Cleveland Clinic is one of the world’s largest and busiest medical centers, serving patients from every state in the nation and from many countries around the world. Each year, more than 2 million outpatient visits are recorded, and approximately 65,000 surgical procedures are performed.

Because of the diversity of our nursing offices, Cleveland Clinic offers nurses the opportunity to provide exemplary care in a variety of disciplines.

Find out about our various nursing offices within the Zielony Nursing Institute.

Care Management Department

Experienced registered nurses with a broad background and good understanding of the continuum of care may function as case managers. These nurses perform a valuable service by guiding patients with complex needs and multiple physicians through their Cleveland Clinic experience.

Cleveland Clinic Staffing Resources Office
Cleveland Clinic Staffing Resources

Cleveland Clinic Staffing Resources (CCSR) is an innovative program within the Stanley Shalom Zielony Institute for Nursing Excellence. CCSR offers experienced registered nurses, licensed practical nurses, dialysis technicians, surgical technicians and others the opportunity to take advantage of the most flexible scheduling available while still being considered a Cleveland Clinic employee. Being a part of Cleveland Clinic Staffing Resources program allows CCSR employees the freedom to schedule themselves online at their convenience for shifts at any of Cleveland Clinic's facilities, including Weston, Florida.

Office of Advanced Practice Nursing

Cleveland Clinic Health System has more than 700 advanced practice nurses working in a variety of settings. These APNs are Masters or Doctorally prepared registered nurses who have been certified to function at an advanced level.

APNs include certified registered nurse practitioners, clinical nurse specialists, certified nurse midwives and certified registered nurse anesthetists. APNs work both independently and in collaboration with physicians, providing services such as performing physicals, ordering and interpreting tests and procedures, prescribing medications, coordinating care, and performing patient education.

The APN Practice Council is made up of representatives from the various settings where APNs practice. The APN Practice Council has worked to promote the practice of advanced practice nursing at Cleveland Clinic through the development of:

  • Continuing education programs
  • A brochure that explains APN roles and functions
  • A mentorship program for APNs
  • A newsletter and Sharepoint site to facilitate communication for APNs throughout the organization
  • APN week designed to increase recognition and understanding of the APN practice issues and recognition of our APN staff for their achievements
  • An APN satisfaction survey, which led to an improved orientation plan for APNs, improved performance evaluation tools, and increased education of staff members regarding the APN role
  • Quarterly continuing education programs along with simulation labs for advanced procedures
  • Tools to educate others regarding the APN scope of practice
Office of Ambulatory Nursing

Cleveland Clinic extends its reach into individual communities across Northeast Ohio and Florida through the work of over 1800 ambulatory care registered nurses. Employed throughout our institutes, Community Hospitals and in our Family Health Centers these nurses work to help patients and their families not only manage both acute and chronic illnesses, but also engage in illness prevention.

  • Routine tasks for ambulatory nurses vary based on where the nurse is stationed and their practice setting. In general the settings where ambulatory nurses work share the following characteristics.
  • Care is provided on an outpatient basis and may include Telehealth services.
  • The length of each individual patient visit is brief, but the nurse and patient care relationship may extend over years, especially with chronic disease management.
  • The care provided is diverse, based upon the specialty practice, and may include the provision of technologically advanced services and procedures.
  • Through education, support and consultation with other healthcare team members, ambulatory nurses support, foster and promote the patient’s involvement in self-care, including at home care.
  • Ambulatory nurses collaborate with other care providers to assure coordinated, quality care and smooth transitions of care.

At Cleveland Clinic our ambulatory nurses hold certifications in their individual specialties and go through extensive orientation programs. Nurses must exhibit enhanced critical thinking skills and both administrative and practitioner skills in order to succeed in the fast-paced career of an ambulatory nurse.

Office of Emergency Services

Nurses in the emergency room work in a fast-paced environment that requires organizational skills, quick decision-making and teamwork.  As part of Cleveland Clinic’s integration of emergency services, our emergency departments (EDs) are moving to a single electronic medical record, standardized processes and equipment, and the implementation of “split-flow” treatment tracks, which separate patients with urgent needs from those with more acute needs. These initiatives are meant not only to meet the needs of patients and their families, but also to improve staff engagement and pride. Cleveland Clinic EDs differentiate themselves from others by being models of efficiency while still maintaining compassion and world-class care.

Office of Nursing Education & Professional Development

To ensure nurses have the competencies and skills to provide excellence in care related to recent advances in research, technology and new treatment options, the department of Nursing Education & Professional Development promotes a broad array of opportunities for professional growth.

Cleveland Clinic provides a diverse set of both education initiatives and professional development programs. Nurses have the chance to make proactive strides in their educations and careers, all while continuing to provide exceptional patient care. In order to provide the utmost flexibility, all specialized education is done on site at Cleveland Clinic’s main campus.

Office of Nursing Informatics

Cleveland Clinic's Office of Nursing Informatics is a dynamic group that supports evidence-based nursing practice and quality patient outcomes through technology-based solutions to improve nursing communication, aid in electronic medical record documentation, and increase the efficiency of nursing care to our patients. 

Patient care drives the technology that is implemented and the nursing informatics team partners with nursing and information technology staff to successfully implement and continually optimize these technological solutions at the bedside.

Nursing Informatics is not new, but it certainly is now. Technology is dramatically altering the ways in which we diagnose, treat, care for and manage patients. It is our past and it is our present.

Our Mission is to support evidence-based nursing practice and improved patient outcomes with technology solutions that enhance nursing communication, documentation and efficiency. We pursue our mission endlessly and passionately.

Nursing leadership at Cleveland Clinic has long recognized that superior quality of care depends on the alignment of people, processes and technology. The Department of Nursing Informatics, within the Zielony Nursing Institute, plays an essential role in defining and implementing the strategy for innovative technological systems and processes to support the delivery of quality patient care and to enhance nursing practice.

Nursing Informatics participates in multidisciplinary strategic planning to determine system solutions that support patient care, set standards for clinical applications, conform to accreditation standards and regulatory requirements, and transform clinical practice. The department also facilitates the development of automation policies, procedures and guidelines for nursing and is the primary liaison between Cleveland Clinic Information Technology Division and the Zielony Nursing Institute.

At the onset of the department, information technology needs within the Zielony Nursing Institute were focused on supporting mainframe applications, developing databases, maintaining desktop applications and deploying office computers. During this time, when various clinical systems were beginning to evolve and a clinical nurse manager interested in how technology could affect nursing practice and patient care, the first manager of the department was named. With the advent of an automated order entry/results reporting system, the role of the department quickly expanded along with the staff.

Initially referred to as Nursing Information Systems at its inception in 1988, the area was officially established as a department in 1993, one year before the American Nurses Association recognized Nursing Informatics as a specialty with ANCC Certification. The name change to Nursing Informatics was implemented in 2006 to coincide with current standards of practice and scope at that time.

The Nursing Informatics department is now comprised of registered nurses, educators, systems analysts, a web analyst, a security coordinator and system administrators whose focus is to enhance nursing practice through the creative use of technology, maximizing nursing productivity, improving the work environment infrastructure and further supporting the Clinic’s world class excellence in patient care.

Office of Quality & Practice

The Zielony Nursing Institute department of Nursing Quality at Cleveland Clinic facilitates the improvement of patient outcomes, as well as promotes patient safety and the quality of nursing care at each hospital. Through the coordination of collecting, analyzing and reporting on multiple nursing quality indicators, Nursing Quality is involved in major activities that heighten awareness to improve patient care and nursing practice.

Until 2003, Nursing Quality had been part of the Department of Nursing Education, Quality and Research for more than 15 years. But the three areas were made into three separate departments as the role of each is of growing importance to nursing leadership. However, these three departments continue to work together hand-in-hand. In 2008, the Magnet Recognition Program ® and Nursing Patient Safety were combined with the Nursing Quality department.

Nursing Quality works collaboratively with Cleveland Clinic's Quality and Patient Safety Institute in promoting quality patient care and providing education on national quality initiatives.

Staff in Nursing Quality regularly recommend and participate in research related to nursing interventions, patient safety initiatives, shared governance, and promoting the forces of magnetism.

Office of Research & Innovation

Launching New Knowledge: 10 Years and Counting
Dates: May 5 & 6, 2014

Nursing Research & Innovation staff members mentor nurses as principal and co-investigators in conducting, translating and disseminating research that will increase nursing knowledge about clinical and administrative practices and facilitate evidence-based nursing practices that improve patient outcomes.

The results of nursing research are used to provide rationale for current practice or a change in policies, procedures and behaviors. In addition, results that expand knowledge are often used as the basis for innovative nursing systems and processes and patient interventions.

In addition to roles as a nurse consultant, mentor and educator to nurses, the Nursing Research and Innovation department team provides other resources to aid the research process. Our Intranet website provides templates and forms to assist nurses and links to other departmental and non-Cleveland Clinic web-based resources. We maintain a database of current, completed and abandoned research projects so we have up-to-date information on nursing research activities. We offer a Nursing Research Day educational program annually and up to 12 workshops every fall on a variety of topics. Workshops provide an opportunity for nurses to learn in smaller groups and participate in the education session by receiving hands-on experiences. Examples of workshop themes are: developing an instrument, writing an abstract, developing a poster, developing research questions and differentiating quality improvement from quality research, to name a few. In the past, we have offered a Nursing Innovation Summit to encourage nurses to be creative and inventive in problem solving.

We encourage students wishing to complete clinical practice hours in research to utilize our department team as preceptors. PhD team members also assist doctorate students by joining the thesis or dissertation teams for DNP and PhD degree work, as clinical experts. Further, we strongly encourage collaborative research projects since multiple stakeholders with unique perspectives strengthen projects in terms of methods, results and implications. We encourage nurses from other settings and non-nurse healthcare providers and industry leaders to contact us regarding research project work that they believe we can lead or assist with.

Known the world over for its strong basic science and its fundamental mission as a clinical research hospital, Cleveland Clinic is placing renewed emphasis on the importance of research by nurses. Although nurses have long been involved in clinical research efforts, nurses at all levels of nursing practice—bedside, clinical nurse specialists, educators, managers—are being encouraged to engage in scientific inquiry. Cleveland Clinic nurses have the opportunity to raise a question about nursing practice, and through the research process, investigate that question with the goal of promoting and assuring evidence-based nursing practice and optimum patient care.

To encourage research by nurses, Nursing Research assigns a PhD trained nurse researcher to each Cleveland Clinic institute who serves as a mentor to clinical nurses. A mentor stimulates and supports the development of research questions or generates ideas regarding nursing practice changes that will prompt evaluation of current practices and foster improved standards for patient care. Mentors assist nurses in every step of research, as needed; from identifying clinical problems, initiating research questions, completing paperwork for Institutional Review Board approval and grant funding groups, conducting and analyzing research, and presenting and disseminating findings. Research findings will determine how nurses deliver care, educate each other, and manage their practice. When nursing practice is evidence-based, patients are more likely to receive nursing care that is safe and effective, promotes comfort and facilitates the best outcomes.

Additionally, each PhD nurse researcher has her own program of research that is actively pursued. In this way, researchers are always current with governing rules of research, are aware of grant and other opportunities open to those they mentor and can include staff nurses in their projects, to aid in general nursing research growth.

Office of Patient Experience

Cleveland Clinic has been a pioneer in the rapidly-growing field of patient experience. We were the first major academic medical center to make patient experience a strategic goal, the first to appoint a Chief Experience Officer, and one of the first academic medical centers to establish an Office of Patient Experience.

The Office of Patient Experience’s mission is to ensure care that is consistently patient-centered by partnering with caregivers to exceed the expectations of patients and families.

The Office of Patient Experience serves as a patient experience advisory resource for critical initiatives across Cleveland Clinic health system. In addition, the Office offers education about HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), provides resources and data analytics, identifies, supports and publishes sustainable best practices, and collaborates with a variety of departments to ensure the consistent delivery of patient-centered care.

  • James I. Merlino, MD, FACS, FASCRS, Chief Experience Officer
  • Mary Linda Rivera, Executive Director, RN, ND