The Healing Economy: An Economic Development Framework for Cleveland

Richey Piiparinen, Jim Russell, Valdis Krebs

    Research output: Other contribution

    Abstract

    <p> <ul> <li> The Cleveland metro has the densest health science labor market in the nation, with 14.5% of the region&rsquo;s workforce employed in high-skilled healthcare delivery. Cleveland is ahead of Philadelphia (14.1%) and Boston (14.1%). </li> <li> Since 2002, healthcare and social assistance jobs in Cuyahoga County increased from approximately 104,500 to 131,700, with the aggregate income from those jobs growing from an inflation-adjusted $4.8 billion to $6.9 billion in 2016. </li> <li> A significant amount of Cuyahoga County&rsquo;s healthcare jobs are clustered in Cleveland&rsquo;s Health Tech Corridor. In 2003, 26.4% of all healthcare and social assistance jobs in Cuyahoga County were in the Health Tech Corridor, increasing to 36.2% by 2015. </li> <li> Total employment in the Health Tech Corridor increased from approximately 41,200 in 2002 to 75,000 in 2015&mdash;a gain of 82%. Also, about 1 out of every 20 jobs in Cuyahoga County were in the Health Tech Corridor in 2002, increasing to 1 out of 10 by 2015. </li> <li> Much of the year-over-year job growth in the region is happening in the Health Tech Corridor. From 2014 to 2015, 25% of all job growth in the Cleveland metro occurred in the Health Tech Corridor, whereas 39% of Cuyahoga County&rsquo;s job growth happened in the corridor. </li> <li> The job growth in the Health Tech Corridor is associated with increased real estate valuations. Inflation-adjusted assessed values for all property types in the corridor went from $3.85 billion in 2009 to $4.72 billion in 2015&mdash;a gain of 23%. </li> <li> The clustering of healthcare services in Cleveland&mdash;termed a &ldquo;knowledge cluster&rdquo; in the current analysis&mdash;relates to the fact healthcare has become tradable, or exportable. Cleveland not only brings patients into the region, but delivers services nationally and internationally. </li> <li> While Cleveland excels as a &ldquo;knowledge cluster&rdquo; in healthcare, the region performs less well as a &ldquo;knowledge hub,&rdquo; described as the region&rsquo;s ability to produce life science research. Cleveland ranked 22nd nationally in R&amp;D funding from the National Institute of Health (NIH) in 2016. </li> <li> The current analysis suggests state- and local-level policies should supplement seeding &ldquo;downstream&rdquo; innovation that facilitates start-up formation and technology transfer with the funding of &ldquo;upstream&rdquo; innovation that attracts &ldquo;star scientists,&rdquo; particularly in frontier fields. </li> <li> In delineating frontier fields, the analysis borrows from the Four Sector Theory of economic development, which illustrates how a given nation&rsquo;s or region&rsquo;s economy evolves from primary (agriculture), to secondary (industrial), to tertiary (services), to quaternary (information). Today, Cleveland is still economically restructuring from a secondary to tertiary economy. Yet many regions are in the midst of a second economic restructuring from secondary/tertiary to quaternary, in which economic value is the data capital derived from a good or service, rather than the good for service itself. This data capital is the &ldquo;oil&rdquo; for the next-wave of innovation, principally in the fields of artificial intelligence (AI) and machine learning. </li> <li> The analysis speculates on a potential &ldquo;long game&rdquo; for Cleveland in terms of developing an R&amp;D hub in a frontier field, looking specifically at healthcare analytics. Due to regional assets, Cleveland can be a global node in population health research,in effect developing a data capital and AI/machine learning ecosystem that creates leading knowledge in the social determinants of health and reduction of health disparities. </li> <li> A systematic, Cleveland-based intervention to reduce health disparities can be exported globally, igniting a tradable healthcare model that goes beyond selling services outside the region. This is a new type of economic development model operating as a global-local feedback loop. Here, the global export is the health of the local community. </li> </ul></p>
    Original languageAmerican English
    StatePublished - Jan 18 2018

    Keywords

    • Cleveland economy

    Disciplines

    • Urban Studies and Planning

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