review Board-approved research projects in 2009

Diabetes Screening

It is recommended that all adults age 45 and older periodically be tested for diabetes (ADA). The percentage of our patients over age 45 screened for diabetes with a fasting blood sugar within the past 3 years was evaluated. By the end of 2011, we had improved our documented testing from 90% to 93%.

Breast Cancer Screening

Mammography has been shown to detect early breast cancers, as well as improve survival of women diagnosed with breast cancer. In 2007, we expanded our criteria to coincide with national standards, extending the previous age range of 50-69 to 40-69. We now consider both of these ranges in our quality improvement efforts. Despite the change in criteria, we continue to exceed the national standards at 82%.

Colorectal Cancer Screening

Appropriate screening tests have clearly shown they can lead to earlier detection and reduced risk of death from colorectal cancer. We evaluate the percentage of patients age 50 and older who had documentation of colon cancer screening using colonoscopy, flexible sigmoidoscopy, and/or stool occult blood testing. Our screening percentages continue to be considerably better than NCQA nationally reported rates.

Pneumococcal Immunization

Immunization against pneumococcal pneumonia has been shown to lower mortality from pneumococcal illness and is recommended for older adults. The percentage of adults age 65 and older showing documentation of pneumococcal immunization was measured. At the end of 2011, our immunization rate is 84%.

• Medicine Institute Center for Research and Innovation

  Prior to 2009, the Medicine Institute did not have a formal infrastructure to support physicians’ research interests. With the development of the MICRI research infrastructure, there is a more formalized and efficient process to support Medicine Institute investigators. This allows the Medicine Institute to develop many more research initiatives in primary care, hospital medicine and infectious disease, as well as to successfully compete for federal, foundation and industry-sponsored grants.

  Some projects include:

  Ume Abbas, MD, an infectious disease physician, was awarded a two-year Bill and Melinda Gates Foundation grant to support her project, “Antiretrovirals and Spread of HIV Drug Resistance.” The purpose of this project is to determine the potential impact of antiretrovirals (ARVs) used for antiretroviral treatment (ART) and pre-exposure prophylaxis (PrEP) on HIV prevention and drug resistance through mathematical and computational modeling. The long-term goal is to use modeling and simulation to design public health interventions to help control the global HIV epidemic.

Cleveland Clinic Medicine Institute

9500 Euclid Avenue
JJN6
Cleveland, OH 44195
800.223.2273

snowm@ccf.org

Contact us by Department/Center:

• Department of Internal Medicine (main campus) 216 444.5665
• Internal Medicine, Geriatrics 216 444.5665
• Department of Hospital Medicine 216 445.1961
• Department of Infectious Diseases 216 445.8845
• Internal Medicine Residency Program 216 444.2336
• Family Medicine Residency Program 216.476.7088

Departments of Community Internal Medicine:

• Avon Pointe 440.899.5555
• Beachwood 216.839.3000
• Brunswick 330.225.8886
• Chagrin Falls 440.893.9393
• Independence 216.986.4000
• Lakewood 216.521.4400
• Richard E Jacobs (Avon)440.695.4000
• Solon 440.519.6800
• Strongsville 440.878.2500
• Twinsburg 330.888.4000
• Westlake 440.899.5555
• Willoughby Hills 440.943.2500
• Wooster 330.287.4500

Departments of Family Medicine:

• Beachwood 216.839.3000
• Brunswick 330.225.8886
• Chagrin Falls 440.893.9393
• Fairview 216.476.7088
• Solon 440.519.6800
• Strongsville 440.878.2500
• Westlake 440.899.5555
• Willoughby Hills 440.943.2500

The multidisciplinary Neurological Institute at Cleveland Clinic is a leader in treating and researching the most complex neurological disorders, advancing innovations such as epilepsy surgery, stereotactic spine radiosurgery, interstitial thermal therapy for brain tumors and deep brain stimulation. Annually, our staff of more than 300 specialists oversee nearly 175,000 outpatient visits and perform more than 9,500 surgical/interventional procedures.

Departments & Centers

U.S.News & World Report's “America's Best Hospitals” survey has consistently ranked the Cleveland Clinic's neurology/neurosurgery, psychiatry, pediatric neurology/neurosurgery and rehabilitation programs among the best in the nation.

2011-2012 U.S.News & World Report “America's Best Hospital” Rankings:

174,410

Total Outpatient visits across the Institute

16,019

Total admissions

114,635

Total number of inpatient days

9,684

The total number of Surgical/Interventional Procedures performed in 2011

76,556

Neuroimaging Studies performed on main campus and at family health centers

• 

  Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center

  The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center was first in the world to test the AutoLITT™ system. The treatment uses a specially designed laser probe to heat and destroy brain tumors integrates the AutoLITT system with the latest intraoperative magnetic resonance imaging (MRI) technology. Our leading-edge MRI unit generates high-resolution images in real time in a neurosurgical operating room that incorporates the AutoLITT system. This innovation allows physicians to see and direct the progress of tumor destruction as it happens, thereby increasing the likelihood that tumors will be completely removed. To date, the Center has performed more of these procedures than any other medical center in the country.

• 

  Center for Neurological Restoration

  Andre Machado, MD, PhD, was awarded an NIH/NIGMS grant titled, “Deep brain stimulation of the ventral anterior limb of the internal capsule for modulation of the affective sphere of chronic neuropathic pain.” Cleveland Clinic researchers plan to target with deep brain stimulation (DBS) areas that are related to the control of behavior and emotion. By electrically stimulating these networks, researchers expect to reduce pain-related disability.

• 

  Mellen Center for Multiple Sclerosis Treatment and Research

  The Mellen Center Staff, under the direction of Dr. Robert J. Fox, our medical director, recently received an important grant from the National MS society to study chronic cerebrospinal venous insufficiency, a new theory of what causes MS. The project will evaluate individuals with MS and compare their ultrasound and MR venography results with those of healthy controls and individuals with other neurological and autoimmune disorders. We are pleased to have this opportunity to scientifically and objectively evaluate this possible link between multiple sclerosis and the blood flow out of the brain and spinal cord.

Contact us by Department/Center

• Rose Ella Burkhardt Brain Tumor &
  Neuro-Oncology Center 866.588.2264
• Neurological Center for Pain 866.588.2264
• Center for Neurological Restoration 866.588.2264
• Center for Pediatric Neurology and Neurosurgery 866.588.2264
• Center for Spine Health 866.588.2264
• Cerebrovascular Center 866.588.2264
• Epilepsy Center 866.588.2264
• Home Care Services216.444.4663
• Lou Ruvo Center for Brain Health866.588.2264
• Mellen Center for Multiple Sclerosis
  Treatment and Research 866.588.2264
• Neuromuscular Center 866.588.2264
• Physical Medicine & Rehabilitation 866.588.2264
• Department of Psychiatry and Psychology 866.588.2264
• Sleep Disorders Center 866.588.2264
• Department of Neurosurgery 866.588.2264
• Neurology 866.588.2264

Access a list of services by location.

Nearly 11,000 nurses and additional support staff at the Zielony Nursing Institute practice on more than 40 specialty-based nursing units. More than 900 advanced practice nurses, including certified nurse practitioners, certified registered nurse anesthetists, clinical nurse specialists and certified nurse midwives collaborate with physicians to manage patient care in the inpatient, outpatient and perioperative settings.

The Stanley Shalom Zielony Center for Nursing Education is a funded and endowed program designed to provide advanced nursing opportunities, expand nursing programs and support the vision for excellence in the Cleveland Clinic Nursing Institute.

Opportunities & Resources:

Magnet Status

In 2003, Cleveland Clinic earned Magnet Status and re-designated in 2008. Magnet Status is the highest national award for excellence in nursing, which is given by the American Nurses Credentialing Center (ANCC). Only 5.5% of the nation's more than 7,000 hospitals have earned this distinction.

5.5%

Percentage of healthcare organizations in the United States that have achieved magnet status. Cleveland Clinic and Fairview Hospital received this distinction.

23.5%

Percentage of Cleveland Clinic direct patient care nurses in 2008 who held at least one national nursing certification in their area of specialty.

10%

Percentage of male nurses practicing at Cleveland Clinic.

900

Approximate number of advanced practice nurses employed at Cleveland Clinic.

Contact Us:

• Nursing Administration 216.445.4283
• Nursing Education 216.444.4260
• RN & LPN Nurse Recruitment 216.448.0377

Locations:

Administration
Main Campus
9500 Euclid Ave/H18
Cleveland, OH 44195

Nursing Education
8911 Euclid Ave./HSB-111
Cleveland, OH 44106

RN and LPN Nurse Recruitment
Building 3
3050 Science Park Drive
Beachwood, OH 44122

Cleveland Clinic's Ob/Gyn & Women's Health Institute is dedicated to meeting the unique and changing medical needs of women of all ages. From breast disease, infertility and in vitro fertilization to urogynecology, gynecologic cancer and minimally invasive treatments, our team is expert in coordinated and supportive treatment of the problems that impact women's lives.

Departments and Services:

Cleveland Clinic's Ob/Gyn and Women's Health Institute is ranked No. 1 in Ohio and No. 3 in the nation according to U.S.News and World Report.

Patient Experience

We ask our patients about their experiences and satisfaction with the services provided by our staff. Although our patients are already indicating we provide excellent care, we are committed to continuous improvement.

39

The number of convenient locations at which our Obstetrics, Gynecology and Women's Health Staff provide comprehensive care

300,967

The number of outpatient visits for the Ob/Gyn & Women’s Health Institute in 2011

799

The number of births at all Cleveland Clinic regional hospitals and main campus in 2011

6,866

The number of gynecological procedures performed in 2011

2,500

The number of women who participate each year in “Speaking of Women's Health” events sponsored by the Center for Specialized Women's Health

• Fertility Preservation

  Cleveland Clinic's fertility specialists have developed expertise in the best cryopreservation techniques.

• Robotics

  Our surgeons are increasingly using a robot to assist in the minimally invasive treatment of gynecologic disorders, particularly vaginal prolapse and hysterectomy, giving patients the benefits of minimally invasive surgery with less blood loss, fewer complications and shorter hospital stays.

• Nipple Sparing Mastectomy

  Preservation of the nipple areolar complex at the time of mastectomy has been pioneered at Cleveland Clinic. Our outcomes for this procedure have been superior and our experience with more than 200 procedures is one of the largest in the world.

• Free Flap Breast Reconstruction

  Our microvascular breast reconstructive surgeons have considerable experience with free flap reconstructions, which are only offered in a select group of centers worldwide.

OB/GYN & Women's Health Institute

Main Campus
9500 Euclid Avenue
Cleveland, OH 44195

• General Patient Referral
  24/7 hospital transfers or physician consults 800.553.5056
• Obstetrics and Gynecology
  Appointments/Referrals 800.223.2273, ext. 46601
  216.444.6601
• Women's Health Advice Line
  Monday through Friday, 8:30 a.m. - 4:30 p.m. 800.223.2273, ext. 44437
  216.444.4HER
• Center for Specialized Women’s Health
  Appointments/Referrals 800.223.2273 ext. 43024
  216.444.3024

Access a list of services by location

The Cleveland Clinic Cole Eye Institute is one of the few dedicated, comprehensive eye institutes in the world. Our internationally recognized staff diagnoses and treats the entire spectrum of conditions of the eye, caring for more than 170,000 patients and performing more than 7,500 surgeries annually.

More information:

U.S.News & World Report's “America's Best Hospitals” survey consistently has ranked the Cleveland Clinic Cole Eye Institute as one of “America's Best” ophthalmology programs, making it the No. 1 program in Ohio.

Patient Experience

We ask our patients about their experiences and satisfaction with the services provided by out staff. Although our patients are already indicating we provide excellent care, we are committed to continuous improvement.

Overall Rating of Care as Ranked by Patients: 2007 vs. 2008

150,000

The number of patient visits at Cole Eye Institute each year.

17,000

The number of clinical procedures physicians perform at Cole Eye Institute – volumes among the highest in the nation.

45

The number of national and international peer-reviewed journals that have published the work of our ophthalmologists and researchers.

3,500

The number of retina procedures performed annually by the Cole Eye Institute vitreoretinal team of physicians, who have been internationally recognized for their expertise in diagnosing and treating the full range of retinal disorders.

• Dr. Hollyfield Recognized

  Joe G. Hollyfield, PhD, Professor of Ophthalmology at Cleveland Clinic Lerner College of Medicine was selected as the next recipient of the Proctor Medal by the Board of Trustees of the Association for Research in Vision and Ophthalmology. This prestigious award recognizes his work in significantly advancing the understanding of the cell biology of photoreceptors, interphotoreceptor matrix and the pigment epithelium.

• Developing New Therapeutics for Age-Related Macular Degeneration (AMD)

  A research team led by Joe G. Hollyfield, PhD, has developed the first animal model of AMD that will enable researchers to efficiently and effectively develop and test novel therapies to both prevent the disease and slow vision loss.

Cleveland Clinic Cole Eye Institute

Main Campus
9500 Euclid Avenue
Cleveland, OH 44195
1.800.223.2273, ext. 42030

Contact by Department or Location:

• Laser Vision Correction 216.445.8585
• Beachwood 216.831.0120
• Independence 216.986.4000
• Hillcrest Hospital 440.461.4733
• Strongsville 440.878.2500
• Twinsburg 330.888.4000

The Orthopaedic & Rheumatologic Institute offers expert diagnosis, treatment and rehabilitation for adults and children with bone, joint or connective tissue disorders. The Institute blends the strengths of Cleveland Clinic's Orthopaedic and Rheumatologic Programs. Our physicians offer comprehensive care at Cleveland Clinic's main campus, Family Health and Surgery Centers, affiliated hospitals, and in Florida.

More information:

U.S.News & World Report's “America's Best Hospitals” survey has consistently ranked the Cleveland Clinic Orthopaedic and Rheumatologic Programs among the top 4 in the nation.

2011-2012 U.S.News & World Report “America's Best Hospital” Rankings:

Patient Experience:

We ask our patients about their experiences and satisfaction with the services provided by our staff. Although our patients are already indicating we provide excellent care, we are committed to continuous improvement.

Overall Rating of Care as Ranked by Patients in 2010

Overall Rating of Provider Care as Ranked by Patients in 2010

Percentage of Patients Who Would Recommend Provider in 2010

Sports Health

42

The number of professional teams worldwide that sent an athlete for treatment.

26

The number of area high schools that have Cleveland Clinic Sports Medicine coverage.

3

The number of professional sports teams that are served by Cleveland Clinic Sports Medicine.

19

The number of Sports Health Surgeons and Primary Care Physicians on staff.

• Managing Pain after Total Knee Replacement

  For patients undergoing knee replacement, pain control is improved by using a combination of a femoral nerve catheter, a spinal anesthetic, and an analgesic cocktail. Using this new pain protocol has led to patients having significantly less pain on each day of their hospital stay, with improved function scores up to 4 weeks after surgery.

• First Arthroscopic Knee Resurfacing Procedure

  Anthony Miniaci, MD, FRCSC, Executive Director of Cleveland Clinic Sports Health, developed the UniCAP, the first knee resurfacing procedure to be performed using arthroscopy. The UniCAP system is the first to utilize arthroscopy to re-line damaged surfaces on the inside or outside of the knee, or under the kneecap. For active individuals, it is more effective than other treatments in getting joints to move smoothly and painlessly and less drastic than total knee replacement.

Physician referrals: 216.445.0096

Arthritis and Musculoskeletal Treatment Center

Department of Orthopaedic Surgery

9500 Euclid Avenue/A40 A41
Cleveland, OH 44195

• Orthopaedics 866.275.7496
• Joint Replacement 866.275.7496
• Foot and Ankle 866.275.7496
• Hand and Upper Extremity 866.275.7496
• Pediatrics 866.275.7496
• Spine 866.275.7496
• Sports Health 877.440.TEAM

Department of Rheumatic and Immunologic Diseases

9500 Euclid Avenue/A50
Cleveland, OH 44195

• Rheumatology 866.275.7496
• Center for Vasculitis 866.275.7496
• Center for Osteoporosis and Metabolic Bone Disease 866.275.7496
• Pediatrics 866.275.7496
• Clinical Immunology 866.275.7496

The Pathology & Laboratory Medicine Institute has more than 1,600 employees and 90 professional staff. Comprised of the laboratories located at Cleveland Clinic’s main campus, community hospitals, family health centers and Cleveland Clinic Florida, we generate more than 20 million tests annually. We also serve external clients throughout the country with our full-service reference laboratory, Cleveland Clinic Laboratories. Physicians rely on the specialists within the institute to provide the expert diagnosis, second opinions and subspecialty consultation that are the basis for effective patient care.

Departments:

Pathology and Laboratory Medicine Institute

9500 Euclid Avenue/L-21
Cleveland, OH 44195
216.444.5777

Residency Program Director

Carol F. Farver, MD
216.445.7695
216.444.6967 (FAX)
farverc@ccf.org

The Quality & Patient Safety Institute oversees reporting of quality outcomes data, compliance with governmental and regulatory agencies, both patient and employee safety as well as quality improvement to enhance the quality of patient care delivered in a safe environment. Content experts from Accreditation, Clinical Risk Management, Environmental Health & Safety, Infection Prevention, Patient Safety, Quality and Quality Improvement work diligently with clinical colleagues to ensure Cleveland Clinic is a national leader recognized for safe, high quality care.

Departments:

Reporting Quality Data

Governmental and other regulatory agencies are helping consumers make informed healthcare decisions by providing readily accessible outcomes information. The Centers for Medicare and Medicaid Services (CMS) and The Joint Commission require all hospitals to report their quality measures by submitting data following each patient’s hospital stay; these measures are reported quarterly.

Cleveland Clinic has been a leader in providing consumers with quality outcomes data to help patients and their physicians make informed decisions about treatment for a wide range of medical diseases and conditions.

View the most recent outcomes books.

View our Quality Performance.

Learn how we maintain compliance.

Learn about safety's role in healthcare.

Cleveland Clinic Main Campus

Institute Administrator
Mail Code:  HS1-103
9500 Euclid Avenue
Cleveland, OH  44195
800.223.2273
meade@ccf.org

How do you judge quality of healthcare?

Lerner Research Institute with over $160 million of annual external funding is home to laboratory-based, translational and clinical research at Cleveland Clinic. Over 160 laboratory principal investigators and a multitude of clinical investigators pursue research in cardiovascular, cancer, neurologic, musculoskeletal, allergic and immunologic, eye, metabolic and infectious diseases. A hallmark of the Institute is its focus on multi-disciplinary, disease-oriented research with a primary goal of accelerating the translation of discoveries to positively impact human health.

Departments:

156

Number of laboratory Principal Investigators.

1900

Number of research employees (clinical and laboratory, excluding graduate students and postdoctoral fellows)

1371

Number of total publications (1301 journal manuscripts, 3 books, and 67 chapters)

$248M

Total research funding

$112M

Federal funding

98

Total number of innovations (62 invention disclosures, 21 patents, 12 licenses, and 3 new companies)

1. Discovered heritable cause for Barrett's esophagus
2. Developed prototype breast cancer vaccine
3. Fashioned the Intelligent Mouthguard to measure concussive forces in athletes
4. Updated clinical practice guidelines based on latest research findings
5. Research links a common dietary lipid and intestinal microflora to an increased risk of heart disease
6. Breakthrough understanding of how multiple sclerosis develops
7. Creating artificial organs: an implantable bioartificial kidney and total artificial heart
8. Calculating personalized risk assessment regarding disease and treatment options
9. Identifying new molecular targets of disease, from brain cancer and retinal diseases to pregnancy-induced hypertension and beyond

9500 Euclid Avenue / NB21
Cleveland, OH 44195
216.444.3900

At Cleveland Clinic's Respiratory Institute, we provide world-class patient care by combining our strengths in clinical expertise, research and education. Serving nearly 90,000 patients annually, the Respiratory Institute’s unsurpassed expertise and experience attracts patients from all over the world who seek a definitive diagnosis and cutting-edge treatment, often for a rare or complex lung disorder. With more than 60 pulmonologists, allergists/immunologists and critical care specialists, the Respiratory Institute diagnoses and treats a wide range of lung, allergy and breathing-related conditions.

Departments & Centers :

Cleveland Clinic's Respiratory Institute is ranked #3 in the country, according to the U.S.News & World Report annual survey of “America's Best Hospitals.”

Patient Experience

We ask our patients about their experiences and satisfaction with the services provided by our staff. Although our patients are already indicating we provide excellent care, we are committed to continuous improvement.

Overall Rating of Care as Ranked by Patients in 2010

Overall Rating of Provider Care as Ranked by Patients in 2010

95.755

The number of patient visits to the Respiratory Institute in 2010.

$6.2MM

Funding for research raised in 2010 for the Respiratory Institute. In addition, 73 grants were received.

2,771

The number of bronchoscopies performed in 2010.

122

The number of lung transplants performed in 2010.

2,478

The number of Interstitial Lung Disease Visits in 2010, a 35% increase in four years.

2,003

The number of Pulmonary Arterial Hypertension Visits in 2010, a 61% increase in four years.

1,965

The number of Sarcoidosis Visits in 2010, a 74% increase in four years.

1,140

The number of Sarcoidosis Visits in 2010, a 74% increase in four years.

9,387

The number of COPD Visits in 2010, a 20% increase in four years.

The Cleveland Clinic Lung Transplant Program, which is a collaborative effort with the Department of Thoracic Surgery, is also one of the largest in the United States. The average transplant wait time is lower at Cleveland Clinic than at other centers around the country.

• The Respiratory Special Care Unit (ReSCU)

  The Respiratory Special Care Unit (ReSCU) was created for persons who depend on mechanical ventilation to breathe but who are otherwise healthy enough to leave the intensive care unit. The primary goals of the ReSCU are to have patients breathe without the ventilator, teach patients self-care, teach family members how to care for the patient and manage the ventilator at home and prepare the patient and family for the patient's discharge to another facility.

• Bronchial Artery Revascularization (BAR)

  Bronchial artery revascularization (BAR) is a surgical technique intended to restore bronchial arterial circulation to transplanted lungs. Cleveland Clinic’s Transplant Surgical Team currently is conducting a prospective pilot study offering BAR at the time of transplantation with the reasoning that by restoring bronchial blood supply both short- and long-term outcomes in lung transplant patients may be improved.

  IBV (Intra-Bronchial Valve)

  Over the last few years, Cleveland Clinic pulmonologists have been participating in several multicenter trials to assess the efficacy and safety of bronchoscopic treatments for patients with severe emphysema. One such device, manufactured by Spiration, Inc., is an umbrella-shaped nitinol framed prothesis with a synthetic polymer cover. The flexible nitinol frame enables the valve to maintain contact with the airway wall and prevent air from passing into the diseased portions of the lungs while allowing for mucus and air to escape. This creates a one-way valve effect and redirects inspired air from the diseased upper lobes to the healthier lower lobes.

  Exhale Airway Stents for Emphysema

  Another trial currently enrolling at Cleveland Clinic is a randomized, double-blind study to evaluate the safety and effectiveness of the Exhale® drug-eluting stent in patients with homogeneous emphysema and severe hyperinflation. This technique involves creating artificial airways, or "airways bypasses," across the wall of poorly functioning existing airways.

  New Bronchoscopy Suites

  The Patricia L. and Thomas P. Brundige bronchoscopy suites opened on Aug. 13, 2010.These new suites are designed to provide the full range of services, from standard bronchoscopy through advanced diagnostic and major therapeutic thoracic endoscopy.

  Systematic Mediastinal EBUS Staging

  With the availability of general anesthesia, we can perform a minimally invasive assessment of the mediastinal lymph nodes and combine the diagnostic and staging procedures in a single step. In addition to obtaining diagnostic tissue, we assess and sample all visible lymph nodes ≥ 5 mm, even if they do not appear abnormal on CT or PET scans. The ability to diagnose and stage lung cancer in a single, minimally invasive procedure can help patients obtain appropriate treatment sooner and with less risk than that posed by multiple staged procedures.

  Stent Modification

  Both malignant and nonmalignant central airway occlusions present many challenges, in that not all simple tubular silicone and self-expanding metallic stents are designed to fix the problems we face. One of the benefits of having a stock of silicone stents in our suites is that we can modify and shape stents during procedures to meet the unique needs of individual patients.

  Procedure Benchmarking

  Cleveland Clinic was one of the first 10 medical centers in the world to contribute procedural data to an international registry sponsored by the American College of Chest Physicians. The AQuIRE bronchoscopy registry has been developed to gather a number of anonymous clinical variables related to bronchoscopy procedure types, complications and outcomes, the intent being to better understand the value of bronchoscopy.

  Using Short-Cycle Business Intelligence to Drive Change

  Beginning in late 2010, the Respiratory Institute began using short-cycle business intelligence (BI) to focus on procedural and protocol compliance for ventilation weaning. In collaboration with various respiratory therapy groups, including personnel from the Medical Intensive Care Unit, the Surgical Intensive Care Unit, the Respiratory Special Care Unit and the Neurological Intensive Care Unit, we use a variety of metrics to evaluate performance, such as: sedation levels at time of screening and spontaneous breathing trial (SBT), time (of day) SBT and screening take place, reasons for failed screening, SBT or extubation. Monitoring these specific metrics allows us to make changes to our procedures and/or protocols on a near-real-time basis, allowing for feedback on compliance and testing outcomes.

  How Treating Bone Marrow Might Help Patients with Pulmonary Hypertension

  Pulmonary arterial hypertension (PAH) is a proliferative vasculopathy of the pulmonary circulation leading to vascular remodeling and arterial obliteration, which increase pulmonary arterial pressures and lead to right heart failure and death. Currently available vasodilator therapies for PAH, although helpful in improving exercise tolerance and quality of life, are only moderately effective in improving survival.

Cleveland Clinic Respiratory Institute

9500 Euclid Avenue / NB21
Cleveland, OH 44195
1.866.223.LUNG (5864)
1.800.890.2467

The Glickman Urological & Kidney Institute offers a full range of urology and nephrology services for adults and children. Many of the Institute's physicians have sub-specialty training in the following areas: prostate disease, kidney disease, bladder control, male infertility, testicular cancer, bladder cancer, prostate cancer, vaginal prolapse, erectile dysfunction, chronic kidney disease, hypertension and kidney cancer.

Departments and Centers:

U.S.News & World Report has ranked Cleveland Clinic’s urology program No. 2 in the nation in 2011-2012 for the 12th year in a row along with the kidney disease program, also ranked No. 2 in the nation.

74,706

Number of outpatient visits to the Glickman Urological & Kidney Institute in 2009.

19,648

Number of cases seen at the Glickman Urological & Kidney Institute in 2009.

1,800

The number of robotic and laparoscopic partial nephrectomy procedures performed. Our experience is the largest of any center in the world for these delicate procedures.

194

The number of single-port surgeries performed by our urologic surgeons to date.

16,236

Number of dialysis treatments performed in 2009.

3,194

The number of admissions to Glickman Urological & Kidney Institute in 2009.

14,916

The number of patient days in 2009.

4.67

Average patient length of stay (in days).

Cancer Specific Survival Rates

The Institute’s 93 physicians and scientists offer in-depth expertise in every subspecialty area. In 2011, the faculty was responsible for serving a significant number of patients, while publishing 381 peer-reviewed manuscripts, 48 book chapters, three textbooks and recording more than $10.5 million in research funding.

• Transvaginal Nephrectomy

  Doctors at Cleveland Clinic performed the first case of NOTES transvaginal nephrectomy. The kidney was entrapped in a laparoscopic retrieval bag and removed via the vagina without intraoperative or postoperative complications.

  

  Innovative Combination of New Technologies in Reconstructive Laparoscopic Surgery

  A novel platform to perform reconstructive procedures combines a new robotic-endoscope holder, 3D vision and articulated instruments. This research won the first place award at the Engineering and Urology Society's 2008 meeting.

  Stereotactic Percutaneous Cryoablation for Renal Tumor

  Our surgeons have developed a stereotactic navigation system specifically for percutaneous probe ablation of kidney tumors. Accuracy using this navigation system was 4 mm and radiation exposure was reduced.

  LaparoEndoscopic Single-Site (LESS) Surgery

  Laparoscopic surgeons at the Glickman Urological & Kidney Institute have developed and employed a novel port with multiple working channels that allows laparoscopic surgery to be completed through a single, 2 cm incision. In many instances, this single incision is buried in the umbilicus and offers a nearly scarless postoperative appearance.

  Single-Port Single-Surgeon Surgery

  Single-port single-surgeon transumbilical partial nephrectomy, pyeloplasty and radical nephrectomy were performed in our laboratory using a novel light endoscopic robot. This research has the potential to make single-port laparoscopy more effective toward surgery without visible scars.

  STEP (Single-Port Transvesical Simple Prostatectomy

  A single-port device is introduced percutaneously into the bladder under cystoscopic guidance. After establishing pneumovesicum, the adenoma is enucleated in its entirety and extracted through the vesical port site. Hemostasis is performed under direct vision.

  First Robotic Partial Removal of Transplant Tumor

  Jihad Kaouk, MD, recently performed the first robotic partial nephrectomy on a patient with a 7 cm tumor in her transplanted kidney. By preserving the transplanted kidney, the patient was spared losing the transplanted kidney and long-term dialysis treatment.

Contact us by Department/Center:

• Urology 216.444.5600
• Nephrology/Hypertension 216.444.6771

Access location listing.

Access a list of diseases/conditions.

Find a doctor.

The Cleveland Clinic Wellness Institute is dedicated to making preventive care the driving force in medicine. Our goal is to minimize the physical, emotional and economic costs of illness for our employees, our patients and the community. We believe that making health and wellness education accessible to all will improve the quality of life and sense of well-being in society at large.

Our programs:

Wellness Institute

1950 Richmond Road
Lyndhurst, OH 44124
877.331.WELL

LifestyleMed@ccf.org

• Executive Health 216.444.5707 or 800.223.2273
• Tobacco Treatment Center 216.444.8111
• Integrative Medicine 216.986.HEAL (4325)
• Lifestyle Medicine 877.331.WELL (9355)
• CONCERN: EAP 800.989.3277 or 216.986.1170