international society of orthopedic centers mayo clinic overview april 29 – may 1, 2010
TRANSCRIPT
International Society of International Society of Orthopedic CentersOrthopedic Centers
Mayo Clinic OverviewMayo Clinic Overview
April 29 – May 1, 2010April 29 – May 1, 2010
Background of CEOBackground of CEO
•Michael G. Rock, M.D., FRCS(c) •Chief Medical Officer, Mayo Clinic Hospitals
•Practicing Orthopedic Surgical Oncologist•B.Sc.; M.D. – University of Western Ontario, London, Canada•Orthopedic Residency – University of Western Ontario, London, Canada•Orthopedic Oncology Fellowships
•Mayo Clinic•Rizzoli Institute
•Member•Executive Board, Mayo Clinic•Executive Board, Covenant Health Systems•Executive Quality Council, Dubai Health Care City•Board of Trustees, American Hospital Association
U.S. Healthcare SystemU.S. Healthcare System
•$2.3 Trillion Annual Spend•17% GDP; $7,200 per beneficiary per year
•47 Million Uninsured 15 Million Uninsured•44 Million Medicare 77 Million Medicare•46 Million Medicaid ?? Million Medicaid•Fee for Service Pay for Value
Mayo Clinic Practice Mayo Clinic Practice SitesSites
Rochester,Rochester,MinnesotaMinnesota
Jacksonville,Jacksonville,FloridaFlorida
Scottsdale & Phoenix,Scottsdale & Phoenix,ArizonaArizona
CameronCameronBarronBarron
ChetekChetek
BloomerBloomer
Prairie FarmPrairie Farm
Glenwood CityGlenwood City
ColfaxColfax
ElmwoodElmwood
Chippewa FallsChippewa FallsMenomonieMenomonie
Eau ClaireEau Claire
OsseoOsseo
ArcadiaArcadia
MondoviMondovi
GalesvilleGalesville
SpartaSparta TomahTomah
West SalemWest Salem
La CrosseLa Crosse
PrairiePrairiedu Chiendu Chien
DecorahDecorah
New HamptonNew Hampton
CharlesCharlesCityCity
WaukonWaukonLake MillsLake MillsArmstrongArmstrong
CaledoniaCaledonia
HoustonHouston
HolmenHolmenOnalaskaOnalaska
La CrescentLa Crescent
Grand MeadowGrand MeadowLeRoyLeRoyAdamsAdams
AustinAustin
RochesterRochester
Albert LeaAlbert LeaAldenAldenWellsWells
KiesterKiester
St. JamesSt. James
MadeliaMadelia
TrumanTruman
SherburnSherburn
FairmontFairmont
LambertonLamberton
SpringfieldSpringfield
New RichlandNew Richland
Lake CrystalLake Crystal
MankatoMankatoWatervilleWaterville
JanesvilleJanesville
WasecaWaseca Blooming PrairieBlooming Prairie
OwatonnaOwatonna
FaribaultFaribaultWabashaWabasha
AlmaAlma
Lake CityLake City
PlainviewPlainview WisconsinWisconsin
IowaIowa
MinnesotaMinnesotaLe SueurLe Sueur
St. PeterSt. Peter
Mayo Health System:A network of clinics and hospitals in 70 communities throughout Iowa, Minnesota and Wisconsin
Mayo Health SystemMayo Health System
Mayo ClinicMayo ClinicPeople and FacilitiesPeople and Facilities
Mayo Clinic PeopleMayo Clinic People Mayo ClinicMayo Clinic Mayo Clinic Mayo Clinic
in Rochesterin Rochester
Physicians & ScientistsPhysicians & Scientists 3,7003,700 1,9701,970
Residents, Fellows, & Residents, Fellows, & StudentsStudents
3,2003,200 2,7802,780
Allied Health Staff Allied Health Staff 49,00049,000 27,20027,200
TotalTotal 55,90055,900 31,95031,950
Mayo FacilitiesMayo Facilities
Operating roomsOperating rooms 224224 116116
Available bedsAvailable beds 2,4202,420 1,2801,280
Mayo ClinicMayo ClinicPatient Care FactsPatient Care Facts
Mayo ClinicMayo ClinicMayo Clinic Mayo Clinic
in in RochesterRochester
Unique PatientsUnique Patients 528,000528,000 346,000346,000
Surgical PatientsSurgical Patients 122,000122,000 55,00055,000
Hospital AdmissionsHospital Admissions 124,000124,000 57,00057,000
Patient DaysPatient Days 567,000567,000 294,000294,000
Average Length of Average Length of StayStay
4.64.6 5.25.2
Mayo Clinic in Mayo Clinic in Rochester Orthopedic Rochester Orthopedic
ActivitiesActivities•Surgeons 40
•Operating Rooms 23
•Available beds 120
•Surgical patients 11,800
•Admissions 5,700
•Patient Days 19,400
•Average Length of Stay 3.3
Financial Performance Financial Performance MetricsMetrics
•Operations Coordinating Group Process (OCG)•Financial Metrics
•Department direct margin•Cost per case
•Volume Metrics•Surgical patients/surgeon patient care consultant/work day•Core procedures•OR utilization and on time starts
Teaching and Research Teaching and Research EffortsEfforts
ResidentsResidents 52 52 FellowsFellows 13 13 Paid Research FTEPaid Research FTE 3.73 3.73 First or Last AuthorFirst or Last Author 139139 Major foci of ResearchMajor foci of Research
– Disorders of musculoskeletal growth and development;Disorders of musculoskeletal growth and development;– Musculoskeletal trauma, including bony, soft tissues, and Musculoskeletal trauma, including bony, soft tissues, and
repetitive injury;repetitive injury;– Disorders of the Spine;Disorders of the Spine;– Degenerative disorders of the musculoskeletal system, Degenerative disorders of the musculoskeletal system,
especially Osteoarthritis;especially Osteoarthritis;– Osteoporosis, especially problems associated with fragility Osteoporosis, especially problems associated with fragility
fractures.fractures.
Strategic PlanStrategic Plan Strategic clinical staff growth in Strategic clinical staff growth in
targeted areastargeted areas Optimize “value” of services provided: Optimize “value” of services provided:
quality (safety, service, outcomes)/costquality (safety, service, outcomes)/cost Target revenue growth and expense Target revenue growth and expense
management-become trusted and management-become trusted and affordableaffordable
Transform health care delivery processTransform health care delivery process Generate, collate, and manage Generate, collate, and manage
knowledge delivery knowledge delivery
Future ChallengesFuture Challenges
Maintaining economic viability post-Maintaining economic viability post-healthcare reformhealthcare reform
Integration of clinical services across Integration of clinical services across the Mayo delivery system-the Mayo delivery system-standardizationstandardization
Providing patients access to our Providing patients access to our expertise in multiple formats-expertise in multiple formats-here,there,everywhere here,there,everywhere
Translational research-molecular Translational research-molecular diagnostics and therapeutics; diagnostics and therapeutics; regenerative medicineregenerative medicine