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John C. O’Horo, MD, MPH, FACP Curriculum Director, Quality Academy, Mayo Clinic

MAYO CLINIC QUALITY ACADEMY BUILDING A QI CULTURE

November 19, 2018

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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

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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”

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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

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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

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Mayo Value Equation

Value = Quality

Cost (For span of care over time)

(Outcomes + Safety + Service)

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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

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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

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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

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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

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WHAT IS YOUR GROUP OR INSTITUTION’S SHARED VISION?

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HOW DOES QUALITY TIE TO VALUE?

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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

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THANK YOU QUESTIONS AND DISCUSSION