Mayo Clinic in Rochester Orthopedic Activities

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Mayo Clinic Overview
April 29 – May 1, 2010
Background 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 System
•$2.3 Trillion Annual Spend
•17% GDP; $7,200 per beneficiary per year
•47 Million Uninsured
•44 Million Medicare
•46 Million Medicaid
•Fee for Service
15 Million Uninsured
77 Million Medicare
?? Million Medicaid
Pay for Value
Mayo Clinic Practice Sites
Rochester,
Minnesota
Scottsdale & Phoenix,
Arizona
Jacksonville,
Florida
Mayo Health System
Cameron
Barron
Chetek
Prairie Farm
Glenwood City
Bloomer
Colfax
Chippewa Falls
Menomonie
Minnesota
Lamberton
Lake City
Faribault
Waterville
Mankato
Springfield
Madelia
St. James
Truman
Wells
Fairmont
Sherburn
Armstrong
Kiester
Plainview
Janesville
Lake Crystal
Waseca
New Richland
Wabasha
Blooming Prairie
Albert Lea
Arcadia
Alma
Owatonna
Alden
Osseo
Mondovi
Le Sueur
St. Peter
Eau Claire
Elmwood
Wisconsin
Galesville
Rochester
Austin
Grand Meadow
LeRoy
Adams
Sparta Tomah
Holmen
Onalaska
La Crescent
Houston
Caledonia
West Salem
La Crosse
Decorah
Lake Mills
Waukon
Charles
City
New Hampton
Mayo Health System:
A network of clinics and
hospitals in 70 communities
throughout Iowa, Minnesota
and Wisconsin
Iowa
Prairie
du Chien
Mayo Clinic
People and Facilities
Mayo Clinic People
Mayo Clinic
Mayo Clinic
in Rochester
Physicians & Scientists
3,700
1,970
Residents, Fellows, &
Students
3,200
2,780
Allied Health Staff
49,000
27,200
Total
55,900
31,950
224
116
2,420
1,280
Mayo Facilities
Operating rooms
Available beds
Mayo Clinic
Patient Care Facts
Mayo Clinic
in Rochester
346,000
Unique Patients
Mayo Clinic
528,000
Surgical Patients
122,000
55,000
Hospital Admissions
124,000
57,000
Patient Days
567,000
294,000
4.6
5.2
Average Length of Stay
Mayo Clinic in Rochester
Orthopedic Activities
•Surgeons
•Operating Rooms
•Available beds
•Surgical patients
•Admissions
•Patient Days
•Average Length of Stay
40
23
120
11,800
5,700
19,400
3.3
Financial Performance Metrics
•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 Efforts

Residents
Fellows
Paid Research FTE
First or Last Author

Major foci of Research



52
13
3.73
139
– Disorders of musculoskeletal growth and development;
– Musculoskeletal trauma, including bony, soft tissues, and repetitive
injury;
– Disorders of the Spine;
– Degenerative disorders of the musculoskeletal system, especially
Osteoarthritis;
– Osteoporosis, especially problems associated with fragility
fractures.
Strategic Plan





Strategic clinical staff growth in targeted
areas
Optimize “value” of services provided:
quality (safety, service, outcomes)/cost
Target revenue growth and expense
management-become trusted and
affordable
Transform health care delivery process
Generate, collate, and manage knowledge
delivery
Future Challenges




Maintaining economic viability posthealthcare reform
Integration of clinical services across the
Mayo delivery system-standardization
Providing patients access to our expertise
in multiple formats-here,there,everywhere
Translational research-molecular
diagnostics and therapeutics; regenerative
medicine
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