Talk:Cleveland Clinic

.

"Reputation" edits

Hello, I am Eileen Sheil, executive director of corporate communications at Cleveland Clinic. I created an account to help update my employer's article to keep it current and balanced. The first place I would like you to consider is Reputation. Currently, this portion of the article is outdated and incomplete. Some examples:

• The article lists 2012 and 2015 ratings from Consumer Reports, but it does not have the most recent rating.
• The paragraph on CMS investigations in the 2010s fails to include recent detail, such as CMS giving Cleveland Clinic four stars on its Overall Hospital Quality Star Rating program.
• The article does not include the latest Leapfrog Group ratings.
• The table showing specialty rankings from U.S. News & World Report includes an incorrect ranking for neurology and neurosurgery, and it does not include pediatric specialty rankings.

I ask that editors consider reviewing my suggested draft and move it into the article if everything is deemed appropriate.

Reputation

Reputation As of June 2017, Cleveland Clinic was ranked the No. 2 hospital in the United States, the No. 1 hospital in cardiology and heart surgery for 22 years, and the No. 1 hospital in Ohio by U.S. News & World Report, ranking nationally in 14 adult and 9 pediatric specialties, including: Specialty National ranking Pediatric specialty national ranking Cancer 8 44 Cardiology and heart surgery 1 27 Diabetes and endocrinology 3 50 Ear, nose and throat 12 Gastroenterology and GI surgery 2 28 Geriatrics 8 Gynecology 3 Neonatology 40 Nephrology 2 Neurology and neurosurgery 6 16 Ophthalmology 8 Orthopedics 3 41 Pulmonology 3 35 Rheumatology 3 Urology 2 24 Cleveland Clinic Taussig Cancer Institute In 2012, Consumer Reports rated the Cleveland Clinic 98th among 105 rated hospitals in the Ohio for overall safety. In 2015 the rating was 60th among 161 hospitals, with a score of 49 out of 100 possible points. (Nationwide, the top and bottom scores were 79 and 21.) In 2017, Consumer Reports rated Cleveland Clinic No. 88 out of 116 Ohio hospitals rated for overall safety, with a score of 53 out of 100. Between 2010 and 2013, the Centers for Medicare and Medicaid Services (CMS) undertook an extensive series of investigations into the Cleveland Clinic, with at least a dozen inspections and follow-up visits triggered by patient complaints. An analysis of Medicare inspection data between 2011 and 2014 found that the Cleveland Clinic was one of at least 230 instances where validated serious incidents—dubbed “immediate jeopardy” complaints— led CMS to threaten loss of ability to serve Medicare patients unless the problems were fixed immediately. Due to numerous serious ongoing safety violations, the Cleveland Clinic was on payment termination track for 19 months, placing at stake $1 billion in annual Medicare/Medicaid reimbursement. In July 2010, The Plain Dealer reported that Cleveland Clinic corrected all of the violations identified from the CMS inspection in January that year. In 2016, CMS gave Cleveland Clinic four out of five stars on its Overall Hospital Quality Star Rating program. Cleveland Clinic is accredited by The Joint Commission, a nonprofit that accredits health care organizations and programs, and maintains disease-specific certifications for comprehensive stroke care and ventricular assist device. Organizations accredited through The Joint Commission meet or exceed Medicare and Medicaid requirements. In 2014, Cleveland Clinic received The Joint Commission's first Primary Care Medical Home Certification for Hospitals. In a Kaiser Family Foundation review of Centers for Medicare and Medicaid Services (CMS) data for hospital acquired conditions in 2014, the Cleveland Clinic received a 8.375 score (1–10 possible, with 10 being the worst). Cleveland Clinic actively participated in The Joint Commission improvement initiatives for reducing clostridium difficile infections, surgical site infections and venous thromboembolism prevention. Leapfrog Group gave Cleveland Clinic a D rating for safety in 2012, a grade that increased to an A by fall 2016. Cleveland Clinic's Leapfrog Group Safety Score in spring 2017 was A. Eight Cleveland Clinic facilities received an A grade in spring 2017; a ninth received a B. Cleveland Clinic publishes its recent quality and safety data in Outcomes Books posted on its website. The hospital was one of the first in the country to provide physician ratings from patients on its website. Cleveland Clinic was a 2016 Acclaim Award honoree by American Medical Group Association.

Markup

== Reputation == {{As of|2017|June}}, Cleveland Clinic was ranked the No. 2 hospital in the United States, the No. 1 hospital in cardiology and heart surgery for 22 years, and the No. 1 hospital in Ohio by ''[[U.S. News & World Report]]'', ranking nationally in 14 adult and 9 pediatric specialties,<ref name="USNews-overview">{{cite web |url=http://health.usnews.com/best-hospitals/area/oh/cleveland-clinic-6410670 |title=Cleveland Clinic |work=Best Hospitals |publisher=[[U.S. News & World Report]] |accessdate=20 June 2017}}</ref><ref name="Zeltner16">{{cite news |title=Cleveland Clinic tops in U.S. News heart rankings for 22 years, jumps to #2 hospital spot overall |last1=Zeltner |first1=Brie |url=http://www.cleveland.com/healthfit/index.ssf/2016/08/cleveland_clinic_tops_in_us_ne.html |newspaper=[[The Plain Dealer]] |date=3 August 2016 |accessdate=5 July 2017}}</ref> including:<ref name=USNWR2016>[http://health.usnews.com/best-hospitals/area/oh/cleveland-clinic-6410670 "Cleveland Clinic"], ''U.S. News & World Report'' ([http://health.usnews.com/best-hospitals/area/oh/cleveland-clinic-6410670/rankings rankings]).</ref>{{refn|group=n|This is based on a statistical model that utilizes factors such as admission numbers and visit volumes, reputational perception by peers, the availability of special equipment,<ref name="Lowes2012">{{cite web | last = Lowes | first = Robert | title = Joint Commission's Top-Hospital List Still Missing Big Names | publisher = Medscape Medical News | url = http://www.medscape.com/viewarticle/771280 | date = 2012-09-20 }}</ref><ref name="Comarow">{{cite web | last = Comarow | first = Avery | title = A Look Inside the Hospital Rankings | publisher = U.S. News & World Report | url = http://health.usnews.com/articles/health/best-hospitals/2008/07/10/a-look-inside-the-hospital-rankings.html | date = 2008-07-10}}</ref> and the campus availability of numerous high acuity specialties.<ref>{{cite web | title = Top American Hospitals | publisher = U.S. News & World Report | date = 17 July 2012 | url = http://health.usnews.com/best-hospitals }}</ref>}} {| class="wikitable" |- ! Specialty !! National ranking !! Pediatric specialty national ranking |- | Cancer || 8 || 44 |- | Cardiology and heart surgery|| 1 || 27 |- | Diabetes and endocrinology|| 3 || 50 |- | Ear, nose and throat|| 12 |- | Gastroenterology and GI surgery|| 2 || 28 |- | Geriatrics || 8 |- | Gynecology|| 3 |- | Neonatology || || 40 |- | Nephrology || 2 |- | Neurology and neurosurgery || 6 || 16 |- | Ophthalmology || 8 |- | Orthopedics|| 3 || 41 |- | Pulmonology || 3 || 35 |- | Rheumatology || 3 |- | Urology || 2 || 24 |} [[File:Cleveland Clinic Taussig Cancer Center.jpg|thumb|Cleveland Clinic Taussig Cancer Institute]] In 2012, ''[[Consumer Reports]]'' rated the Cleveland Clinic 98th among 105 rated hospitals in the Ohio for overall safety.<ref>{{cite journal|author1=staff|title=How safe is your hospital? Our new ratings find too many pose risks|journal=[[Consumer Reports]]|date=August 2012|pages=20–28|url=http://www.leapfroggroup.org/media/file/CRHospitalSafetyRatings.pdf }}</ref> In 2015 the rating was 60th among 161 hospitals, with a score of 49 out of 100 possible points. (Nationwide, the top and bottom scores were 79 and 21.)<ref>{{cite web|url=http://www.consumerreports.org/health/doctors-hospitals/hospitals/hospital-ratings/cleveland-clinic-6410670-report-card.htm|title=Cleveland Clinic|publisher=Consumer Reports|date=April 13, 2016}}</ref> In 2017, ''Consumer Reports'' rated Cleveland Clinic No. 88 out of 116 Ohio hospitals rated for overall safety, with a score of 53 out of 100.<ref name="ConsumerReports17">{{cite web |url=http://www.consumerreports.org/health/hospitals/ratings |title=Hospitals |date=2017 |publisher=[[Consumer Reports]] |accessdate=20 June 2017}}</ref> Between 2010 and 2013, the [[Centers for Medicare and Medicaid Services]] (CMS) undertook an extensive series of investigations into the Cleveland Clinic, with at least a dozen inspections and follow-up visits triggered by patient complaints.<ref name="MH2014-01"/><ref name="MH2014-02"/> An analysis of Medicare inspection data between 2011 and 2014 found that the Cleveland Clinic was one of at least 230 instances where validated serious incidents—dubbed “immediate jeopardy” complaints— led CMS to threaten loss of ability to serve Medicare patients unless the problems were fixed immediately. Due to numerous serious ongoing safety violations, the Cleveland Clinic was on payment termination track for 19 months, placing at stake $1 billion in annual Medicare/Medicaid reimbursement.<ref name="MH2014-01"/> In July 2010, ''[[The Plain Dealer]]'' reported that Cleveland Clinic corrected all of the violations identified from the CMS inspection in January that year.<ref name="Suchetka10">{{cite news |title=Clinic corrects violations found during inspection |last1=Suchetka |first1=Diane |url=https://www.nexis.com/docview/getDocForCuiReq?lni=800D-MNC0-YB53-215M&csi=8399&oc=00240&perma=true |newspaper=[[The Plain Dealer]] |date=19 July 2010 |accessdate=21 June 2017}}</ref> In 2016, CMS gave Cleveland Clinic four out of five stars on its Overall Hospital Quality Star Rating program.<ref name="Punke16">{{cite news |title=How did CMS rate US News' 20 honor roll hospitals? |last1=Punke |first1=Heather |url=http://www.beckershospitalreview.com/quality/how-did-cms-rate-us-news-20-honor-roll-hospitals.html |newspaper=Becker's Hospital Review |date=2 August 2016 |accessdate=21 June 2017}}</ref> Cleveland Clinic is accredited by [[The Joint Commission]], a nonprofit that accredits health care organizations and programs, and maintains disease-specific certifications for comprehensive stroke care and ventricular assist device.<ref name="">{{cite web |url=https://www.qualitycheck.org/accreditation-history/?bsnId=7001 |title=Accreditation History: The Cleveland Clinic Foundation |publisher=[[The Joint Commission]] |accessdate=21 June 2017}}</ref><ref name="JointCommissionQR">{{cite web |url=https://www.qualitycheck.org/quality-report/?bsnId=7001 |title=Quality Report: The Cleveland Clinic Foundation |publisher=[[The Joint Commission]] |accessdate=21 June 2017}}</ref> Organizations accredited through The Joint Commission meet or exceed [[Medicare]] and [[Medicaid]] requirements.<ref name="JointCommission16">{{cite web |url=https://www.jointcommission.org/facts_about_federal_deemed_status_and_state_recognition/ |title=Facts about federal deemed status and state recognition |date=18 November 2016 |publisher=[[The Joint Commission]] |accessdate=21 June 2017}}</ref> In 2014, Cleveland Clinic received The Joint Commission's first Primary Care Medical Home Certification for Hospitals.<ref name="Pelletier14">{{cite web |url=https://www.jointcommission.org/the_view_from_the_joint_commission/hats_off_to_the_cleveland_clinic_as_first_pcmh_hospital__/ |title=Hats off to the Cleveland Clinic as first PCMH hospital |author=Mark G. Pelletier |date=14 March 2014 |publisher=[[The Joint Commission]] |accessdate=21 June 2017}}</ref> In a [[Kaiser Family Foundation]] review of [[Centers for Medicare and Medicaid Services]] (CMS) data for [[hospital acquired conditions]] in 2014, the Cleveland Clinic received a 8.375 score (1–10 possible, with 10 being the worst).<ref name="Kaiser Health HAC">{{cite web|author1=staff|title=Penalties For Hospital Acquired Conditions|url=http://cdn.kaiserhealthnews.org/attachments/HACPenaltyChart.pdf |website=[[Kaiser Health News]]|publisher=[[Kaiser Family Foundation]] |date=December 18, 2014}}</ref> Cleveland Clinic actively participated in The Joint Commission improvement initiatives for reducing clostridium difficile infections, surgical site infections and venous thromboembolism prevention.<ref name="JointCommissionClostridium">{{cite web |url=http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=11 |title=Reducing Clostridium difficile Infections |publisher=[[The Joint Commission]] |accessdate=21 June 2017}}</ref><ref name="JoinCommissionSurgicalSite">{{cite web |url=http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=4 |title=Surgical Site Infections |publisher=[[The Joint Commission]] |accessdate=21 June 2017}}</ref><ref name="JointCommissionVTE">{{cite web |url=http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=13 |title=Venous Thromboembolism Prevention |publisher=[[The Joint Commission]] |accessdate=21 June 2017}}</ref> Leapfrog Group gave Cleveland Clinic a D rating for safety in 2012,<ref name="Health Leaders 2012">{{cite web|last1=Clark|first1=Cheryl|title=Leapfrog's New Safety Report Card Alarms Hospitals|url=http://www.healthleadersmedia.com/page-1/LED-286906/Leapfrogs-New-Safety-Report-Card-Alarms-Hospitals |website=Health Leaders Media|date=November 28, 2012}}</ref> a grade that increased to an A by fall 2016.<ref name="LeapfrogGrade">{{cite web |url=http://www.hospitalsafetygrade.org/h/cleveland-clinic-foundation?findBy=hospital&hospital=cleveland+clinic&rPos=388&rSort=grade |title=Cleveland Clinic Foundation |work=Leapfrog Hospital Safety Grade |publisher=Leapfrog Group |accessdate=21 June 2017}}</ref> Cleveland Clinic's Leapfrog Group Safety Score in spring 2017 was A.<ref name="LeapfrogGrade"/> Eight Cleveland Clinic facilities received an A grade in spring 2017; a ninth received a B.<ref name="LeapfrogClevelandClinics">{{cite web |url=http://www.hospitalsafetygrade.org/search?findBy=hospital&zip_code=&city=&state_prov=&hospital=Cleveland+Clinic |title=How safe is your hospital |date=2017 |publisher=Leapfrog Group |accessdate=5 July 2017}}</ref> Cleveland Clinic publishes its recent quality and safety data in Outcomes Books posted on its website.<ref name="Suttell15">{{cite news |title=Cleveland Clinic shares outcome data with the world in effort to raise quality of patient care |last1=Suttell |first1=Scott |url=http://www.crainscleveland.com/article/20150923/BLOGS03/150929922/cleveland-clinic-shares-outcome-data-with-the-world-in-effort-to |newspaper=[[Crain's Communications|Crain's Cleveland]] |date=23 September 2015 |accessdate=21 June 2017}}</ref> The hospital was one of the first in the country to provide physician ratings from patients on its website.<ref name="Magaw15">{{cite news |title=Cleveland Clinic believes posting ratings of physicians is a healthy step |last1=Magaw |first1=Timothy |url=http://www.crainscleveland.com/article/20150621/NEWS/150619731/cleveland-clinic-believes-posting-ratings-of-physicians-is-a-healthy |newspaper=[[Crain's Communications|Crain's Cleveland]] |date=21 June 2015 |accessdate=5 July 2017}}</ref> Cleveland Clinic was a 2016 Acclaim Award honoree by American Medical Group Association.<ref name="AMGA16">{{cite web |url=https://www.amga.org/wcm/PI/Acclaim/2016/cleveland_2016.aspx |title=2016 Acclaim Award honoree |date=2016 |publisher=American Medical Group Association |accessdate=5 July 2017}}</ref>

It is worth noting that others have directly edited this article on behalf of Cleveland Clinic in the past. My team has taken steps to communicate to Cleveland Clinic employees that this is not appropriate, and I am currently the only one here in an official authorized capacity. I will keep my suggestions on Talk pages and avoid direct editing. Thank you, ClevelandClinicES (talk) 14:48, 26 July 2017 (UTC)

It is worth noting that we have had a lot of trouble with COI editing on this and related articles, and although I will do my best to assume good faith, many of us are suspicious of any "official" attempts to edit this article. Maybe you could track down User talk:139.137.128.61 and his many socks and ask him not to remove maintenance templates, as he did at Cleveland Clinic Lerner Research Institute. I am not personally inclined to help with your edit request but maybe someone else will be. Kendall-K1 (talk) 15:58, 26 July 2017 (UTC)

References

On COI editing

Let me expand a bit on what I said in the previous section. Wikipedia is a collaborative online encyclopedia. We welcome contributions from anyone who comes here in good faith with the intent of improving the encyclopedia. There are many ways in which one can contribute:

• Copy edit, fix typos, grammar, spelling etc.
• Add citations to reliable sources where requested or required
• Remove promotional crap left over from COI editors
• Add new material to improve the readers' understanding of the subject

We especially need help with removing promotional crap. There is a lot of it, inserted by your colleagues. Just today User:Jytdog removed a bit more. A few days ago I came across the Lerner Institute article, which was a horrible mess, and several editors collaborated to fix it. I didn't see you helping with that.

You, as an employee of the Clinic, are in a great position to dig up material that the rest of us have no access to. For example you could contribute photos of the facilities or the people. As executive director of corporate communications you could certainly arrange to have photos re-licensed so we can use them.

Yet of all the ways you could contribute, you come here asking the rest of us to help you improve the reputation of the Clinic. It is obvious to me that you are not here to help us build an encyclopedia. I'm going out on a limb here and possibly violating the WP:AGF guideline, but I think most editors will agree with me. Show me that you are here to help us, not just the Clinic, and then I will be glad to work with you. Until then, no. Good luck. Kendall-K1 (talk) 12:04, 27 July 2017 (UTC)

Per this statement, I will straight up decline this request. Knowing now that several socks have made COI edits in promotional tone, and now seeing this one makes it seem promotional in nature as well. If you would like to submit another request with a revised version of your request that does not appear promotional, you may do so. jd22292 (Jalen D. Folf) (talk) 03:05, 28 July 2017 (UTC)

@User:ClevelandClinicES, I respect that you now are trying to follow Wikipedia policy. A few suggestions:

• Request specific, incremental edits of the form "please change X to Y" rather than large blocks of text to be replaced wholesale. Editors will almost never adopt such large revisions. Instead they will want to parse it out to see what has been changed. (This is especially true when there is a history of COI editing as in the present case.) Most people won't bother, meaning that the suggestion will not be acted on. See WP:COIRESPONSE as well as the section that follows.
• Prioritize. COI editors often request large numbers of edits. Similar to the above, when an editor sees a dozen or more requested changes they're likely to throw up their hands and walk away rather than sift through all of them. Think about what are the most important changes. Then propose a limited number of your highest-priority edits. I would recommend not more than three or four changes. If this goes well, and you are able to build trust with the editing community, you can gradually propose more changes. Be careful not to overdo it -- see Wikipedia:Ghostwriting#Talk-page_dynamics, at "Excessive requests."

These suggestions don't guarantee that you'll get the changes you want. To be blunt, persistent undisclosed COI editing has left Cleveland Clinic with something of a bad rep (as you have seen from the responses above). It takes time to build trust after something like that happens. The best way to do that is by negotiating incremental changes and demonstrating by your actions that you're willing to abide by the site's policies. You'll be most successful if you're the tortoise, not the hare. Shock Brigade Harvester Boris (talk) 03:52, 28 July 2017 (UTC)

Hello, Kendall-K1, jd22292 and Shock Brigade Harvester Boris. Thanks for responding. I am new to Wikipedia and your guidance is very helpful. I understand your concerns with previous COI editing and I can assure that it’s my priority to stop COI editing from hospital staff. My team has notified Cleveland Clinic employees that making edits to Cleveland Clinic-related articles is not appropriate, and we are searching for the IP editor mentioned above.

My initial edit request was to provide complete and updated information for Reputation knowing its importance. As suggested, I will come back with revised requests, more along the lines of "please change X to Y". Meanwhile, @jd22292, was there anything in particular you saw that was too promotional? I'm here to work with the Wikipedia community and appreciate any suggestions you have. My goal over time is to review each section and propose edit requests to make this article a valuable resource for readers.

I understand it will take time to earn your trust, but I’m committed to working with the community and following your process. Again, I appreciate your recommendations thus far. Thank you.ClevelandClinicES (talk) 20:33, 28 July 2017 (UTC)

The "Reputation" section is a sore spot, because it's been a bitter battleground in the past. I suggest you read the talk page archives so you can understand why. Kendall-K1 (talk) 20:42, 28 July 2017 (UTC)

Hello, Kendall-K1, thank you again for responding. I took some time to review the archives as you suggested, and I understand your concerns and why this is a sore spot for editors.

I know that all I can give you right now is my word, and I appreciate that it may not mean much given the history with the page, but I know if you’ll give me some time, I’ll show you that I’m genuinely committed to following the site’s rules and respecting the editor community.

To start, I’ve prepared a new, more simplified request that is along the lines of "please change X to Y", as Shock Brigade Harvester Boris suggested. I’m more than happy to start small and work gradually to propose more changes, so I hope this next request will be a step in the right direction. I will post the new request shortly for you and other editors to review.

Again, thank you for your help so far. ClevelandClinicES (talk) 19:00, 9 August 2017 (UTC)

U.S. News & World Report Rankings Table

Hello, Since editors suggested I take a "please change X to Y" approach to proposed edits to this page, I'm posting this new edit request for page watchers to consider updating the table of U.S. News & World Report rankings in Reputation.

The current table on the article is factually incorrect per the current listings [1]:

• Cancer is 7, not 8
• ENT is 16, not 12
• Geriatrics is 5, not 8
• Gynecology is 5, not 3
• Neurology and neurosurgery is 6, not 8
• Ophthalmology is 9, not 8
• Rheumatology is 2, not 3
• Urology is now 1, not 2

The table I propose fixes the above and adds a column listing Cleveland Clinic's pediatric specialty rankings, as these are ranked separately than adult specialties. Can any editors consider replacing the existing table with the following?

Reputation table
Specialty National ranking Pediatric specialty national ranking Cancer 7 44 Cardiology and heart surgery 1 27 Diabetes and endocrinology 3 50 Ear, nose and throat 16 Gastroenterology and GI surgery 2 28 Geriatrics 5 Gynecology 5 Neonatology 40 Nephrology 2 Neurology and neurosurgery 6 16 Ophthalmology 9 Orthopedics 3 41 Pulmonology 3 35 Rheumatology 2 Urology 1 24

Markup

{| class="wikitable" |- ! Specialty !! National ranking<ref name="USNewsRankings">{{cite web |url=http://health.usnews.com/best-hospitals/area/oh/cleveland-clinic-6410670 |title=Cleveland Clinic |publisher=[[U.S. News & World Report]] |accessdate=1 August 2017}}</ref> !! Pediatric specialty national ranking<ref name="USNewsRankings"/> |- | Cancer || 7 || 44 |- | Cardiology and heart surgery|| 1 || 27 |- | Diabetes and endocrinology|| 3 || 50 |- | Ear, nose and throat|| 16 |- | Gastroenterology and GI surgery|| 2 || 28 |- | Geriatrics || 5 |- | Gynecology|| 5 |- | Neonatology || || 40 |- | Nephrology || 2 |- | Neurology and neurosurgery || 6 || 16 |- | Ophthalmology || 9 |- | Orthopedics|| 3 || 41 |- | Pulmonology || 3 || 35 |- | Rheumatology || 2 |- | Urology || 1 || 24 |}

I am executive director of corporate communications at Cleveland Clinic, and I have disclosed and discussed my conflict of interest above. I understand previous COI editing by others at Cleveland Clinic has caused problems among the Wikipedia community. I'm committed to working with the community and following your process. Thank you. ClevelandClinicES (talk) 15:14, 15 August 2017 (UTC)