mayo clinic quality academy
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©2016 MFMER | Slide-1 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
John C. O’Horo, MD, MPH, FACP Curriculum Director, Quality Academy, Mayo Clinic
MAYO CLINIC QUALITY ACADEMY BUILDING A QI CULTURE
November 19, 2018
©2016 MFMER | Slide-2 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
Objectives for the next 10 minutes • Discuss the journey of Mayo Clinic to create our culture • Understand how Mayo maintains this culture • Demonstrate the benefits of this culture for Mayo Clinic, patients and the
bottom line • Discuss how Mayo Clinic measures staff engagement • Provide some tips and suggestions for other healthcare organization
©2016 MFMER | Slide-3 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
The Commitment to Quality: Mayo’s History • “The best interest of the patient is the only interest to be considered, and in
order that the sick may have the benefit of advancing knowledge, union of forces is necessary.”
~ Dr. William J. Mayo, 1910 • This simple idea led to the “miracle in the cornfield”
• Early adoption of technologies (e.g. sterile technique) • Commitment for advancing science of patient care • Move from purely surgical practice toward preventing and understanding
the determinants of disease • Recruited like minded individuals and maintained a focus on quality • Current motto: “The Needs of the Patient Come First”
©2016 MFMER | Slide-4 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
How do we maintain this culture? • Strong commitment to patient centered care as a value • Accountability- measure success, don’t assume it • Ongoing continuous improvement in practice • Training individuals in quality improvement
©2016 MFMER | Slide-5 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
Mayo Clinic’s Quality Infrastructure
Quality Academy Education
ME&IC EPMO
Engineering & Planning
Practice Quality
Patient Safety
Patient Experience
Value Creation
Quality Management Services
QUALITY The Needs of the Patient Come First
Health Equity & Inclusion Collaborative Partners
©2016 MFMER | Slide-6 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
Mayo Value Equation
Value = Quality
Cost (For span of care over time)
(Outcomes + Safety + Service)
©2016 MFMER | Slide-7 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
Driving the Quality Academy Mission Mayo Clinic Operating Plan Objectives
PEO
PLE
PRO
CES
SES
OU
TCO
MES
GO
ALS
ACHIEVE OPERATIONAL EXCELLENCE
GENERATE ONGOING DEMAND
INVEST IN TALENT AND TECHNOLOGY
DELIVER HIGHEST-VALUE CARE TO BE MOST TRUSTED AND AFFORDABLE
ACHIEVE MISSION-ADVANCING FINANCIAL PERFORMANCE
TRANSFORM THE PRACTICE
©2016 MFMER | Slide-8 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
Mayo Clinic Quality Academy Mission
To educate and inspire all health care staff
to bridge gaps in quality
©2016 MFMER | Slide-9 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
The Mayo Clinic Quality Academy • Educational unit within the Mayo Clinic College of Medicine and Science across the
enterprise
• Practice driven content
• Faculty includes physicians, engineers and other staff with quality improvement expertise
• Courses delivered in collaborative/work unit based model, face-to-face (classroom), blended and online
• Mayo Quality Fellows Program
©2016 MFMER | Slide-10 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
Mayo Clinic Quality Timeline
2010
•QRB Formed MOC-Quality Test Approved •Silver Quality Fellows Launched •Value Creation System
2011 •Center for the Science of Healthcare Delivery •Gold Quality Fellows Launched
2012 •Commitment to Safety
2014 •Diamond Quality Fellows
2016 •Office of QI Scholarship
2018 •Quality Academy Launches Commercial Activities •New EMR integrated across enterprise
1995 • Mayo Clinic Quality Conference
2005 • Simulation
2006
•Quality Business Plan/Construct Approved •Quality Academy Established •Quality Scoreboard developed
2007 • Champions Training – Mayo Clinic Leaders • EMR consolidation
2008 • Top 5 Safety Initiatives • Mayo Clinic CPC
2009 • Bronze Quality Fellows
©2016 MFMER | Slide-11 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
Translating Clinical Excellence into Quality Improvement Excellence
Clinical Knowledge
Knowledge of Systems & Processes
Individual MD Performance & Excellence
Organizational Performance & Excellence
Individual Patient Focus
Our Sick Patient,
the Health Care System
©2016 MFMER | Slide-12 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
WHAT IS YOUR GROUP OR INSTITUTION’S SHARED VISION?
©2016 MFMER | Slide-13 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
HOW DOES QUALITY TIE TO VALUE?
©2016 MFMER | Slide-14 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
Bottom Line: Values Drive High Value Care
In America our idealism is not unusual, nor does it differ much from that of the medical faculty of other countries, if we excel in anything, it is in our capacity for translating idealism into action.”
- Dr. Charlie Mayo
©2016 MFMER | Slide-15 ©2018 Mayo Foundation for Medical Education and Research. All rights reserved. Mayo, Mayo Clinic and the triple-shield Mayo logo are trademarks and service marks of MFMER. | 3807759-‹#›
THANK YOU QUESTIONS AND DISCUSSION
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