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