• By Paul Scotti

Mayo Clinic in Florida Receives Highest Nursing Designation

May 28, 2015
Mayo Building and Hospital, Jacksonville, FL

Mayo Building and Hospital, Jacksonville, FL

JACKSONVILLE, Fla. — Mayo Clinic’s Florida campus has been recognized by the American Nurses Credentialing Center (ANCC) with a Magnet Recognition Program® designation. This credential recognizes health care organizations for quality patient care, nursing excellence and innovations in professional nursing practice. Mayo Clinic is one of only 20 hospitals in Florida and 401 nationally with Magnet Recognition Program status.

In the nursing profession, Magnet recognition is considered the gold seal that epitomizes the importance of quality, safety and improvement; intradisciplinary and interdisciplinary teamwork; understanding of evidence based practice and research; and formal nursing education. It requires organizations to develop, disseminate and enculturate evidenced-based criteria that results in a positive work environment for nurses and, by extension, all employees. U.S. News & World Report includes the Magnet designation as a primary competence indicator in its assessment of almost 5,000 hospitals to rank and report the best medical centers in 16 specialties.

“Magnet status has provided us a framework for goal setting and accomplishing evidence-based practice and improved patient outcomes,” says Debra Harrison, D.N.P, R.N., chief nursing officer at Mayo Clinic in Florida. “Nurses are driven by purpose. By improving patient outcomes we can increase job satisfaction among our nursing staff. The six-year journey that led us to earning Magnet status has been rewarding for everyone involved in the process”

Magnet status also helps hospitals attract and retain top nursing talent; improve patient care, safety and satisfaction; foster a collaborative culture; and advance nursing standards and practice. Consumers often rely on Magnet designation as the ultimate credential for hospitals offering the highest quality nursing care.

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About Mayo Clinic
Mayo Clinic is a nonprofit organization committed to medical research and education, and providing expert, whole-person care to everyone who needs healing. For more information, visit mayoclinic.com or newsnetwork.mayoclinic.org.

MEDIA CONTACT: Paul Scotti, Mayo Clinic Public Affairs, 904-953-0199, scotti.paul@mayo.edu

Credit card companies typically charge about 3% per transaction, so on a $10,000 bill, Mayo loses $300. When you are talking about millions of dollars a year, you are giving hundreds of thousands of dollars to credit card companies. Not to mention the fact that you are exposing the patients to the exorbitant late fees.

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On the flip side of paying high interest rates on CareCredit or the like, it would be nice to be able to use such resources at the pharmacy at least. I don't have the means to buy prescriptions which are in the hundreds of dollars each and every month without CareCredit. While, yes, some things can be paid using Mayo's no interest plan, there are far too many things which cannot be. There have been times where I have had to buy a prescription outside of Mayo at higher cost simply because I was able to use my CareCredit at the other pharmacy. It's frustrating (and extraordinarily embarrassing) to have to walk out of the Baldwin pharmacy after realizing you can't afford a medication simply because Mayo is not willing to work with a credit card company to make this option available. Don't get me wrong; I am thankful for my job, insurance and healthcare, but there are many, many times where I still can't afford my medications from my salary and CareCredit is my only option. I have been fortunate, for the most part, to be able to use the interest free bill payment system, which helps, but sometimes that is just not enough.

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How sad and humbling it is to realize we have multiple employees of our institution unable to pay their bills. . .

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Doesn't the fact that you have 3 similar questions regarding payment issues with Mayo medical bills, collections, and lack of notification, suggest that this should be further looked into rather than simply stating that "Mayo doesn't do this". Perhaps the communication is not being made clearly enough (i.e. – they called, no answer, we tried; statements that are not easily understood). I do believe that individuals who work here would make every effort they could to stay in good standing to be able to see the doctors here as one of the reasons we work here for the medical coverage and being able to see the doctors.

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"Because I have a past-due balance, I can't be seen by a physician until that balance is paid in full. I asked to set up a payment plan but was told that was not an option." This is exactly what my family is going through. We have "good" insurance but with yearly deductibles, copayments, and the percentages that insurance doesn't pay it is very difficult. As soon as we start to get it paid off a new year starts with new deductibles. We make monthly payments but are told it's not enough money – they want me to make monthly payments that are over half of my monthly income. We don't qualify for assistance because we are a two income family. My family member needs sinus surgery – he can't breath or sleep due to it – but they won't even let him get the MRI let alone the (multiple) consultations that they require before even getting the surgery scheduled. Are there any other options? The business office is never able to answer that when I call them. I'd appreciate any advice.

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Maybe Mayo should consider doing what OMC does. OMC works with a local bank and patients who have medical bills over a certain amount are offered loans through a local bank with no interest. I am assuming that maybe OMC pays that interest cost to the bank, but it must save them money in the end somehow. Patients are allowed to pay relatively small amounts per month on the large loans which makes it feasible for families to actually pay the entire bill… it takes many years but they can pay the bill (versus ending getting turned over to collections because they cannot pay the large monthly payments Mayo requires them to pay or needing Mayo to forgive large portions of their bill or actually needing to file bankruptcy). In my opinion, the set up that OMC has is a win-win for patients and OMC.

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sounds like a lot of billing issues maybe once Medica takes over the issues will resolve, lets hope.

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@annagardner

"Because I have a past-due balance, I can't be seen by a physician until that balance is paid in full. I asked to set up a payment plan but was told that was not an option." This is exactly what my family is going through. We have "good" insurance but with yearly deductibles, copayments, and the percentages that insurance doesn't pay it is very difficult. As soon as we start to get it paid off a new year starts with new deductibles. We make monthly payments but are told it's not enough money – they want me to make monthly payments that are over half of my monthly income. We don't qualify for assistance because we are a two income family. My family member needs sinus surgery – he can't breath or sleep due to it – but they won't even let him get the MRI let alone the (multiple) consultations that they require before even getting the surgery scheduled. Are there any other options? The business office is never able to answer that when I call them. I'd appreciate any advice.

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I feel like this is the case for so many people. Why is it that people are told that they aren't "paying enough" even though they are making payments? With how high the out of pocket amounts can get, not everyone can afford the 10% payment that Mayo wants them to pay. It's very unfortunate that patients are being sent to collections because of this. Is this the case at OMC as well? Maybe making OMC an in-network option would help with this, in addition to scheduling difficulties.

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I just recently learned about the new Epic billing that my college age children are now responsible for their own accounts. This seems like a big backwards step to me as now I have to ask my children for their log ins for their portal in order to pay their bill or I have to get paper bills and send in 4 separate checks for our family of 4. Seems like more paper work and costs for Mayo as well as families trying to keep it all straight. I have talked to others that did not know about this and when they did some checking found out that their kids owe money they didn't know about. Most college age kids would think mom and dad are taking care of the medical so I can delete this message. I also had a payment plan set up pre-Epic that when the system converted, it stopped without my knowledge. Also the patient portal billing part is not very user friendly and it is almost impossible to find a phone number to call if you have questions about your bill. You have to actually go find your statement and download the PDF in order to find a number for Post Epic billing.

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I also had a payment plan set up in April of 2018 for my Mayo Bill and come July my payment plan stopped without any approval from me or notification. The only way I knew was because I called to inquire and they told me I would be getting sent to collections. I had the paperwork that I set up the payment plan and I was told that they couldn't find I was ever on a payment plan to begin with and that I must have set it up through my bank and I'd have to check with them. After MUCH time spent on the phone with Patient Account Services one lovely representative was finally able to see I did have a payment plan set up BY MAYO but no notes about who created it and took my info and then she could see that it had been cancelled, setup again, and cancelled again all within a day or so. She was so confused as to how it all happened on their end as there were no names tied to the actions taken either. She kindly put my payment plan back in place and apologized but I found it to be a VERY frustrating process as a patient. It was a headache and a half setting up the payment plan to begin with back in April and to have it cancelled unknowingly to me less than 6 months later with no explanation and then spend so much time getting it back in place, I can sympathize with the patient's that call us and are so upset and frustrated with the billing system.

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I read the above statement "Mayo does not discontinue automatic payments without contacting staff members at least twice to discuss their payment plan options." The same thing happened to me lately and the Patient Financial Services representative who attended me said that automatic payment plans expire yearly and must be renewed, at least in Florida. I did however get a letter from Mayo and acted on it.

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@annagardner

"Because I have a past-due balance, I can't be seen by a physician until that balance is paid in full. I asked to set up a payment plan but was told that was not an option." This is exactly what my family is going through. We have "good" insurance but with yearly deductibles, copayments, and the percentages that insurance doesn't pay it is very difficult. As soon as we start to get it paid off a new year starts with new deductibles. We make monthly payments but are told it's not enough money – they want me to make monthly payments that are over half of my monthly income. We don't qualify for assistance because we are a two income family. My family member needs sinus surgery – he can't breath or sleep due to it – but they won't even let him get the MRI let alone the (multiple) consultations that they require before even getting the surgery scheduled. Are there any other options? The business office is never able to answer that when I call them. I'd appreciate any advice.

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I am in the same book with our bill. And now that we are in Epic and have multiple family member over 18 We get those bills now too. My kids are in school and can not afford to pay more bills so now we end up paying them and of course they do not come all together but all at different times and all due at different times.

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How was it communicated to employees that billing for adult children would change? I didn't know anything about it until I read this FAQ. I have so many questions about how that will work. Is there a resource somewhere that explains the specifics?

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There is a reoccurring issue that I hear from many co-workers and other Mayo employees with regards to the "I recently gave birth….." question above. I think we all understand that Mayo does have the procedures that you outlined in your answer but what I don't understand is how can this be happening to so many people? Has Patient Account Services ever looked into following up on some of these claims? Is this a post office delivery issue, employee moved and didn't update PAS, jaded X stealing the statements from their mailboxes, etc. Some of the most outrageous, yet true, collections stories that I have heard of are: 1) a $7 bill being sent to collections which then triggers all new charges being sent to collections as well, 2) sending statements and bills separately, often confusing the recipient especially while knowing insurance is still pending, 3) only receiving the "first 30 days" notice, then they are sent to collections (this always seems to be employees that had previous collection accounts open whether it be months or in years past). These employees almost always say that they feel like their account is "flagged". I have heard of more but have forgotten them.

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Maybe mayo should go back to their old system with billing payments. Most people can't afford to make 10% payments on 3 or 4 different accounts. How is denying care to someone who is making an effort paying monthly payments good practice? Seems like the care has gone out the window!! Remember we are suppose to be ranked #1

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