1. Cleveland Clinic Transforming Healthcare Cleveland Clinic Transforming Healthcare

3. Age > 65 #Millions#Millions 1900 90 70 50 30 10 90 70 50 30 10 1920 1940 1960 2000 2020 2040 1980

4. The total amount of knowledge doubles every 2 1/2 years

5. Volume-Based   Value-Based Fee-for-Service Outcomes Payment Structure

6. Quality Reports

7. Cost Transparency Companies

9. Affordability Quality Access Value

11. Acute Care Well Care Population Health Chronic Care

13. Healthspot

15. CCHS ED Wait Time 2011201220132014 46 minutes 2010 13 minutes

17. Same Day Visits 688,000 1,130,000

18. Test Results Messages Appointments Preventive Care Health Summary My Chart 22 33

19. Quality

20. 40 million lives 50 Million

21. Watson Goes to Medical School

23. UHC Consortium Quality Ranking

24. Patient Safety Indicators 201220132011 National Mean.61.41.94

25. Patient Satisfaction 75 th %ile 29 th %ile

26. Affordability

27. Employee Chronic Disease Management 72% 47% 56%

28. Employee Health Plan PMPM Costs $ 2004 2014 2004-2009 7.5% 2010-2Q2014 3.6%

29. Partial Nephrectomy 20% 2012 2011 2010 2013 $4,506 $3,615

30. Potential Pre Post $554 $237 $136 Low Back Pain Cost / Case

31. Theranos

32. Affordability Quality Access Value

33. Healthcare Inflation 1980 2014 1994 2004 1984 15% 2%