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