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1 MFMER #

2 Our Heritage MFMER

3 MFMER

4 A precipitating event...

5 MFMER

6 Mayo Clinic s First Social Networkers MFMER

7 Our values have remained unchanged

8 MFMER

9 Our Mission To inspire hope and contribute to health and wellbeing by providing the best care to every patient through integrated clinical practice, education and research Our Vision Mayo Clinic will provide an unparalleled experience as the most trusted partner for health care MFMER

10 6 STATES 5 SCHOOLS 59,500 EMPLOYEES 1.3 million $9.8 billion UNIQUE PATIENTS from 144 countries ENTERPRISE REVENUE all income reinvested MFMER

11 Mayo s unique style of care

12 Mayo Clinic Model of Care Distinguished by: Focusing a team of experts on one patient at a time Living our values of collaboration, compassion, and innovation Translating knowledge to clinical practice Delivering patient care with respect, quality, and excellence Inspiring hope and providing healing MFMER

13 4,208 2, , M STAFF PHYSICIANS & SCIENTISTS* RESIDENTS & FELLOWS* SURGICAL PATIENTS** OUTPATIENT VISITS** MFMER

14 Mayo s patient care locations

15 Rochester, Minnesota 2,192 physicians & scientists Total staff of 32,271* *Mayo Medical Laboratory Northeast employees are included in Rochester counts MFMER

16 Jacksonville, Florida 470 physicians & scientists Total staff of 5,107 MFMER

17 Phoenix/Scottsdale, Arizona 505 physicians & scientists Total staff of 5,729 MFMER

18 Serves 72 communities 23 hospitals 1,041 physicians & scientists Total staff of 15,985 MFMER

19 Palomar Health Yuma Regional Medical Center April 31 Members Mayo Clinic Care Network Mayo Clinic Health System Mayo Clinic Kootenai Health Billings Clinic Yampa Valley Medical Center Trinity Health St.Alexius Aspen Valley Hospital Kingman Regional Medical Center ASU Health Services Medical Center Shriners Hospitals For Children Twin Cities Médica Sur Altru Health System UnityPoint Health Cedar Rapids OSF Health Care Heartland Health Stormont-Vail HealthCare Methodist Health System CentraCare Coborn Cancer Center ThedaCare Sparrow Health System NorthShore University HealthSystem St. Elizabeth Baptist Health Care Healthcare Pikeville Medical Center WellStar Health System NCH Healthcare Dartmouth- Hitchcock Virginia Hospital Center Parrish Medical Center Salus Puerto Rico MFMER #

20 Mayo s research... MFMER

21 Mayo s educational programs MFMER

22 Education activities Mayo Medical School Doctor of medicine degrees and joint MDprofessional degrees, visiting medical student clerkship programs and summer minority medical student programs Mayo Graduate School Doctoral and master s programs focusing on seven biomedical subspecialties, and visiting pre-doctoral and summer undergraduate research students MFMER

23 Education activities Mayo School of Health Sciences 60 health science careers 120 programs Mayo School of Graduate Medical Education 271 medical residency/fellowship programs Mayo School of Continuous Professional Development 276 continuing education activities MFMER

24 The Outpatient Practice of the Future Providing the right care to the right patient at the right time. Through an integrated set of tools, work flow and processes, Mars seeks to improve the outpatient experience for the patient and the provider. MFMER

25 Benefits of Mars Design Principle #7: Adaptable Space For the Patient Optimized patient rooming time Reduced patient wait time during the visit Validation of patient concerns For the Practice Improved care team efficiency by increasing awareness of patient and care team member location, and clinical room availability Reduced clerical and cognitive burden MFMER

26 Mars Suite of Offerings Pre-Visit Care Team Education Standardized Follow up Questionnaires Roles & Responsibilities Pre-Visit Education Post Visit Questionnaires Smart Space Provider App econsults Workflows Group Visits Return Visit Intervals Situational Awareness Care Pathways Care Team Huddles In-visit Education evisit Option MicroConsults Message Center Clinical Processes MFMER

27 Smart Space Design Principle #8: Smart Capture and Share Smart Space is a new set of ipad based provider tools and processes that will Decrease cognitive and clerical burden Increase efficiency with the Electronic Medical Record (EMR). Encourage adoption by saving time, being easy to use, and improving the patient and provider experience MFMER

28 Appointment Services: Enhanced Patient Scheduling Right Patient to the Right Doctor at the Right Time Utilizing Decision Tree Software GOALS Eliminate unnecessary physician review by increasing Green Light scheduling on first call Happy Patients - Happy Physicians - Happy Agents Reduce training time for staff Decision tree software provides correct outcome for agents and allows for real-time updates Prioritize by acuity and match the patient and physician Reduce talk time during scheduling and unnecessary nurse resources MFMER

29 Design Principle #1: Meaningful Challenges and Impact Our Commitment to Safety In order to be trusted, we must be safe. MFMER

30 Mayo Clinic s Commitment to Safety System Competency Safe Care Behavioral Competency Standardization & Diffusion of Best Practices Standard practice guidelines Knowledge management Value creation system Design for human factors Preventable Harm Commitment to Safety in a fair & just culture MFMER

31 Team-based Engagement Model (TEM) 1. Introduction & Contracting w/ Leaders Continuous Learning, Adapting and Leadership Development 7. Sustain the Change Post-engagement survey What are the stories? Celebrate successes PDSA cycle continues Build relationships Learn about unit and communicate w/ multidisciplinary team Pre-engagement survey Team interviews & meetings Collect other data points Identify strengths & gaps 2. Begin Team Process & Assessment of Current State 6. Implement the Changes What is the team learning? What is the impact? Recognize & reinforce What does team want to accomplish? 3. Set Goals PDSA Life cycle Act Plan Team identifies opportunities for PDSA cycles How will team know it s improving? Team & Leaders create Work Unit Scorecard Study Do MFMER Select Changes to Implement to Meet Goals 4. Establish Measures

32 PDSA Life Cycle Design Principle #2: Rapid Experimentation Act Plan ActStudy PlanDo Act Study Do Study MFMER

33 CTS TEM Learning Board Design Principle #9: Mutual Ownership MFMER

34 2014 Commitment to Safety Stories Feb. - 9 th most viewed - TEM effort helped Cath Lab save $700,000 (out of 289 stories) March 6 th most viewed - She heard the heart murmur and spoke up (out of 303 stories) April 5 th most viewed Good catch in Austin leads to safer blood draws (out of 314 stories) June 12 th most viewed - Fewer cesarean sections (Csections), safer baby banding in Austin, Minnesota; Women's Special Care uses Team-based Engagement Model (TEM) (out of 311 stories) MFMER

35 Design Principle #5 Relevant Connections Mayo Clinic Center for Social Media The Mayo Clinic Center for Social Media exists to improve health globally by accelerating effective application of social media tools throughout Mayo Clinic and spurring broader and deeper engagement in social media by hospitals, medical professionals and patients. Our Mission: Lead the social media revolution in health care, contributing to health and well being for people everywhere MFMER

36 Social Networking is part of the Mayo Clinic DNA and is fundamental to health care MFMER

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40 The Revolutionary Impact of Consumergrade Video MFMER

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49 Lessons Learned MFMER

50 Changing Culture The tipping point is that magic moment when an idea, trend, or social behavior crosses a threshold, tips, and spreads like wildfire. Malcolm Gladwell, The Tipping Point: How Little Things Can Make a Big Difference MFMER

51 Teamwork and Collaboration The quality of care is better when delivered by a team that works together effectively QUALITY Outcomes Safety Service MFMER

52 MFMER

53 The power of partnerships MFMER #

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