49-15 City, LHA, Cleveland Clinic Master Agreement

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(a) The FHC's activities will include a focus on population health management programs aimed at improving the health of the FHC's patients and the community that the FHC serves. The parties contemplate creating population health management programs through partnerships with City government and the community related to outreach programs and home health care models. As part of the commitment to population health management, the Clinic and the City contemplate reporting population health statistics and metrics to the community that have been compiled by the Clinic in connection with the FHC's operations. While effective population health management programs are tailored to the specifics of the demographics and needs of the particular community, the Clinic contemplates that the population health management programs will (i) recognize and appreciate the diverse cultures in the community, including LGBT and persons of various ethnicities; (ii) address the needs of those with unique issues such as those in the senior population; and (iii) provide care for those who are currently underserved. Population health management programs often consist of programs such as population -based chronic disease management, specialty emergency services, group visits, specialized programs /services /clinics, and prevention and wellness programs. Through the development of care models and population health management programs through the FHC, the Clinic will be developing future models for population health management for other communities. (b) LGBT is recognized as an underserved population with specialized health needs, many rooted in primary care. As part of the population health model embraced by the FHC, the Clinic will establish an LGBT- focused primary care clinic within the FHC. The Clinic intends that the FHC will be its hub for LGBT care and referrals on the west side of greater Cleveland. The Clinic contemplates that the Lakewood LGBT Clinic would (i) be structured to meet the primary care needs of the LGBT population by providing individualized care, high quality service, and proven efficiencies to remove barriers to the delivery of high quality health care services that are related to sexual orientation and (ii) provide LGBT - welcoming primary care and implement and measure the effect of proven quality and innovations. 2.6 Mobile Stroke Unit. The Clinic's mobile stroke unit is acclaimed for its innovative, high -tech approach to the diagnosis and rapid treatment of strokes. Due to resource, regulatory and operational constraints, the mobile stroke unit is only deployed currently in a limited number of municipalities within Cuyahoga County. The parties intend to extend the deployment of the Clinic's mobile stroke unit to include Lakewood. Accordingly, promptly following the Effective Date, the Clinic and the City will begin negotiation of the required protocols to permit the use of the Clinic's mobile stroke unit within the City's borders at rates consistent with those charged to other municipalities by the Clinic for use of the mobile stroke unit. The parties acknowledge that, as of the Effective Date, there is no charge imposed on other municipalities by the Clinic for use of the mobile stroke unit. The deployment of the Clinic's mobile stroke unit within the City will reinforce the City's status as a local leader in stroke care. 2.7 Relocation of Fairview /Cleveland Clinic Family Medicine Residency. No later than six (6) months after the opening of the FHC, the Clinic will relocate the Fairview /Cleveland Clinic Family Medicine Residency, which is currently at the Fairview Center for Family Medicine, to the FHC campus. The Clinic agrees that, as long as the Clinic operates a Family Medicine Residency program, the Clinic will operate a Family Medicine Residency program at the FHC campus while the Clinic owns and operates the FHC. As used in this Master Agreement, 5 11938585.11