Mayo Clinic

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Mayo Clinic
Non-Profit 501(c)(3), Public Charitable Organization 509(a)(2)
Industry Health care
Founded January 27, 1864; 154 years ago (1864-01-27)
Rochester, Minnesota, USA
Founders William Worrall Mayo
William James Mayo
Charles Horace Mayo
Augustus Stinchfield
Christopher Graham
Henry Stanley Plummer
Melvin Millet
E. Star Judd
Donald Balfour
Headquarters Rochester, Minnesota, USA
Area served
Worldwide
Key people
Revenue US$10.99 billion (2016)[1]:13
Total assets US$14.9 billion (2016)[1]:14
Number of employees
63,000[1]:3
Divisions
Website www.mayoclinic.org
Footnotes / references
More[2]

Coordinates: 44°1′20″N 92°28′0″W / 44.02222°N 92.46667°W / 44.02222; -92.46667

The Mayo Clinic is a nonprofit academic medical center based in Rochester, Minnesota, focused on integrated clinical practice, education, and research.[3] It employs more than 4,500 physicians and scientists and 58,400 administrative and allied health staff.[4][5] The practice specializes in treating difficult cases through tertiary care. It spends over $660 million a year on research and employs over 3,000 full-time research personnel.[6][7]

William Worrall Mayo settled his family in Rochester in 1863 and opened a for-profit medical practice that evolved under his sons into Mayo Clinic. Mayo Clinic is widely regarded as one of the United States' greatest hospitals and ranked No. 1 in the country[8] on the 2018–2019 U.S. News & World Report List of "Best Hospitals" of the United States, maintaining a position near the top for more than 27 years.[9] It has been on the list of "100 Best Companies to Work For" published by Fortune magazine for fourteen consecutive years, and has continued to achieve this ranking through 2017.[10][11][12]

In addition to its flagship hospital in Rochester, Mayo Clinic has major campuses in Arizona and Florida.[13] The Mayo Clinic Health System also operates affiliated facilities throughout Minnesota, Wisconsin, and Iowa.[14]

History

William Worrall Mayo, the founding father of what would become Mayo Clinic.

Early years

In 1863, William Worrall Mayo (1819–1911) came to Rochester, Minnesota from Salford in Lancashire, England as part of his appointment as an examining surgeon for the military draft board during the American Civil War. The city was to his liking, and his wife and children joined him in early 1864; the family served in several leadership roles in the community. On January 27, 1864, William Worrall Mayo advertised in the Rochester City Post the opening of a private medical partnership "over the Union Drug Store on Third Street" with "all calls answered by day or night."[15]

Both of W.W. Mayo's sons, William James Mayo (1861–1939) and Charles Horace Mayo (1865–1939) grew up in Rochester and, when old enough, both attended medical school. William graduated in 1883 and joined his father's practice, with Charles joining after he completed his training in 1888.[16][17]

On August 21, 1883, a tornado struck Rochester, causing at least 37 deaths in the area and over 200 injuries.[18] One-third of the town was destroyed, but the Mayo family escaped serious harm. The relief efforts began immediately with a temporary hospital being established at Rommell's Hall, and the doctors Mayo (W.W. and Will) as well as other local doctors, were extensively involved in treating the injured who were brought there for help. Mother Alfred Moes and the Sisters of Saint Francis (a teaching order) were called in to act as nurses despite having been trained as teachers and with little if any medical experience.

St. Mary's Hospital in 1910

After the crisis subsided, Moes approached W.W. Mayo about establishing a hospital in Rochester. Mayo agreed to work in the hospital and soon other local doctors agreed as well. On September 30, 1889, Saint Marys Hospital was opened by the Sisters. W.W. Mayo, 70 years old, was one of the consulting physicians at the hospital. His two sons began seeing patients and performing surgeries at the hospital.[2]

Group practice

In 1892, W. W. Mayo asked Augustus Stinchfield, whom he considered to be the best doctor in the area, to join the practice. After Stinchfield agreed, W.W. Mayo retired at the age of 73 and the practice continued to grow. The founders of Mayo Clinic are the Mayo brothers Will and Charlie, Stinchfield, Graham, Henry Plummer, Millet, Judd, and Balfour. These early founders and partners shared in the profits of the private group practice, while other staff hired by the partners were salaried. W.W. Mayo died in 1911 and in 1919 the remaining founders, with the exception of Graham, created the Mayo Properties Association, and their private practice became a not-for-profit entity. The founders gave the Clinic properties and furnishings to this newly formed association.[19] The integrated practice model developed primarily by Plummer, created a foundation for what would grow into Mayo Clinic.[20]

Growth and current practice

As the private practice grew, it required additional space. In 1914, the partners planned, designed and built a new clinic building. Ellerbe Architects are the architect of record for the 1914 Mayo "Red" building, as well as for the 1922 Mayo Institute of Experimental Medicine, the 1927 Plummer building, the 1954 Mayo Clinic building, and the 2002 Gonda building. In 1914, and under the guidance of Henry Plummer, the new building allowed the integrated group medical practice concept to be fully expressed.[citation needed] Many innovative medical systems, tools, and equipment were incorporated into the building design. Plummer worked closely with Frederic Maass, of Maass & McAndrew, to design and fabricate many of the building systems innovations like the steam sterilization rooms, metal surgical tools and equipment, pneumatic tube system, knee operated sinks, and a state of the art HVAC system.[citation needed] The air exchange rate for the building was three minutes. One intriguing innovation was the Rookwood fountain in the main lobby that was designed to clean and humidify air from the outside. It also heated and humidified air in the winter, and provided cool air in the summer. To fight infection, steam sterilizer rooms were designed to hold much of the operating rooms metal surgical furniture, tools and equipment.[21] These and other aseptic procedures helped bring the overall patient infection rates down.[citation needed]

Until 1919 the Mayo Clinic was operated as a for-profit medical practice.[22][23] In 1919, the Mayo brothers donated the clinic property and significant amounts of their wealth to develop the Mayo Properties Association. The Association later became the Mayo Clinic Foundation.[24] The result of this was that the Mayo Clinic became a non-profit medical practice in 1920.

In 1928, the Plummer Building was completed with considerable input from Clinic staff, and again under the guidance of Henry Plummer. Frederic Maass again worked closely with Plummer and staff on system design. After this project was complete he assumed the position as the "Chief Engineer" for the Clinic. Working hand-in-hand with physicians, scientists and other Mayo Clinic staff, the engineering department developed unique medical devices and systems, many designed to meet the needs of individual patients.[citation needed] At the time of its completion, the Plummer Building was the tallest building in Minnesota and remained so until the Foshay Tower was finished in Minneapolis in 1929. It was added to the National Register of Historic Places in 1969, and has recently undergone a complete restoration of its bell tower. The historic 1914 "Red" Mayo Clinic building, a National Landmark listed on the National Register, was demolished by the Clinic in the 1980s to make way for the Hammel, Green and Abrahamson-designed Siebens building.[citation needed]

Since 1986, the Mayo Clinic campus has formally included the Rochester Methodist Hospital and Saint Marys Hospital, as all operations were integrated under one governing board to more efficiently serve the needs of Mayo patients.[2] In 2011, the foundation went before the Supreme Court to argue that medical residents should remain exempt from Social Security deductions. In Mayo Foundation v. United States the court sided with the Social Security Administration and required FICA to be deducted going forward.[25] The same year, Tarek Obaid made a major donation in the name of his family to establish the Essam and Dalal Obaid Center for Reconstructive Transplant Surgery.[26][27]

In 2015, Mayo Clinic had about 1,318,300 different patients.[28]

Locations

Mayo Clinic has a large presence in three U.S. metropolitan areas: Rochester (Minnesota), Jacksonville (Florida), and Phoenix (Arizona). Mayo Clinic employs more than 34,000 people at the main campus in Rochester and the Arizona and Florida sites employ approximately 6,000 persons at each site.[5] In addition, Mayo Clinic partially owns and operates the Mayo Clinic Health System, which consists of more than 70 hospitals and clinics across Minnesota, Iowa, and Wisconsin with an employment of over 17,000 people. Mayo Clinic also operates the Mayo Clinic College of Medicine and Science, a non-profit college dedicated to training medical and allied health professionals at Mayo Hospitals in Minnesota, Arizona and Florida.[29]

The clinic is to set up an independent business subsidiary in London in partnership with the University of Oxford and Oxford University Hospitals NHS Foundation Trust in 2019.[30]

Core Operations

Patient care

Each year, more than 1.3 million patients from all 50 states and from more than 150 countries are seen at one of the Mayo Clinic facilities.[5] Mayo Clinic offers highly specialized medical care, and a large portion of the patient population are referrals from smaller clinics and hospitals from across the upper Midwest and the United States as a whole. Mayo Clinic physicians are paid a fixed salary that is not linked to patient volume (relative value units) or income from fee-for-service payments.[31][32][33] This practice is thought to decrease the monetary motivation to see patients in large numbers and increase the incentive to spend more time with individuals. Salaries are determined by the marketplace salaries for physicians in comparable large group practices.[citation needed]

Research

Mayo Clinic researchers contribute to the understanding of disease processes, best clinical practices, and translation of findings from the laboratory to the clinical practice. Nearly 600 doctoral level physicians and research scientists are employed, with an additional 3,400 other health personnel and students with appointments in research. In 2015, more than 2,700 research protocols were reviewed by the Mayo Clinic Institutional review board and 11,000 ongoing human research studies. These research initiatives led to more than 7,300 research publications and review articles in peer-review journals.[5]

Education

The Mayo family was active in the development of medical education practice. In 1915, the Mayo brothers created the Mayo Foundation for Medical Education and Research to fund the development of specialty medical education at the Rochester Mayo Clinic through the University of Minnesota with a two million dollar donation.[34] Under the educational influence of the University of Minnesota, the Mayo Clinic was a pioneer in helping to establish the current residency education system. Until the early 1970s, consulting physicians at Mayo Clinic in Rochester, Minnesota held joint appointments as professors at the University of Minnesota medical school. The University of Minnesota offered programs there until the development of the Mayo Medical School in 1972. In 1972, Mayo Clinic opened the doors of its own medical school (Mayo Clinic School of Medicine) in Rochester, which is known for its contributions in the medical field.[35] Mayo Clinic later established a independent graduate school (Mayo Clinic Graduate School of Biomedical Sciences) in 1989, to educate biomedical sciences PhD and Master students through internal accreditation apart from the University of Minnesota.[36]

Innovation

Mayo Clinic issued an open letter stating the healthcare reform bills as written in July 2009 would not reduce costs or increase quality nationwide.[37]

Mayo Clinic has adopted more than 15,000 mobile devices from Apple for patient care; including the iPad, iPad Mini and iPhone. Mayo Clinic then created an app for these devices called Synthesis Mobile which integrated hundreds of their health systems. Other apps were also created for Mayo Clinic Care Network members that assists patients with seeing their medical records or asking clinicians for assistance.[38] In 2014 Mayo Clinic was developing an app for Apple's HealthKit that would help users maintain healthy lifestyles and warns users of certain health signs that need attention.[39]

Mayo Clinic, in collaboration with real estate firm Delos Living, launched the Well Living Lab in September 2015. This research facility is designed to simulate real-world, non-hospital environments to allow Mayo Clinic researchers to study the interaction between indoor spaces and human health.[40]

The Mayo Clinic Center for Innovation, established in 2008, was one of the pioneers of innovation in healthcare. It has since worked on over 270 projects and is often looked to as a role model for using design in healthcare.[41]

In March 2018, Mayo Clinic and Mytonomy, a healthcare education system company, partnered to provide video content for cancer patients. The video content is used to address important questions and answers and designed to aid in the decision-making process between patient and doctor.[42]

Leadership

Mayo Clinic is led by President and CEO John H. Noseworthy, M.D. The previous CEO, Denis Cortese, retired in November 2009.[43]

Contributions to medicine

Mayo Clinic has developed many medical and surgical specialities, including cancer research, heart and lung surgery, laboratory techniques and many others.[44]

Rankings

In 2016-17, Mayo Clinic, Rochester, was ranked as the #1 overall hospital in the United States by U.S. News & World Report. A total of almost 5,000 hospitals were considered and ranked in 16 specialties from cancer and heart disease to respiratory disorders and urology; 153 (just over 3 percent of the total) were ranked in at least one of the 16 specialties. Of the 153 hospitals that are ranked in one or more specialties, 20 qualified for the Honor Roll by earning high scores in at least six specialties. Mayo Clinic, Rochester, was ranked in the top 10 in all but one of 16 specialties, in the top 4 in 13 specialties, and was the #1 ranked hospital in 8 of the 12 data-driven specialties. This year U.S. News expanded their common procedures and conditions list to 9 individual measures, and Mayo was one of fewer than 70 hospitals to score High Performing in every category.[45] Additionally, Mayo was the only hospital on the 2016-2017 honor roll to also receive 5 stars from CMS.[46] Every Mayo Clinic hospital received an "A" safety rating from Leapfrog in its April 2017 report.[47]

Additional images

Bibliography

  • Clapesattle, Helen (1941). The Doctors Mayo. University of Minnesota Press. later editions are abridged 
  • Fye, W. Bruce (Fall 2010). "The Origins and Evolution of the Mayo Clinic from 1864 to 1939: A Minnesota Family Practice Becomes an International 'Medical Mecca'". Bulletin of the History of Medicine. 84 (3): 323–357. (Subscription required (help)). in Project MUSE 
  • Fye, W. Bruce (March 2, 2015). Caring for the Heart: Mayo Clinic and the Rise of Specialization. Oxford University Press. ISBN 978-0-19-998235-6. (Subscription required (help)). 
  • Keeling, Arlene PhD, RN (2014). The Nurses of Mayo Clinic: Caring Healers. Mayo Clinic. ISBN 978-1-89-300583-9. 
  • Wright-Peterson, Virginia M. (2016). Women of Mayo Clinic: The Founding Generation. Minnesota Historical Society Press. ISBN 978-1681340005. 

See also

References

  1. ^ a b c "An Inside Look at the Mayo Clinic" (PDF). Mayo Clinic. 2017. Retrieved January 30, 2018. 
  2. ^ a b c "History of Saint Marys Hospital". Mayo Clinic. Retrieved January 6, 2016. 
  3. ^ "About Us - Mayo Clinic Value Statements". Mayo Clinic. 
  4. ^ Mayo Clinic Website. [1]. Accessed March 11, 2013.
  5. ^ a b c d "Mayo Clinic Facts". December 2015. Retrieved August 4, 2016. 
  6. ^ "About Mayo Clinic Research". 
  7. ^ McKinney, Matt (June 8, 2016). "Mayo Clinic unveils plans for expanded research space". Star Tribune. Retrieved August 25, 2016. 
  8. ^ Harder, Ben (August 14, 2018). "2018-19 Best Hospitals Honor Roll and Medical Specialties Rankings". U.S. News & World Report. Archived from the original on August 2, 2016. Retrieved August 14, 2018. 
  9. ^ "Top American Hospitals – US News Best Hospitals". U.S. News & World Report. Retrieved September 4, 2010. 
  10. ^ "100 Best Companies to Work For 2011: Mayo Clinic". Fortune. February 7, 2011. Retrieved January 20, 2011. 
  11. ^ "Mayo Clinic named one of FORTURE's "100 Best Companies to Work For"" (Press release). Mayo Clinic. Retrieved October 5, 2015. 
  12. ^ "100 Best Companies to Work For 2017". Fortune. Retrieved May 16, 2017. 
  13. ^ "About Mayo Clinic - About Us - Mayo Clinic". Mayo Clinic. 
  14. ^ "Locations - Mayo Clinic Health System". Mayo Clinic. 
  15. ^ Furst, Jay (2014). "Fight for the Union, 1864: Hope grows for war's end". Post-Bulletin (Rochester, Minn.), Sept. 6, 2014. 
  16. ^ Schlup, Leonard; Ryan, James G. (2003). Historical dictionary of the Gilded Age. Armonk, N.Y.: M.E. Sharpe. p. 299. ISBN 9780765621061. 
  17. ^ "Mayo, Charles Horace (1865 - 1939)". Royal College of Surgeons. Retrieved August 25, 2016. 
  18. ^ "The Rochester, MN Tornado of 1883". National Weather Service. Retrieved October 5, 2015. 
  19. ^ Danilov, Victor J. (2013). Famous Americans : a directory of museums, historic sites, and memorials. Lanham, Maryland: Scarecrow Press. p. 138. ISBN 9780810891869. 
  20. ^ Zachariah, Prince K (2005). "Automation of the Clinical Practice: Cost-Effective and Efficient Health Care". Building a Better Delivery System: A New Engineering/Health Care Partnership. National Academies Press. p. 205. ISBN 978-0-309-09643-0. 
  21. ^ Billstein, Kelli (February 15, 2016). "Building our history: Conley/Maass Building". Rochester Magazine. Retrieved August 25, 2016. 
  22. ^ Berry, Leonard; Seltman, Kent (January 1, 2014). "Chapter 31: The Mayo Clinic Way: A Story of Cultural Strength and Sustainability". In Schneider, Benjamin; Barbera, Karen. The Oxford Handbook of Organizational Climate and Culture. Oxford University Press. pp. 611–612. ISBN 9780199860715. the brothers created Mayo Properties Association in 1919, transforming Mayo clinic from a for-profit, privately held company to a not-for-profit organization. 
  23. ^ Danilov, Victor (September 26, 2013). "Medical Innovators". Famous Americans: A Directory of Museums, Historic Sites, and Memorials (1 ed.). Scarecrow Press. p. 135. ISBN 9780810891852. Dr. Charles Horace Mayo was born after a move to Rochester - where the three Mayo doctors and four other physicians later founded the Mayo Clinic, which became a not-for-profit medical facility in 1919 
  24. ^ Rogers, Karen (January 1, 2011). Medicine and Healers Through History. Britannica Educational Publishing. p. 200. ISBN 9781615304059. In 1919 the Mayo Brothers transferred property and capital to the Mayo Properties Association, later called the Mayo Foundation, a charitable and education corporation having a perpetual charter. ...In 1915 the Mayo Brothers gave $1.5 million to the University of Minnesota to establish the Mayo Foundation for Medical Education and Research at Rochester in connection with the clinic. The foundation, which is part of the University of Minnesota Graduate School, offers graduate training in medicine and related subjects. 
  25. ^ Lowes, Robert. "Residents Are Workers, Not Students, for Tax Purposes, Says High Court". Medscape. Retrieved August 25, 2016. 
  26. ^ "Saudi oil executive gives $10M to Mayo Clinic". Star Tribune. August 10, 2011. 
  27. ^ "Saudi Family Major Gift to Mayo Clinic is Emblem of Generosity". Arabia Link. August 15, 2011. 
  28. ^ "An Inside Look at Mayo Clinic" (PDF). Mayo Clinic. Retrieved April 30, 2016. 
  29. ^ "Mayo Clinic College of Medicine & Science". Mayo Clinic. Retrieved November 16, 2017. 
  30. ^ "Mayo Clinic, Oxford to collaborate on research and innovation". Healthcare IT news. October 5, 2017. Retrieved December 23, 2017. 
  31. ^ Underwood, Anne (23 September 2009). "A new way to pay physicians". The New York Times. Retrieved 30 January 2018. 
  32. ^ MacGillis, Alex; Stein, Rob (20 September 2009). "Is the Mayo Clinic a model or a mirage? Jury is still out". The Washington Post. Retrieved 30 January 2018. 
  33. ^ Olson, Jeremy (23 April 2015). "Mayo faces new price of success". Star Tribune. Retrieved 30 January 2018. 
  34. ^ Kennedy, William. "History of Medicine in the St. Paul-Minneapolis Metropolitan area". Kennedy Laboratory at the University of Minnesota. University of Minnesota Neurology Department. Retrieved 9 July 2018. 
  35. ^ "Mayo Medical School". Mayo Clinic. Archived from the original on February 21, 2014. Retrieved November 4, 2012. 
  36. ^ "History". Mayo Clinic. Retrieved April 14, 2017. 
  37. ^ McGreal, Chris (July 21, 2009). "Obama launches campaign urging Congress to pass healthcare reform". The Guardian. London. Retrieved May 12, 2010. 
  38. ^ "Mayo Clinic". Apple. Retrieved October 5, 2015. 
  39. ^ Sparks, Dana (June 2, 2014). "Apple Highlights New Mayo Clinic App During Worldwide Developers Keynote" (Press release). Mayo Clinic. Retrieved October 5, 2015. 
  40. ^ Stinson, Liz (October 4, 2015). "Why the Mayo Clinic Modeled Its New Lab on a Stuffy Office". Wired. Retrieved October 9, 2015. 
  41. ^ "Mayo Clinic CFI". centerforinnovation.mayo.edu. Retrieved August 4, 2016. 
  42. ^ "Mayo Clinic partners with cloud startup Mytonomy to give cancer patients critical data". Healthcare IT News. 2018-03-22. Retrieved 2018-03-23. 
  43. ^ Newmarker, Chris (May 8, 2009). "Noseworthy Named New Mayo Clinic CEO". Minneapolis-St. Paul Business Journal. Retrieved October 5, 2015. 
  44. ^ "Contributions to Medicine | Mayo Clinic History & Heritage". history.mayoclinic.org. Retrieved August 4, 2016. 
  45. ^ "US News / Healthcare / Best Hospitals / Mayo Clinic". August 3, 2016. Retrieved August 3, 2016. 
  46. ^ Punke, Heather. "How did CMS rate US News' 20 Honor Roll hospitals?". www.beckershospitalreview.com. Retrieved August 3, 2016. 
  47. ^ "See which hospitals earned an 'A' from Leapfrog". Healthcare Finance News. Retrieved May 15, 2017. 

External links

  • Official site of Mayo Clinic
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