Mayo Clinic

Purpose:

To provide an effective yet efficient care model through an integrated network of specialties, which are facilitated by electronic health records

Target Population:

Mayo Clinic provider and patient population

Program Goals:

• Practice medicine as an integrated team of multi-disciplinary physicians, scientists, and allied health professionals who are focused on the needs of patients
• Educate physicians, scientists, and allied health professionals and be a dependable source of health information for patients and the public
• Conduct basic and clinical research programs to improve patient care and benefit society
• Continuously improve all processes that support patient care, education and research
• Reduce the cost of provided care without negatively impacting its quality

Years in Operation:

The clinic first opened its doors in 1889, and since that time has continually fostered care provided by an “integrated team.”

Results:

Dartmouth Atlas research (Wennberg & Fisher), which showed significant regional disparities in the cost of care and the outcomes received by Medicare, consistently showed that Mayo offers better quality at a lower cost.

Funding:

Funding is provided by patient care revenue (through public and private payers), contributions, private grants, and endowments from nearly 87,000 donors.

Key Partners:

Mayo Medical School, Mayo Graduate Schools in Health Sciences and Continuing Medical Education

What Works and Why:

Mayo attributes much of the success in delivering lower-cost, higher-quality care to three critical factors:

• The integration of specialties. The patient is the center of care - both physically and conceptually. All the physicians work for the same organization, which is centered on providing care to the patient at hand.
• A culture that attracts physicians with an interest in collaboration, patient-centric care, and research.
• Constant peer review for each patient, which is facilitated by a single medical record for the patient throughout the treatment at Mayo (hospital and any physician).

Structure and Operations:

• The Mayo Clinic is a not-for-profit physician group practice that owns two hospitals. There are other "subsidiary" groups with Mayo, including a for-profit group that provides diseasemanagement services to large employers around the country. Mayo's clinical practice is regularly held up as an example of providing high-quality, lower-cost services to Medicare,particularly as it relates to hospital care.
• Mayo also has affiliated with several practices and hospitals in Iowa, Wisconsin and Minnesota (within about a 100-mile radius of Rochester, Minn.). These groups are integrated both administratively and clinically (providing referrals, continuing medical education, and expertise). They are not yet using a single medical record, but information can be transferred electronically among the groups.
• Care provided to patients receiving primary care outside Mayo is coordinated by ensuring that the primary care practice receives full record of treatment at Mayo from Mayo.
  

Barriers to Success:

Trends of declining reimbursement from public and private payers

More Information:

http://www.mayoclinic.org/about

Download:

Download this program information in PDF format.