Presentation by Dr. Madhu Sasidhar (https://bit.ly/2EO6yQF), Chief Medical Operations in the Critical Care Institute at Cleveland Clinic Abu Dhabi. Includes regulatory overview, chronic disease prevalence, introduction to Cleveland Clinic, facts and figures about patients and providers, partnership with Mubadala, Cleveland Clinic institutes, clinics and research, CoVID-19, future of healthcare in the UAE

1. Healthcare in the UAE
Introduction
Dr Madhu Sasidhar, Chief Medical Officer

2. Healthcare in the United Arab Emirates
Healthcare is regulated by multiple agencies across the UAE
Abu Dhabi
DoH
Dubai
DHA, MoHAP, DHC
Northern Emirates
Various

3. Healthcare in the United Arab Emirates
A high prevalence of chronic and non-communicable diseases
indicates an increased need for tertiary care expertise
Chronic disease prevalence
The UAE is amongst the countries with:
• A mortality rate due to cardiovascular diseases reaching 147.9 per 100,000
inhabitants, up to 3 times higher than UK or Australia
• A diabetes prevalence ratio reaching 17.3% (in population aged 20 to 79), i.e. 2 to 4
times higher than the UK or Australia
• A prevalence of overweight in adults of 34.5% equivalent to 5 to 10 times the same
ratio in Singapore or Japan
• A prevalence of cigarette smoking adults of 21.9%, at least 3.8 pts more than in
some developed countries
Cardiovascular disease and Cancer are the main causes of mortality, accounting for 51%
of deaths
Demographics
Population
UAE: 9.54 million
Abu Dhabi: 3.23 million
Dubai: 3.39 million
Nationals and Expats
Emiratis: 20%
Expats (200+ nationalities): 80%
Gender
Male: 72%
Female: 28%
Median age
33.5 years

4. Cleveland Clinic
An International Healthcare System
A 6,026-bed healthcare system with a main campus in
Cleveland, 18 hospitals and over 220 outpatient
locations. This health system includes five hospitals in
Southeast Florida with more than 1,000 beds, a medical
center for brain health in Las Vegas, a sports and
executive health center in Toronto and a 364-bed
hospital in Abu Dhabi. Cleveland Clinic London, a 184-
bed hospital, will open in 2021.
Founded in 1921 by four physicians with the mission
of providing better care for the sick, investigation into
their problems and education of those who serve.
A non-profit organization and multidisciplinary care
team that cares for patients through 20 patient-centered
institutes.
Caring for 2.4 million patients annually with nearly 10
million outpatient visits in locations around the globe.

5. Cleveland Clinic Healthcare System
Facts and figures

6.  The first US multispecialty hospital
outside North America
 Reducing the need for
UAE Nationals to abroad
for critical, complex care
A Successful Partnership
First operating model expansion outside the USA

9. Key Achievements
Since opening
UAE’s 1st Comprehensive
Organ Transplant Program
with 75 transplants since
2017 (Heart, Lung, Liver)
90+
Countries Represented
Research Studies and
Academics
JCI & Laboratory
Accreditation
35,600+
Inpatient Admissions
82,400+
Surgeries /Procedures
780+ UAE Nationals
21% Emiratization
HIMSS Stage 7Physician Internship &
Residency Program
1,900,000+
Outpatient Visit
Appointments
Ranked 1st DOH
JAWDA People’s
Choice (2015, 2018)
Center for Stroke,
Cardiothoracic
Surgery, Chest Pain

10. 10Mubadala Investment Company PJSC 2017
Early successes
also includes the
introduction of
several ‘regional
firsts’
Transcatheter Aortic
Valve Replacement
(TAVR)
Robotic Mitral Valve
Repair
eServices for 24/7
Epilepsy monitoring
with Cleveland Clinic
USA
Thrombectomies to save
Stroke Patients
Endoscopic Tumor
Resection
Minimally Invasive
Refractive Surgery
(SMILE)

13. COVID-19
How we responded in Abu Dhabi…
Emergency Preparedness led by the Department of Health
A steering committee of health system leaders was formed to lead an inter-facility connected response strategy
to mitigate the spread of the COVID-19.
Cross-trained & redeployed workforce
Our caregivers were redeployed into areas of need within the hospital and into supporting government facilities
Expansion of bed capacity
CCAD bed capacity was expanded from 364 to 450 beds.
Digital healthcare
Virtual visits were launched in-house and integrated into our Health Portal website and mobile application.
Medication home delivery
Over 20,000 medication home deliveries undertaken across the United Arab Emirates in the first two months

14. Future of Healthcare in the UAE
Finding the new reality is a challenge globally
o Emergency preparedness
o Testing at mass scale
o Building extra capacity
o Digital healthcare delivery
Managing the
outbreak
Exiting containment
Finding the new
reality in healthcare
o Testing and surveillance
o Contact tracing
o Population based
approaches
o New partnerships
Developing new care models
o Digital delivery
o Agile workforce models
o Financial resilience
o Shifting retail healthcare
services out of the hospital
setting
o Use of smart technologies
o Smart triage and pathways
o Real-time patient monitoring
o Smart scheduling (using AI)
o Cloud accessible reports

15. Future of Healthcare in the UAE
A smart health system that will be decentralized and patient-centric
Information & data sharing can make
possible:
o Secured and shared personal health records
o Effective disease prevention and primary care
o Targeted and better quality acute care
o Long-term chronic disease management
The result:
 More convenient and effective healthcare
delivery,
 Lower medical costs
 Improved service quality due to clear roles and
responsibilities
Source: McKinsey, Finding the future of care provision: the role of smart hospitals

16. Future of Healthcare in the UAE
Poised for growth through innovation & new partnerships
Major drivers
o Young population, 34% under 25 years
o Close to 100% medical insurance
coverage
o High prevalence of chronic and non-
communicable diseases
o Growing demand requirements for
specialist care, particularly in areas such
as Pediatrics, Mental Health, Chronic
disease management and Rehabilitation
and long-term care
o Culture of embracing innovation &
investment
o Promoting medical tourism in the UAE
Mubadala Health Care is leading the way
with a fully integrated healthcare
network – bringing together world class
tertiary care at Cleveland Clinic Abu Dhabi
with comprehensive diabetes treatment at
Imperial College London Diabetes Center
and the home-care expertise of Amana
Healthcare to provide a seamless, inter-
connected patient care experience.