Mayo Clinic

HOSPITAL AND CLINICS

PATIENT CARE (SCHEDULE O):PATIENT CARE:MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA, WISCONSIN AND GEORGIA. AS PART OF MAYO CLINIC, THE HEALTH SYSTEM OFFERS CARE DESIGNED FOR THE WHOLE BODY CLOSE TO THE PATIENT'S HOME, WHEN THEY NEED IT. A MULTIDISCIPLINARY TEAM OF EXPERTS HAS READY ACCESS TO KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC AND COLLABORATES ON PROVIDING EXACTLY THE CARE THE PATIENT NEEDS. MAYO CLINIC HEALTH SYSTEM SITES EMPLOY APPROXIMATELY 1,000 PHYSICIANS AND 15,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN NEARLY 70 COMMUNITIES, MAYO CLINIC HEALTH SYSTEM INCLUDES 19 OWNED HOSPITALS, FIVE OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH ONE ADDITIONAL HOSPITAL, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO CLINIC HEALTH SYSTEM HAS GROWN INTO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN THE UNITED STATES. MORE THAN 600,000 UNIQUE PATIENTS ACCOUNT FOR MORE THAN 2.6 MILLION VISITS ANNUALLY IN MAYO CLINIC HEALTH SYSTEM. IT IS ALSO A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS. MAYO CLINIC HEALTH SYSTEM - MANKATO (MCHS-MANKATO) IS A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM.IN 2014, MCHS-MANKATO ADMITTED MORE THAN 10,000 PATIENTS, SERVED OVER 300,000 OUTPATIENTS AND SERVED OVER 225,000 CLINIC PATIENT VISITS.PHYSICIAN CLINICS: MCHS-MANKATO OPERATES SEVERAL PRIMARY CARE AND MULTI-SPECIALTY CLINICS TO SERVE THE NEEDS OF THE AREA. THESE CLINICS INCLUDE APPROXIMATELY 150 PHYSICIAN AND MID-LEVEL PROVIDERS. THESE CLINICS ARE LOCATED IN MANKATO, NORTH MANKATO, LAKE CRYSTAL, ST. PETER, AND LE SUEUR.MCHS-MANKATO EMPLOYS BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS TO STAFF THE MCHS-MANKATO ER 24 HOURS A DAY, 7 DAYS A WEEK.MCHS-MANKATO CONTRACTS WITH MAYO CLINIC IN ROCHESTER FOR PHYSICIAN SERVICES IN CARDIOLOGY, MEDICAL ONCOLOGY, AND RADIATION ONCOLOGY. WITHOUT THESE ARRANGEMENTS, MANKATO AREA PATIENTS WOULD HAVE TO TRAVEL GREATER DISTANCES FROM HOME TO RECEIVE THESE SPECIALTY SERVICES.MCHS-MANKATO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS/RESIDENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED.THE COST OF CHARITY CARE PROVIDED IN 2014 WAS APPROXIMATELY $1,723,000.THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $25,009,000. THIS AMOUNT INCLUDES A MEDICAID SURCHARGE OF $2,061,856 AND $3,687,605 PAID TO MINNESOTACARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS.)THE COST OF UNCOMPENSATED CARE PROVIDE THROUGH MEDICARE WAS APPROXIMATELY $41,596,000.MCHS-MANKATO ALSO PROVIDES DISCOUNTS TO UNINSURED PATIENTS. THE TOTAL DISCOUNTS GIVEN IN 2014 WERE $515,000. HOSPITAL AUXILIARY:THE HOSPITAL AUXILIARY OPERATES UNDER MCHS-MANKATO'S TAX EXEMPT STATUS. THE AUXILIARY'S MAIN SOURCES OF INCOME ARE THE OPERATION OF A GIFT SHOP AND FUNDRAISING.THE AUXILIARY AND ITS VOLUNTEERS HAVE ENHANCED THE HEALING ENVIRONMENT AND SERVICES OFFERED TO PATIENTS, VISITORS AND STAFF OF THE HOSPITAL. AUXILIARY MEMBERSHIP TOTALED OVER 300 PEOPLE AND THESE MEMBERS CONTRIBUTE THOUSANDS OF HOURS OF SERVICE EACH YEAR. THE MAJOR SERVICES PROVIDED BY AUXILIARY MEMBER VOLUNTEERS ARE AS FOLLOWS: - THE GIFT SHOP, PATRONIZED BY PATIENTS, VISITORS MAKING PURCHASES FOR PATIENTS, AND EMPLOYEES, CONTRIBUTES IMPORTANTLY TO THE EXEMPT PURPOSE OF MCHS-MANKATO BY IMPROVING PHYSICAL COMFORT AND MENTAL WELL BEING OF PATIENTS, THEREBY ENCOURAGING THEIR RECOVERY; AND ALSO KEEPING EMPLOYEES AND MEDICAL STAFF ON THE HOSPITAL PREMISES, THEREBY INCREASING THE HOSPITAL'S EFFICIENCY. - VOLUNTEERS HAVE ASSEMBLED LARGE NUMBERS OF MAILINGS FOR HOSPITAL DEPARTMENTS AS WELL AS BABY PACKETS FOR DISTRIBUTION TO NEW MOTHERS.DURING 2014, APPROXIMATELY 300 VOLUNTEERS DONATED APPROXIMATELY 19,700 HOURS OF VOLUNTEER SERVICE. THESE SERVICES WERE VALUED AT APPROXIMATELY $454,500 BASED ON THE INDEPENDENT SECTOR VALUE OF VOLUNTEER TIME. MCHS-MANKATO ALSO LEASES SPACE AND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF PROVIDING PATIENT CARE.

EDUCATION (SCHEDULE O):EDUCATION: RURAL FAMILY PRACTICE RESIDENCY PROGRAM - THIS PROGRAM IS BASED ON THE CONCEPT THAT EFFECTIVE TRAINING IN RURAL MEDICINE IS BEST CARRIED OUT IN A RURAL AREA. THE PROGRAM IS BASED IN MANKATO AND BEGAN IN 1994. RESIDENTS PARTICIPATE IN A HEALTH CARE DELIVERY SYSTEM THAT LINKS AMBULATORY AND INPATIENT SERVICES IN A RURAL COMMUNITY WITH TERTIARY AND QUATERNARY CARE IN A MAJOR METROPOLITAN AREA. THE RESIDENCY PROVIDES A SUPPORTIVE ENVIRONMENT TO MAXIMIZE DIDACTIC LEARNING AND THE ACQUISITION OF PROCEDURAL AND PATIENT-PHYSICIAN COMMUNICATION SKILLS. CLINICAL REFERENCE LIBRARIES AND LIBRARY SEARCH SERVICES ARE AVAILABLE AT ALL SITES. DURING THEIR FIRST YEAR, RESIDENTS DEVELOP THEIR OWN PATIENT PANELS MUCH AS THEY WOULD IN A TYPICAL PRACTICE. THE FIRST YEAR OF TRAINING CONSISTS OF INTENSIVE EXPERIENCE IN THE BASIC DISCIPLINES OF INTERNAL MEDICINE, OBSTETRICS, PEDIATRICS, EMERGENCY MEDICINE, SURGERY, GYNECOLOGY AND NEUROLOGY. INTEGRATION INTO THE COMMUNITY IS AN IMPORTANT PART OF THE TRAINING. PRACTICE MANAGEMENT AND COMMUNITY MEDICINE ARE EMPHASIZED DURING THIS TIME. RESIDENTS ARE ENCOURAGED TO GET INVOLVED WITH COMMUNITY ORGANIZATIONS, CONDUCT EDUCATIONAL EVENTS IN SCHOOLS, AND OTHERWISE BE INVOLVED IN CIVIC ORGANIZATIONS.ROTATIONS IN ORTHOPEDICS, SURGERY, OBSTETRICS, INTERNAL MEDICINE, GYNECOLOGY, AND AMBULATORY PEDIATRICS OCCUR AT MCHS-MANKATO. IN THE THIRD YEAR, ROTATIONS IN OPHTHALMOLOGY, OTOLARYNGOLOGY, DERMATOLOGY, UROLOGY, AND SUBSPECIALTY MEDICINE ARE ALSO CARRIED OUT AT MCHS-MANKATO. BEHAVIORAL MEDICINE IS TAUGHT IN A LONGITUDINAL FASHION OVER ALL THREE YEARS WITH A ONE-MONTH CONCENTRATED EXPERIENCE IN THE SECOND OR THIRD YEAR.ALMOST TWO THIRDS OF THE PHYSICIANS THAT HAVE GRADUATED FROM THE PROGRAM HAVE BEGUN THEIR PRACTICE IN RURAL SETTINGS.

RESEARCH (SCHEDULE O):RESEARCH:CLINICAL RESEARCH IN MEDICAL ONCOLOGY IS PROVIDED FOR PHASE III AND IV STUDIES, EMPLOYED RESEARCH ASSOCIATES AND A PHYSICIAN PRINCIPAL INVESTIGATOR COORDINATING THE PROGRAM. CLINICAL RESEARCH ACCRUAL OCCURS THOUGH THE NORTH CENTRAL CANCER TREATMENT GROUP (NCCTG), CLINICAL TRIALS SUPPORT UNIT (CTSU), MAYO CLINIC CANCER RESEARCH CONSORTIUM (MCCRC), AND RADIATION THERAPY ONCOLOGY GROUP (RTOG) RESEARCH GROUPS. CLINICAL RESEARCH PROTOCOLS AND TRIALS ARE AVAILABLE IN MANY SPECIALTY AREAS WITH NEW STUDIES OPENING ON A REGULAR BASIS. CLINICAL RESEARCH ASSOCIATES WORK WITH THE PHYSICIAN INVESTIGATORS TO COORDINATE THE STUDIES.

COMMUNITY SUPPORT:DIABETES WELLNESS PROGRAM - THE DIABETES & WELLNESS PROGRAM IS A COMMUNITY PROGRAM SPONSORED BY MCHS-MANKATO, WHICH IS DESIGNED TO HELP PEOPLE WITH DIABETES BETTER MANAGE THEIR HEALTH. A TEAM OF HEALTH EXPERTS PROVIDES INDIVIDUALIZED CARE TO ANYONE WITH DIABETES INTERESTED IN IMPROVING THEIR HEALTH. MEETINGS CONSIST OF A THREE-HOUR SESSION EVERY SIX MONTHS INCLUDING INDIVIDUAL SESSIONS WITH VARIOUS MEMBERS OF THE DIABETES WELLNESS TEAM AND A ONE-HOUR GROUP SESSION WITH OTHER CLIENTS AND THEIR SPOUSES/SUPPORT PERSONS. THE DIABETES WELLNESS TEAM INCLUDES A DIABETES NURSE EDUCATOR, DIETITIAN, BEHAVIORAL COUNSELOR, SKIN/WOUND CARE SPECIALIST, EXERCISE SPECIALIST, SOCIAL WORKER, DIABETES CASE MANAGER, PHARMACIST, AND OTHERS AS NEEDED. ANYONE 18 YEARS OR OLDER WITH DIABETES IS ENCOURAGED TO PARTICIPATE, ALONG WITH THE SPOUSE OR OTHER SUPPORT PERSON. THIS PROGRAM IS OFFERED AT NO COST TO THE PARTICIPANTS.STOP! NICOTINE DEPENDENCE PROGRAM - THIS PROGRAM FOCUSES ON COUNSELING, PHARMACOLOGIC THERAPY, AND RELAPSE PREVENTION. PARTICIPANTS ARE ENCOURAGED TO BRING A SMOKE-FREE SUPPORT PERSON TO GROUP SESSIONS. THE STAFF OF STOP! ARE TRAINED IN THE TREATMENT OF NICOTINE DEPENDENCE AND WORK IN COLLABORATION WITH THE PATIENT'S PRIMARY CARE PHYSICIAN.SEXUAL ASSAULT RESOURCE TEAM - SURVIVORS OF SEXUAL VIOLENCE OFTEN EXPERIENCE FEAR, SHOCK, NUMBNESS, DISBELIEF, SHAME, ANGER, AND FEELINGS OF A LOSS OF CONTROL OVER THEIR LIVES. THEY HAVE EXPERIENCED A MAJOR CRISIS IN THEIR LIFE. IT MAY BE DIFFICULT TO TRUST PEOPLE, AND TO CONTINUE ON WITH A NORMAL ROUTINE MAY REQUIRE TREMENDOUS EFFORT. CRISES OF ANY KIND ARE EASIER TO COPE WITH WHEN THERE ARE SUPPORTIVE PEOPLE CLOSE BY, PEOPLE WHO ACCEPT AND UNDERSTAND YOUR FEELINGS, PEOPLE WHO CAN HELP YOU OBTAIN NEEDED INFORMATION, AND PEOPLE WHO CARE.THE PRIORITY FOR THE SEXUAL ASSAULT RESOURCE TEAM IS TO ATTEND TO THE PATIENT'S MEDICAL NEEDS IN A SAFE, NON-JUDGMENTAL SETTING. CARING AND SUPPORTIVE RESOURCE TEAM ADVOCATES ARE AVAILABLE TO LISTEN TO CONCERNS, ANSWER QUESTIONS AND PRESENT VARIOUS OPTIONS. WHILE IN THE EMERGENCY DEPARTMENT, CARE WILL BE PROVIDED BY A NURSE WHO HAS SPECIAL TRAINING IN HELPING VICTIMS OF SEXUAL ASSAULT. THE TEAM NURSE WILL EXPLAIN WHAT WILL HAPPEN WHILE IN THE EMERGENCY DEPARTMENT AND WILL ANSWER ANY QUESTIONS. SHE WILL ALSO OFFER EMOTIONAL SUPPORT AND GUIDANCE, ALONG WITH PERFORMING THE SPECIAL EXAMS NEEDED.PREADMISSION EDUCATION PROGRAM - PREADMISSION EDUCATION IS PERSONAL TIME WITH A REGISTERED NURSE TO DISCUSS THE HOSPITAL STAY, PAIN MANAGEMENT, AND NURSING CARE. IT IS DESIGNED TO HELP THE PATIENT AND FAMILY PREPARE FOR THE HOSPITAL EXPERIENCE, TO HELP THEM UNDERSTAND WHAT TO EXPECT DURING THE STAY, AND TO HELP THEM PLAN FOR THE EVENTUAL RETURN HOME. A REGISTERED NURSE WILL PROVIDE ONE-ON-ONE INSTRUCTION FOR THE PATIENT AND FAMILY PRIOR TO ADMISSION TO THE HOSPITAL WHERE INFORMATION IS RECEIVED ON PREPARING FOR SURGERY AND THE HOSPITAL STAY. EACH PREADMISSION SESSION IS STRUCTURED SPECIFICALLY FOR THE INDIVIDUAL AND SUBJECTS ROUTINELY COVERED INCLUDE PRE-SURGERY INSTRUCTIONS, PAIN CONTROL, COUGHING, AND DEEP BREATHING TECHNIQUES. THIS PROGRAM IS OFFERED FREE OF CHARGE.SUPPORT GROUPS - A NUMBER OF GROUPS ARE SUPPORTED AND COORDINATED BY MCHS-MANKATO TO ASSIST PATIENTS AND THEIR FRIENDS AND FAMILY IN DEALING WITH A VARIETY OF MEDICAL ISSUES INCLUDING: ALZHEIMER'S, AIDS, ARTHRITIS/FIBROMYALGIA, BEREAVEMENT, BREAST CANCER, BRAIN INJURY, CANCER, CROHN'S DISEASE, DIABETES, MENTAL ILLNESSES, MULTIPLE SCLEROSIS, OSTOMY, STROKE, AND SUICIDE.BICYCLE SAFETY RALLY - MCHS-MANKATO ANNUALLY SPONSORS A BIKE SAFETY RALLY. THE EVENT FEATURED BIKE HELMETS FOR SALE AT UP TO 85 PERCENT OFF RETAIL PRICE, A BIKE SAFETY CHECK, A BIKE SAFETY RODEO, CHILDREN'S ACTIVITIES, PRIZE GIVEAWAYS AND LIVE RADIO BROADCASTS. OVER 500 HELMETS ARE SOLD AT THE EVENT. THE RALLY IS ALSO SPONSORED IN PART BY AREA BUSINESSES.DONATIONS - ANNUALLY, MCHS-MANKATO CONTRIBUTES IN-KIND RESOURCES AND FINANCIALLY TO NUMEROUS LOCAL AGENCIES AND INITIATIVES. DURING 2014, MCHS-MANKATO PROVIDED OVER $80,000 IN DONATIONS.MINNESOTA BREAST AND CERVICAL CANCER CONTROL - MCHS-MANKATO PARTICIPATES AS THE MANKATO FUNDING COORDINATOR FOR THE MINNESOTA BREAST AND CERVICAL CANCER CONTROL PROGRAM, WHICH IS SPONSORED BY THE STATE OF MINNESOTA. THE PROGRAM IS A PARTNERSHIP BETWEEN THE PUBLIC HEALTH AND PRIVATE HEALTH CARE SECTORS. THE GOAL IS TO PROVIDE QUALITY BREAST AND CERVICAL CANCER SCREENING, FREE OF CHARGE, TO LOW AND MODERATE INCOME MINNESOTA WOMEN, AGE 40 AND OVER, WHO ARE UNINSURED OR UNDERINSURED. THIS PROJECT INVOLVES PROVIDING SCREENING AND DIAGNOSTIC MAMMOGRAMS, CLINIC VISITS, COLPOSCOPY, PAP SMEARS AND FINE NEEDLE ASPIRATION OF A BREAST LUMP AT NO COST FOR QUALIFIED INDIVIDUALS. QUALIFICATIONS ARE BASED ON INCOME ELIGIBILITY DETERMINED BY FEDERAL POVERTY GUIDELINES.SUPPORTIVE PRAYER AND LISTENING: THIS IS OFFERED THROUGH PASTORAL CARE AS PART OF THE SPIRIT-CENTERED CARE INITIATIVE. STEPHEN MINISTRY: A STEPHEN MINISTER IS SOMEONE WHO HAS 50 HOURS OF TRAINING IN CONFIDENTIAL LISTENING. STEPHEN MINISTERS ARE AVAILABLE TO LISTEN TO A PATIENT'S STORY AFTER RETURNING HOME. WE REALIZE THAT THE PATIENT MAY BE IN THE MIDST OF A LIFE SITUATION THAT HAS BECOME OVERWHELMING AND HAS CONTRIBUTED TO THEIR HOSPITALIZATION. WE CARE ABOUT PATIENTS' SPIRITUAL AND PHYSICAL WELL-BEING AFTER THEY LEAVE THE HOSPITAL. A CHAPLAIN CAN DISCUSS THE POSSIBILITY OF CONNECTING WITH A STEPHEN MINISTER WHO WOULD TOUCH BASE REGULARLY.THE VARIOUS ASPECTS OF THE PARISH NURSING PROGRAM WERE FUNDED BY THE ORGANIZATION AND BY PARTICIPATION BY STAFF AND VOLUNTEERS TO CARRY OUT THE VARIOUS EFFORTS.MONTHLY COMMUNITY EDUCATION ON A WIDE RANGE OF TOPICS BY SUBJECT MATTER EXPERTS IN CLINICAL AND WELLNESS FIELDS PROVIDED AT NO COST. THIS CONTENT IS PRESENTED IN ONE HOUR LIVE PRESENTATIONS, BLOG POSTINGS, LOCAL COMMUNITY ACCESS TV BROADCASTS, ARCHIVED VIDEO AVAILABLE ONLINE, AND IN PRINT MEDIA IN COMMUNITIES WITHIN OUR SERVICE AREA. THE OBJECTIVE OF "SPEAKING OF HEALTH" IS TO PROVIDE HELPFUL CONTENT ON RELEVANT TOPICS IN VARIOUS COMMUNICATION FORMATS TO HELP INDIVIDUALS BECOME ACTIVELY ENGAGED IN MANAGING THEIR HEALTH OR THE HEALTH OF A FAMILY MEMBER. TOPICS IN 2014 INCLUDED: APHASIA, BONE HEALTH & OSTEOPOROSIS, HEALTHY EATING, UNDERSTANDING DISTINCTION OF URGENT CARE-PRIMARY CARE-AND EMERGENCY MEDICINE CARE, KIDNEY HEALTH, PERIPHERAL HEART DISEASE, ACID REFLUX & GERD, PERSISTANT PAIN MANAGEMENT, DIET & EXERCISE, DIABETES MANAGEMENT, PROSTRATE HEALTH, WHAT YOU NEED TO KNOW WHEN YOU SCHEDULE A SURGERY.COMMUNITY EVENT SPONSORSHIPS THAT SUPPORT LOCAL ACTIVE LIFESTYLES, COMMUNITY HEALTH AND WELLNESS EDUCATION, DISEASE MANAGEMENT, EARLY CHILDHOOD HEALTHY ENGAGEMENT, MENTAL HEALTH & QUALITY OF LIFE, & CORPORATE SOCIAL RESPONSIBILITY.