Organizational Assessment Locations ROCHESTER MINNESOTA Rochester campuses Methodist

Organizational Assessment

Locations ROCHESTER, MINNESOTA Rochester campuses: ◦ Methodist Campus ◦ Saint Mary’s Campus ARIZONA Arizona campuses: ◦ Phoenix ◦ Scottsdale Mayo Clinic in Phoenix is ranked the No. 1 hospital in Arizona. This campus is also nationally ranked in 10 medical specialties.

Locations (cont'd) FLORIDA Jacksonville campus: ◦ Ranked #1 in the state of Florida ◦ Ranked #1 in Jacksonville MAYO CLINIC HEALTH SYSTEMS Brings Mayo Clinic experience to those further away. ◦ 60 locations throughout the U. S. ◦ 1, 000 providers ◦ "We are Here for You. For Life"

History In 1864, William Worrall Mayo, M. D. , settled his family and opened a medical practice in Rochester, Minn. Dr. Mayo was dedicated to serving patients and advancing medical science through education and research. He and his wife, Louise, passed their pioneering spirit to their sons, William and Charles, who entered medicine in the 1880 s and transformed the family practice into Mayo Clinic, a global center of hope and healing. <<<< Brothers William and Charles Mayo

Collaboration with Sisters of Saint Francis after Tornado of 1863

Mayo Clinic Contributions to Medicine In 1950, two Mayo Clinic pioneers received the Nobel Prize in Physiology or Medicine for their discovery of cortisone and its use in treatments. In 1955, Mayo Clinic helped revolutionize open-heart surgery with the Mayo-Gibbon Heart-Lung Bypass Machine. Following developments included one of the first intensive care units in the United States. In 1968, Mayo Clinic surgeon Mark Coventry, MD, implanted the first FDA-approved artificial hip joint. In 1972, Mayo Clinic introduced the CT scanner to North America, transforming the field of medical imaging. In 2001, following the 9/11 terrorist attacks, Mayo Clinic developed a rapid test to diagnose anthrax poisoning.

Mission Statement "To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research. "

Values Primary value "The needs of the patient come first. " These values, which guide Mayo Clinic's mission to this day, are an expression of the vision and intent of our founders, the original Mayo physicians and the Sisters of Saint Francis.

Value Statements R - Respect T - Teamwork Treat everyone in our diverse community, including patients, Value the contributions of all, blending the skills of individual staff members in unsurpassed collaboration. their families and colleagues, with dignity. I - Integrity I - Innovation Infuse and energize the organization, enhancing the Adhere to the highest standards of professionalism, ethics and personal responsibility, worthy of the trust our patients lives of those we serve, through the creative ideas and unique talents of each employee. place in us. C - Compassion E - Excellence Deliver the best outcomes and highest quality service Provide the best care, treating patients and family members through the dedicated effort of every team member. with sensitivity and empathy. H - Healing S - Stewardship Sustain and reinvest in our mission and extended Inspire hope and nurture the well-being of the whole person, communities by wisely managing our human, natural respecting physical, emotional and spiritual needs. and material resources.

Model of Care Patient Care Collegial, cooperative staff teamwork with multispecialty integration. A team of specialists is available and appropriately used. An unhurried examination with time to listen to the patient. A physician takes personal responsibility for directing patient care over time in a partnership with the local physician. Highest-quality patient care provided with compassion and trust. Respect for the patient, family and the patient’s local physician. Comprehensive evaluation with timely, efficient assessment and treatment. Availability of the most advanced, innovative diagnostic and therapeutic technology and techniques. Environment Highest-quality staff mentored in the culture of Mayo and valued for their contributions. Valued professional allied health staff with a strong work ethic, special expertise and devotion to Mayo Clinic. A scholarly environment of research and education. Physician leadership. Integrated medical record with common support services for all outpatients and inpatients. Professional compensation that allows a focus on quality, not quantity. Unique professional dress, decorum and facilities.

Rankings According to U. S. News Best Hospital Rankings, Mayo Clinic Ranks: 15 th in Adult Specialties in the United States 8 th in Children Specialties in the United States 1 st in Minnesota

Organizational Model Physician—Administrator Leadership Model (A dyad leadership) A team approach based on concepts originating in 1908. Will Mayo, MD (a principal founder of Mayo Clinic) and Harry Harwick (a Medical Group Management Association founder) first used the concepts at Mayo Clinic, Rochester, Minnesota. Recognition that this team approach is more effective when integration of healthcare delivery and administration occurs. Key success factors: ◦ common core values, willingness to work together toward a common mission and vision, clear and transparent communication with each other and the organization, mutual respect, and complementary competencies.

Organizational Model (cont'd) CORPORATE STRUCTURE: ◦ A non-profit organization, with a single governing body: The Board of Trustees. The board operates under the "responsibility for the charitable, clinical practice, scientific and educational mission and purposes of Mayo Clinic as set forth in its articles of incorporation and bylaws. " ROTATIONAL LEADERSHIP: ◦ Physicians, administrators, and management in leadership positions are expected to rotate in their roles on a regular basis. This model allows for fresh ideas, experience sharing, and high staff retention rates.

Leadership Chair, Board of Trustees: Samuel A. Di Piazza Jr. CEO and President: John H. Noseworthy, M. D. Vice President: Bobbie S. Gostout, M. D. Regional VP & CEO: Gianrico Farrugia, M. D. (Florida), Wyatt W. Decker, M. D. (Arizona) CAO and Vice President: Jeffrey W. Bolton CFO: Kedrick D. Adkins, Jr. CLO and Secretary: Joshua B. Murphy, J. D. Treasurer: Harry N. Hoffman

Hospital Statistics In 2016, 1. 3 million people from all 50 states and 137 countries came to Mayo Clinic for care. Staff physicians and scientists: 4, 590 Administrative and allied health staff (clinics and hospitals): 58, 488 Total clinic patients: 1, 318, 800 Hospital admissions: 129, 500 Hospital days of patient care: 638, 300

Funding - "First and largest integrated, not for profit medical group practice in the world" 2016 Contributions (Restricted Expenditures) (In Millions) Research $612 Education $268 Buildings/Equipment $27 Charity Care $50 Clinical $88 Other $37 Pledges and Trust $275 Total $1, 357

Services - Patient Care Clinical Specialties Cardiology Gastroenterology Neurology #1 Nationwide Rankings in 8 Specialties 1. Gastroenterology and GI Surgery 2. Diabetes and Endocrinology Drugs of Abuse 3. Geriatrics Genetics and Pharmacogenomics 4. Gynecology Microbiology and Infectious Disease Oncology 5. Nephrology Endocrinology 6. Neurology & Neurosurgery Hematology 7. Pulmonology Pediatrics 8. Urology Prenatal and Fertility

Services - Patient Care U. S. News' High Performance Ratings: Procedures and Conditions Abdominal Aortic Aneurysm Repair Aortic Valve Surgery Chronic Obstructive Pulmonary Disease Colon Cancer Surgery Congestive Heart Failure Heart Bypass Surgery Hip/Knee Replacements Lung Cancer Surgery

Services - Education Mayo Clinic's College of Science offers several programs including: School of Medicine ◦ Mission: To train physician and physician-scientist leaders who will practice and teach patient-centered, science-driven, team-based, high-value health care and contribute to a resilient, diverse and culturally competent physician workforce. ◦ Opened in 1972, the school offers an MD and also an MD/Ph. D program. With campuses in Minnesota, Florida and Arizona. It is ranked number 24 among the best medical schools, and number 1 in more specialties than any other hospital in the nation. To date, 1600 students have completed their training. School of Biomedical Sciences ◦ Mission: To train future leaders in biomedical research and education. ◦ Offers Master's and Ph. D programs. The school also offers post baccalaureate programs in research as well as an undergraduate research fellowship. School of Graduate Medical Education ◦ Goal is to train graduate physicians in specialty areas. ◦ Offers fellowships and residencies.

Services - Education continued School of Health Sciences ◦ Offers nursing clinical, advanced and continuing education programs ie. CRNA. , Also has programs such as Neurophysiological Technology, Sonography and Echocardiography as well as radiation therapy. ◦ Program ranked one of the top 10 in the country School of Continuous Professional Development ◦ Mission: To maintain a commitment to and tradition of developing and maintaining distinguished educational activities to enhance and enrich your medical knowledge and improve your service to the patient. ◦ Offers specialties such as cardiology, anesthesiology, nephrology etc.

Services - Research In 1958, Mayo Clinic received its first grant from the National Institutes of Health (NIH). Today, Mayo Clinic is one of the leading recipients of NIH funding, which confirms the high quality of Mayo’s research initiatives. As part of their commitment to patient care, they provide both cancer and non-cancer clinical trials to patients that agree to this course of treatment. As a leading cancer researcher, a recent study found that women with new breast cancer did not benefit from chemotherapy prior to breast surgery. Research Facilities include: • Transplant • Aging and Alzheimer's • Women's Health • Children's Research • TBI • Cancer Center • Cardiovascular Health • Sports Medicine

Other Services Easy Online Access: Mayo Clinic offers other services to its team and its clients. It's easy to keep in touch in with your healthcare team in regards to your medical care. Patient online services are easily accessible. It is easy to set up appointments online. The Mayo Clinic app is access at the clients' fingertips when it comes to their healthcare. Technology: Social media, podcasts, radio and their newspaper keep the entire network in touch about any changes that might be happening in the hospital network. News & Research: Any new research or any breakthroughs in research is communicated through journals, the news, social media and other sources such as their podcasts.

Diversity Annually, Mayo Clinic serves 8, 000 international patients Diversity is constantly encouraged whether it is patients, students, employees, suppliers, or members of the community Diversity. Inc Top 10 Hospital and Health System: Designation since 2011 4 Areas of Measurement: ◦ 1) Talent Pipeline ◦ 2) Equitable Talent Development ◦ 3) CEO/Leadership Commitment ◦ 4) Supplier Diversity Programs to Promote Diversity: - Minority Health and Wellness Program - One World Advisory Council: Collaboration to ensure culturally competent care - Mayo Physicians of Tomorrow - Supplier Diversity: Women, Minorities, Veterans - The Links Incorporation/ Mayo Clinic collaboration that strives to attenuate health disparities in African American communities

Employee Resources Some of the many resources and benefits provided to Mayo Clinic employees: Health & Wellness: medical plan with dental and vision options Pre-tax savings accounts: health savings accounts, health care flexible spending accounts Wellness programs: online and telephone support, fitness facilities Retirement benefits and pension plans: 403(b)/401(k) plan and pension plans paid entirely by employer Life insurance: employer paid 3 x annual salary, accidental death/dismemberment, long term care insurance, identity theft insurance Tuition reimbursement

Employee Resources (cont'd) Child and elder care assistance and adoption assistance Employee assistance program: personal, financial, legal, substance abuse Credit Union Relocation services: including a comprehensive guide to relocating and covered services Mayo Employee Resource Groups (MERGs): Mayo Clinic supports, encourages, and celebrates the diversity of its employees by offering financial and administrative resources for the initiation and sustainment of resource groups that honor diversity and promote inclusion.

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