Cleveland Clinic
Specialty Services Symposium: Medical, Surgical and Quality
June 3, 2008 InterContinental Hotel & Bank of America Conference Center | Cleveland, Ohio
2008 Specialty Services Symposium: June 3, 2008

From Cleveland Clinic Market and Network Services

Cleveland Clinic Market and Network Services hosted its first Specialty Services Symposium on June 3, 2008. The event, held at the InterContinental Hotel & Bank of America Conference Center in Cleveland, was a success with over 160 medical directors, case managers, employee benefits managers and other purchasers and coordinators of healthcare services in attendance. Kicked off by Cleveland Clinic's President and CEO, Delos "Toby" Cosgrove MD, Symposium guests learned about several Cleveland Clinic industry-leading specialty services, including bariatric surgery, heart and lung transplant, cardiovascular medicine, cancer care and pediatric services. In addition, many of Cleveland Clinic's innovative non-clinical services were also highlighted, including eCleveland Clinic and Global Patient Services, as well as the Clinic's Quality and Professional Staff Affairs initiatives. The material was presented by world-class Cleveland Clinic physicians, who entertained lively question-and-answer periods after each presentation. The Symposium concluded with a tour for over 50 guests of the Miller Family Pavilion, the new home of the Cleveland Clinic Heart and Vascular Institute.

Post Symposium Results
Over three-quarters of those in attendance rated the 2008 Symposium “Excellent,” with more than half saying they would likely change their practice behaviors based on information they learned about Cleveland Clinic’s specialty services.
Event Photo
The Symposium was kicked off
by Dr. Cosgrove.
Event Photo
Over 160 people attended.

2008 Symposium: Sponsors

We gratefully acknowledge the organizations that supported this Symposium:

CIGNA Healthcare
Edgepark Medical Supplies DME
LifeTrac Network
The Joint Commission
Uroplasty, Inc.
2008 Symposium: Faculty
Marie M BudevMarie M. Budev, DO
Marie M. Budev DO, MPH, FCCP is the Assistant Medical Director of the Lung and Heart-Lung Transplant Program at the Cleveland Clinic and also serves as Associate Program Director for the Internal Medicine Residency Program. She specializes in end stage lung disorders including cystic fibrosis, COPD, IPF, primary and secondary pulmonary hypertension, lung transplantation, gender specific issues in pulmonary medicine and critical care medicine. Dr. Budev completed her residency / chief residency and two fellowships including a Women’s Health fellowship and also a fellowship in Pulmonary Critical Care at the Cleveland Clinic and remained on as a Staff physician after completing her training. Dr. Budev is triple board certified in by the American Board of Internal Medicine in Internal Medicine, Pulmonary Medicine and Critical Care Medicine. Dr. Budev currently is a principal investigator or co investigator in over a dozen clinical transplantation trials including the use of inhaled immunosuppression, treatment of RSV in transplant patients, and gene assay for diagnosis of acute rejection in transplant patients. She has been invited to lecture both international and nationally regarding her work in gender specific issues in pulmonary and in the area of lung transplantation. She has authored over hundred published studies, abstracts and articles related to her research, and clinical interests. Dr. Budev is a fellow in the American College of Chest Physicians and is a member of the American College of Chest Physicians, American Thoracic Society, International Society for Heart Lung Transplantation, and the American Society of Transplantation.
A. Marc HarrisonA. Marc Harrison, MD
A. Marc Harrison, MD is Associate Chief of Staff and Director of Medical Operations for the Cleveland Clinic Health System. He received a BA from Haverford College in 1986, a medical degree from Dartmouth Medical School in 1990, and a Masters in Medical Management from Carnegie Mellon University in 2007. Dr. Harrison trained in Pediatrics and Critical Care at the University of Utah. After joining the staff of the Children’s Hospital at the Cleveland Clinic in 1999, he served as Medical Director of the PICU (2001-2004) and as Chairman of the Department of Pediatric Critical Care (2004-2006). He is particularly interested in using business principles to facilitate clinical outcomes and hospital operations. Dr. Harrison is a Fellow of the American Academy of Pediatrics and is a member of the Society of Critical Care Medicine and the American College of Physician Executives.
Marie M BudevShannon Connor Phillips, MD, MPH
Patient Safety Officer
Quality and Patient Safety Institute
Michael McMillanMichael McMillan
Michael McMillan is the Executive Director of Market and Network Services for Cleveland Clinic. He is accountable for all aspects of Market and Network Services business development, network management and contracting for the Cleveland Clinic Health System, a $4 billion system with operations in Ohio and Florida. In addition, Mr. McMillan directs all sales activity enhancing employer and patient access to Cleveland Clinic’s world class products and services.

Derek RaghavanDerek Raghavan, MD, PhD
Trained in Medicine and Oncology at the University of Sydney, Australia, Dr. Raghavan obtained a PhD in experimental pathology from the University of London/Ludwig Institute for Cancer Research, and then completed post-doctoral studies at the University of Minnesota. After 10 years in Australia, carrying out clinical and laboratory research in genito-urinary and lung cancers, he was recruited to lead Solid Tumor Oncology and Investigational Therapeutics at Roswell Park Cancer Institute, Buffalo, NY. He subsequently was appointed as Associate Director of the USC Norris Comprehensive Cancer Center and Professor of Medicine and Chair of Oncology at the USC School of Medicine, Los Angeles. He took up appointment as Chair & Director of the Cleveland Clinic Taussig Cancer Center in March 2004. He has two daughters enrolled at USC. Dr. Raghavan has held several peer reviewed research grants in Australia and the USA, has produced about 300 scientific papers, and has edited 6 books. His clinical and research interests are focused on genitourinary cancer, cancer in the elderly, anticancer drug discovery and development and comparative human oncology.

Wm. F. Ruschhaupt, MDWm. F. Ruschhaupt, MD
Dr. Bill Ruschhaupt has been a staff physician in the Cleveland Clinic Department of Cardiovascular Medicine, Section of Vascular Medicine, for 29 years. He is a specialist in treating peripheral vascular disease, which consists of arterial and venous disorders, leg ulcers and limb swelling. Following his undergraduate education at Muskingum College in Ohio, Dr. Ruschhaupt earned his medical degree from the University of Pittsburgh School of Medicine. Following his clinical training, Dr. Ruschhaupt served in the United States Army at the Tripler Army Medical Center in Hawaii as Chief of Emergency Medical Services and Chief of the Peripheral Vascular Disease Clinic. He completed his tour of duty in 1978 and was appointed as a staff physician in September of that same year. In 1985 he received an MBA from Case Western Reserve University Weatherhead School of Management in Cleveland, Ohio. In October of 2001 he was appointed Physician Director of Institutional Relations & Development. In January 2006, he assumed the role and responsibilities as Chairman of Global Patient Services.

Dr. Ruschhaupt has served on numerous community not-for-profit boards as well as on the boards of several not-for-profit international Florida and northeast Ohio businesses.

Jonathan L. Schaffer, M.D., M.B.A.Jonathan L. Schaffer, MD, MBA
At Cleveland Clinic, Dr. Schaffer is a managing director of eCleveland Clinic, a state-of-the-art digital information system offering a variety of Internet-based e-health services to patients around the globe. Clinically, Dr. Schaffer is a staff member and Technology and Systems Chief in the Adult Reconstruction Section and leads the Advanced Operative Technology Group in the Orthopaedic Research Center. His clinical interests include the treatment of arthritic knees and the application of new technologies in surgical care. He is also a member of the Commercialization Council in Cleveland Clinic Innovations.

Dr. Schaffer is a graduate of Case Western Reserve University School of Medicine and completed his residency in orthopaedic surgery at the University of Pennsylvania. He completed fellowships in adult reconstruction at the Brigham and Women's Hospital and Harvard Medical School and in research at Children's Hospital of Boston and Harvard Medical School. Dr. Schaffer also holds a Master's in Business Administration from the Kellogg Graduate School of Management at Northwestern University.

Philip SchauerPhilip Schauer, MD
Philip R Schauer MD is currently Professor of Surgery at the Cleveland Clinic Lerner College of Medicine, Chief of Minimally Invasive General Surgery and Director of the Cleveland Clinic Bariatric and Metabolic Institute (BMI). He is immediate Past President of the American Society for Metabolic and Bariatric Surgery.

After receiving his medical degree from the Baylor College of Medicine, Dr. Schauer completed his residency in surgery at The University of Texas, where he served as chief resident of general surgery. He then completed his fellowship in laparoscopic surgery at Duke University Medical Center. Prior to joining The Cleveland Clinic in 2004, Dr. Schauer served as director of endoscopic surgery, director of bariatric surgery and Director of the Mark Ravitch/Leon Hirsch Center for Minimally Invasive Surgery at the University of Pittsburgh Medical Center.

Dr. Schauer's clinical interests include surgery for severe obesity, minimally invasive surgery (laparoscopic), and gastrointestinal surgery. He has performed more than 4000 operations for severe obesity. His research interests include the pathophysiology of obesity and related diseases, physiologic effects of laparoscopic surgery on postoperative injury and recovery, and outcomes of laparoscopic management of obesity, gastrointestinal diseases, and hernias. He has also participated in the development of new minimally invasive, endoscopic, and laparoscopic operations. New concepts in surgical training and education have been a major focus of his educational interests.

He has authored more than 200 scientific papers, editorials, textbook chapters, abstracts, and video productions. He has been an invited speaker for more than 100 regional, national and international lectures on the subject of obesity surgery and laparoscopic surgery. He has been on the board of Governors of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) for the last 5 years. He is past chairman of the research, as well as training and credentialing committees of the American Society for Bariatric Surgery. He is also a member of International Federation of Surgery for Obesity (IFSO), the North American Society for the Study of Obesity (NAASO), the American Surgical Association, the Society of University Surgeons, the Society of Surgery of the Alimentary Tract (SSAT), Central Surgical Society, and the Society of Clinical Surgery. He is a member of the American Board of Surgery Advisory Council and a member of the Board of Governors of the Fellowship Council. He is the Associate Editor of the new journal Surgery for Obesity and Related Diseases and is on the editorial board of 3 other surgical journals. He has been director of more than 50 courses and workshops on advanced laparoscopic surgery and has trained more than 20 fellows in advanced laparoscopic surgery.

Nicholas SmediraNicholas Smedira, MD
Dr. Nicholas G. Smedira is the Surgical Director of the Cleveland Clinic Kaufman Center for Heart Failure, Director of the Cardiac Transplantation and Ventricular Assist Device Therapy Program, and a cardiac surgeon in the Department of Thoracic and Cardiovascular Surgery. He specializes in heart and heart-lung transplantation, ventricular assist devices, ECMO, heart failure surgery, aortic and mitral valve repair and replacement, off- pump coronary bypass grafting, myectomy, reoperations, and ascending aortic replacement. Dr. Smedira is certified by the American Board of Thoracic Surgery and the American Board of Surgery. In 2006 he was also appointed Professor in the Department of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University.

Dr. Smedira earned his undergraduate (Phi Beta Kappa; Magna Cum Laude) and medical (Alpha Omega Alpha; M.D. with Honors) degrees from the University of Rochester School of Medicine and Dentistry, New York. After completing his residency in general surgery at the University of California San Francisco Medical Center where he became Chief Surgical Resident, Dr. Smedira received fellowships in cardiothoracic surgery, critical care medicine and research from the University of California San Francisco Medical Center. He won a post-doctoral National Research Service Award fellowship. He then received a fellowship in cardiothoracic surgery at the Cleveland Clinic Heart Center, where he was appointed in 1995 as a staff cardiac surgeon.

Dr. Smedira was voted the 2004 Teacher of the Year in the Cleveland Clinic’s Cardiovascular and Thoracic Surgery Department. He also has been a visiting professor at the Ministry of Health in Singapore, at the Atlantic Health System in New Jersey, Ottawa Heart Institute in Canada and the University of California at San Francisco.

As principal or co-investigator in more than 100 clinical trials and studies, Dr. Smedira has focused his research efforts on his specialty interests. Currently, he is the principal investigator of multiple clinical trials including the surgical treatment of ischemic heart failure, gene transfer to promote angiogenesis in patients with advanced heart failure, bivalirudin as an alternative to heparin during cardiac surgery, rotary blood pumps such as the Debakey and Heartmate II used to support patients until transplant, and two permanent left ventricular assist device trials

Dr. Smedira has been invited to present his clinical experience and research findings at hundreds of conferences and symposia worldwide. He is the author or co-author of numerous book chapters on subjects related to his specialty interests, including advances in cardiac intensive care, cardiac surgery, assist devices, and treatment of heart failure. He has authored or co-authored hundreds of published studies and abstracts related to his research in leading peer-reviewed publications, including The New England Journal of Medicine, Journal of Thoracic and Cardiovascular Surgery, Annals of Thoracic Surgery, and Journal of the American College of Cardiology, among others.

Dr. Smedira is a Fellow in the American College of Cardiology, Fellow in the American College of Chest Physicians, Fellow in the American College of Surgeons and Fellow in the American Heart Association He is a member of the American Association of Thoracic Surgeons, the American Society of Artificial Internal Organs, the Ohio Chapter of the American College of Surgeons, the Thoracic Surgery Directors Association, the Society of Thoracic Surgeons, the International Society for Heart and Lung Transplantation, and the Scientific Advisory Board for the International Society of Heart Failure and is on the editorial board of the Journal of Thoracic and Cardiovascular Surgery.

Dr. Smedira enjoys playing golf and spending time with his wife and three children.

E. Murat TuzcuE. Murat Tuzcu, MD
Dr. Murat Tuzcu is Professor of Medicine; an interventional cardiologist is vice chairman of department of cardiovascular medicine at The Cleveland Clinic Foundation.

Dr. Tuzcu received his medical degree from Istanbul Medical Faculty in Turkey, where he completed his internship and residency in medicine. He then completed fellowships at The Cleveland Clinic in Cardiovascular Disease and Interventional Cardiology before accepting a senior fellowship in cardiology and research at Massachusetts General Hospital in Boston. He was appointed to The Cleveland Clinic in 1992. Dr. Tuzcu’s clinical specialty interests cover a wide range of interventional cardiology procedures. In addition to catheter-based treatment of coronary artery disease, his expertise includes percutaneous treatment of valvular heart disease. He is an internationally recognized expert in the emerging field of catheter based valve replacement and repair. He is certified as a Diplomat of the American Board of Internal Medicine in Internal Medicine, Cardiovascular Diseases and in Interventional Cardiology. Dr. Tuzcu's current research interests focus on the catheter-based treatments for valvular heart disease. He also has longstanding interest in use of various imaging modalities to elucidate the development and progress of atherosclerosis. He has made seminal contributions to the understanding of transplant coronary artery disease and subclinical atherosclerosis using intravascular ultrasound imaging. He served as a member of the steering committees of several multicenter trails and continues to be one of the leaders in the above stated areas. Dr. Tuzcu has directed or co-directed many national and international symposiums and professional conferences worldwide, and has been an invited lecturer to many others.. He has authored or co-authored more than 200 peer-reviewed publications including many textbooks chapters, and serves as a reviewer and editorial board member for many academic journals. He was the Chair of American College of Cardiology (ACC) Scientific Sessions in 2007 and continues to serve on committees in ACC and American Heart Association (AHA).

Bruce WilkoffBruce L. Wilkoff, MD
Dr. Bruce Wilkoff received his BS in Biomedical Engineering from Northwestern University (1976, Evanston, Illinois) and his medical degree from the Ohio State University College of Medicine (1979, Columbus, Ohio). He completed his internal medicine training and cardiovascular fellowship at Case Western Reserve University Hospital (Cleveland, Ohio) from 1979 — 1984 and his Electrophysiology and Pacemaker Fellowship back at the Ohio State University College (1985-1986). Dr. Wilkoff has a research, development and clinical interest in medical informatics, pacemakers, implantable defibrillators, biventricular pacing devices and transvenous lead extraction of their lead systems for infection, vascular access and failure of the leads. He has published and lectured broadly on these topics. He is board certified in internal medicine and cardiovascular disease, and he has served since 1987 on the examination writing committee for Special Competency in Cardiac Pacing and Defibrillation. He is co-editor of the major implantable device textbook, Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy, 3rd edition, 2007, WB Saunders. He is a fellow of the American College of Cardiology, the American Heart Association and Heart Rhythm Society. He has been a staff Cardiologist at the Cleveland clinic (Cleveland, Ohio) since 1986 and is the currently the Director of Cardiac Pacing and tachyarrhythmia devices at the Cleveland Clinic and Professor of Medicine at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University.

Robert Wyllie, MDRobert Wyllie, MD
Robert Wyllie, MD, is Physician-in-Chief of the Cleveland Clinic Children's Hospital, Chairman of the Pediatric Institute, and Calabrese Chair of Pediatrics. He graduated with honors from Indiana University in Bloomington, and earned his Doctorate in Medicine from the Indiana University School of Medicine in Indianapolis, where he won the Lyman Meiks Award as the outstanding medical student in pediatrics. He completed training in pediatrics and pediatric gastroenterology at Riley Hospital for Children in Indianapolis, and is certified by the American Board of Pediatrics in Pediatrics and Gastroenterology.

Dr. Wyllie joined the professional staff of the Cleveland Clinic in 1981 to develop the Clinic's pediatric gastroenterology program, which grew under his leadership into an academically and clinical productive department with ten subspecialists. He established the Cleveland Clinic's fellowship in pediatric gastroenterology, which has graduated including twenty fellows including some who went on to be leaders in the field. His awards from the Cleveland Clinic have included the Outstanding Faculty Teaching Award in Pediatrics and the Chairman’s Award for Pediatric Research.

During his career Dr. Wyllie has published widely in many areas of pediatric gastroenterology, with over 100 articles published in scientific journals. During his innovative clinical practice he has developed new pediatric endoscopy techniques, including endoscopic closure of tracheoesophageal fistulae and removal of large foreign bodies from the stomach. He has presented his research at over 300 scientific meetings and has organized and directed many courses and seminars at scientific meetings. Dr. Wyllie has served on the editorial boards of Gastrointestinal Endoscopy and Clinical Pediatrics, and edits Pediatric Gastrointestinal Disease: Pathophysiology, Diagnosis, and Management, one of the standard texts in the field, now in its third edition.

In addition to his leadership as Chairman of the Department of Pediatric Gastroenterology, Dr. Wyllie served as Chairman of the Department of Medical Subspecialty Pediatrics and the Department of Pediatric Surgery before taking the helm of the entire Cleveland Clinic Children's Hospital. In this capacity he supervises the efforts of over 200 physicians at 14 medical centers and hospitals throughout northeast Ohio, and holds the Steve and Nancy Calabrese Chair of Pediatrics.

Dr. Wyllie's name is carved into the wall honoring physicians with over 25 years of service at the Cleveland Clinic. His name is listed together with that of his wife, Dr. Elaine Wyllie, Director of the Cleveland Clinic's Center for Pediatric Neurology. Together they raised two fine sons who are pursuing advanced degrees in physics and computer science.

2008 Symposium: Agenda

7:30 A.M. Registration
7:00 A.M. – 8:00 A.M.

Continental Breakfast

8:00 A.M. – 8:05 A.M.

Michael McMillan

Executive Director, Market and Network Services

8:05 A.M. Welcome
Delos Cosgrove, MD

CEO & President
8:10 A.M.

Review of Agenda
Deborah Duffy
Senior Contract Manager, Market and Network Services

8:15 A.M. – 8:45 A.M.

Philip Schauer, MD
Director, Advanced Laparoscopic and Bariatric Surgery

8:45 A.M. - 9:15 A.M.

Robert Wyllie, MD
Chairman of the Pediatric Institute
Physician-in-Chief, Children’s Hospital
Calabrese Chair of Pediatrics

9:15 A.M. – 9:45 A.M.

A. Marc Harrison, MD
Vice Chairman, Professional Staff Affairs

9:45 A.M. – 10:05 A.M.


10:05 A.M. – 10:35 A.M. Marie M. Budev, DO
Associate Medical Director, Lung Transplantation
Associate Program Director, Internal Medicine Residency Program
10:35 A.M. – 11:05 P.M. Nicholas Smedira, MD
Surgical Director, Kaufman Center for Heart Failure
Surgical Director of Cardiac Transplantation & Mechanical Circulatory Support
11:05 A.M. – 11:35 P.M.

Bruce Wilkoff, MD
Director, Cardiac Pacing & Tachyarrhythmia Devices of Cardiovascular Medicine

11:35 A.M. – 12:05 P.M. E. Murat Tuzcu, MD
Vice-Chairman, Department of Cardiovascular Medicine
12:15 P.M. – 1:30 P.M.


1:30 P.M. – 2:00 P.M.

Jonathan Schaffer, MD, MBA
Managing Director, eCleveland Clinic

2:00 P.M. – 2:30 P.M.

Shannon Connor Phillips, MD, MPH
Patient Safety Officer
Quality and Patient Safety Institute

2:30 P.M. – 3:00 P.M.

Wm. F. Ruschhaupt, MD
Chairman, Global Patient Services

3:00 P.M. – 3:20 P.M.


3:20 P.M. – 3:50 P.M.

Derek Raghavan, MD, PhD, FACP, FRACP
Director, Taussig Cancer Institute
Chair, Cancer Division

3:55 P.M. – 4:00 P.M. Evaluation Completion
4:00 P.M. – 5:00 P.M.

Tour Miller Pavilion