Elsevier, Cleveland Clinic Collaborate to Provide Relevant, Trusted Physician Content Through First Consult

Cleveland Clinic Physicians Contribute to Updates and Reviews of Elsevier's First Consult Topics

PHILADELPHIA, March 28, 2011 - Elsevier (www.elsevier.com/wps/find/homepage.cws_home),
a world leader in health care and medical publishing and online solutions,
today announced a strategic relationship between First Consult
(www.firstconsult.com/) and Cleveland Clinic (
my.clevelandclinic.org/default.aspx) to provide physician-author
support of content for First Consult, an evidence-based resource integrated
into the clinical workflow to deliver trusted medical information at the
point-of-care. Through this collaboration, Cleveland Clinic physicians will
provide ongoing updates and reviews of First Consult medical topics.

"First Consult's mission is to provide physicians with
evidence-based medical information that is integrated into the clinical
workflow, allowing physicians to make better informed decisions at the
point-of-care," said Dr. David Goldmann, Vice President and Editor-in-Chief
of First Consult. "Collaborating with Cleveland Clinic on the development of
content delivered through First Consult will allow users to obtain input and
insight from world-renowned experts in their fields."

First Consult's trusted content is enhanced through the direct
contribution of medical topics by Cleveland Clinic medical experts into First
Consult's peer-review editorial process. This collaboration expands on an
already established relationship between Elsevier and Cleveland Clinic. The
Clinic currently provides point-of-care Continuing Medical Education (CME)
credit to users of Elsevier's First Consult and MD Consult (
www.mdconsult.com/php/238057580-372/homepage), a clinical reference
tool utilized by more than 2,000 healthcare organizations and 95 percent of
all U.S. medical schools.

"Currently the Cleveland Clinic Center for Continuing
Education awards more than 12,000 CME certificates per month for our
web-based educational programs. As one of the nation's leading academic CME
providers, we are delighted with our growing partnership with Elsevier," said
Dr. William Carey, Professor of Medicine, Cleveland Clinic Lerner College of
Medicine, and Director, Center for Continuing Education, Cleveland Clinic.
"The First Consult-Cleveland Clinic collaboration matches the robust clinical
expertise of our faculty with the peerless production, distribution and
marketing capabilities of Elsevier. Healthcare providers will be the major
beneficiary of this partnership."

As physicians increasingly turn to the Internet for clinical
information, the relationship between Elsevier and Cleveland Clinic helps
ensure that the information they receive is current, relevant and accurate,
thus improving overall patient care. Eighty-six percent of U.S. physicians
now use the Internet to gather health, medical or prescription drug
information, according to a November 2009 survey commissioned by Google. A
2009 Manhattan Research survey put the number at 89 percent, and one-third of
physicians have claimed that they changed a patient's treatment as the result
of an Internet search. Instead of relying on the unproven information
available widely on the Internet, Elsevier sees physicians gravitating more
to the evidence-based clinical content provided by online tools such as First
Consult.

For clinician use at the point-of-care, First Consult is the
ideal resource for quickly answering questions related to screening,
prevention, diagnosis, and treatment of the majority of the medical
conditions responsible for office visits and inpatient admissions. First
Consult is also available as an iPhone/iPad app, available through free
download from the Apple App Store (
info.firstconsult.com/iphone-app.html) and works on Apple's iPhone,
iPad, and iPod Touch devices for access to First Consult's trusted content
anytime, anywhere.

About Elsevier

Elsevier is a world-leading publisher of scientific, technical and
medical information products and services. The company works in partnership
with the global science and health communities to publish more than 2,000
journals, including The Lancet (www.thelancet.com) and Cell
(www.cell.com), and close to 20,000 book titles, including major
reference works from Mosby and Saunders. Elsevier's online solutions include
SciVerse ScienceDirect (www.sciencedirect.com), SciVerse Scopus
(www.scopus.com), Reaxys (www.reaxys.com), MD Consult
(www.mdconsult.com) and Nursing Consult (www.nursingconsult.com
), which enhance the productivity of science and health professionals, and
the SciVal suite (www.scival.com) and MEDai's Pinpoint Review
(www.medai.com), which help research and health care institutions
deliver better outcomes more cost-effectively.

A global business headquartered in Amsterdam, Elsevier (
www.elsevier.com) employs 7,000 people worldwide. The company is part
of Reed Elsevier Group PLC (www.reedelsevier.com), a world-leading
publisher and information provider, which is jointly owned by Reed Elsevier
PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam),
REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).

About Cleveland Clinic

Cleveland Clinic, located in Cleveland, Ohio, is a
not-for-profit multispecialty academic medical center that integrates
clinical and hospital care with research and education. It was founded in
1921 by four renowned physicians with a vision of providing outstanding
patient care based upon the principles of cooperation, compassion and
innovation. U.S. News & World Report consistently names Cleveland Clinic as
one of the nation's best hospitals in its annual "America's Best Hospitals"
survey. About 2,100 full-time salaried physicians and researchers and 11,000
nurses represent 120 medical specialties and subspecialties. In addition to
its main campus, Cleveland Clinic operates nine regional hospitals and 15
Family Health Centers in Northeast Ohio, Cleveland Clinic Florida, the Lou
Ruvo Center for Brain Health in Las Vegas, Cleveland Clinic Canada, and
opening in 2012, Cleveland Clinic Abu Dhabi. In 2009, there were more than
4.6 million visits throughout the Cleveland Clinic health system and 170,000
hospital admissions. Patients came for treatment from every state and from
more than 100 countries. Visit us at www.clevelandclinic.org.

    Media Contact
    Tom Reller
    Vice President, Global Corporate Relations
    Elsevier
    +1-215-239-3508
    T.Reller@Elsevier.com

Media Contact: Tom Reller, Vice President, Global Corporate Relations, Elsevier, +1-215-239-3508, T.Reller at Elsevier.com