• 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

@cheriolson

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

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You would be amazed by how many employees are struggling to pay their bills and/or are denied care due to bills that are unpaid or bills that they are not "paying enough" on. Unfortunately, this is not just a Mayo Clinic issue. Our country's health care system is dying.

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I also had a similar thing happen with my patient bill last year. I made monthly payments of the 10% requirement every month, yet suddenly I got a collection letter out of the blue? I called and was told the same as the above comments we attempted to contact you to let you know that paying 10% was not enough? I asked how they contacted me and they said via phone and snail mail? I took care of the whole bill then and there on a CC and expressed my concern for not only possibly lowering credit ratings due to collections but also the "contacting procedures" because if I was not paying enough why agree to take a payment plan then? I suggest that for staff who have a bill that contact needs to be made why not email us at work? Paper trail for Mayo and staff.

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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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OMC is very reasonable, they work with what you can afford. If it is not the 10% that they prefer they will set you up with what you can afford. Then on the yearly anniversary talk to you about increasing the payment if possible. We have said many times in our household it is better to go to OMC and not use our Mayo insurance for that reason.

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My daughter had set up payment with Mayo and they upped it on her. She cannot even afford groceries often. I, too, have received a letter in the past saying to pay now or it will be sent to collections. And now to hear they will refuse to care for you. That is not what our mission statement says. It saddens me that Mayo treats their employees and patients this way!!!

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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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When I wanted to set up payroll deduction for myself and my spouse account. I was told Mayo no longer sets up deductions for spouses, so I had to set up two different arrangements.

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@heididrazan

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 have had something very similar happen as well. And the service I've gotten over the phone has been very hit and miss… it's almost like you have to keep calling, and keep calling until you get the one person who will actually work with you to figure out the problem. Post-delivery of my first child I had a bill over $3500 and was told I needed to make a 10% payment per month… I was in tears over the phone trying to explain I couldn't afford that payment, they told me to apply for assistance, I don't qualify for assistance being a dual income home, and we don't live outside our means by any stretch of the imagination. I finally got a hold of someone willing to listen and work with me and we worked out a reasonable payment plan, and I didn't have to go to collections. But I spent hours on the phone trying to resolve this. It's ridiculous. I shouldn't have to worry about whether I can get care for my family or not because of a bill, I pay my bills, I shouldn't have to cry over this. and I work in a medical facility, I live in "Med City" for crying out loud… This shouldn't have to be something I, let alone anyone, should have to worry about.

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So it sounds like other than being posted on a Q and A Forum or in some guidebook, there really was no official patient notification sent out. Also, if you have not recently had an outstanding bill, you would not have seen the insert either.

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When are billings from the new system and the old system going to finally be combined? This seems like something that should've been figured out before rolling out a new system. With the other changes people are now receiving multiple statements for each person in their family. This all seems like a good way to confuse people and then be able to send them to collections.

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I too, have had multiple problems with billing. I have tried working through the bills, applied for assistance, spoken with a representative that agreed things didn't look right. Then I found out that there were multiple bills that were sent straight to collections because of one that was missed. I had a baby recently, and was wondering why I was still not being made aware of the bills, and they said that my account is flagged and I can't get additional appointments except well-child until it is resolved. I have kept my job here so that I can cover insurance for the family and receive world renowned health care…but if I'm being refused that care, what's keeping me here? Side note: When asked if I was being refused medical care the response was "well, no. you're not being refused. you can go to the ED and you'll be treated. you are being 'delayed' care until an agreement can be made" — now explain that to my family member who needs to see his neurologist yearly.

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Rather than expecting a repayment based on 10% of the patient's outstanding balance maybe it should be 10% of net income. Even then some will have difficulty with several family members under their medical plan and the deductibles and co-payments beginning anew each year. It is interesting to note that the number one cause for bankruptcy is medical expenses for both the insured and uninsured.

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It's sad, but it sounds like the mighty dollar comes first, not the patient.

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One nice thing that Mayo does offer is the option of a flexible healthcare spending account. At least if the medical deductible is taken out and put into that account, then the costs of healthcare after the deductible is met are easier to afford. Most people do incur costs prior to the deductible and it is helpful to have the flexible healthcare money taken out pre-tax to use for the deductible. Our family has paid little out of pocket after using up the flexible healthcare spending account money. Setting aside your deductible from your paycheck and using that money up first is a good option to consider especially since it also helps with your taxes. That flexible healthcare savings account can also be used for medical devices and will cover dental and eye costs after the reimbursement account is used up.

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@colleenlall

Rather than expecting a repayment based on 10% of the patient's outstanding balance maybe it should be 10% of net income. Even then some will have difficulty with several family members under their medical plan and the deductibles and co-payments beginning anew each year. It is interesting to note that the number one cause for bankruptcy is medical expenses for both the insured and uninsured.

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it would then be known that Mayo is falling behind on the times on pay

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I have had issues too with being threatened to be sent to collections. Calling on the phone is very difficult as it is very hit or miss on how the person who answers is willing to help. I have found the easiest way to get answers is to actually go to the business office and talk face-to-face. I have been able to set up payroll deduction (when previously told not to on phone) and get answers quicker with a lot less frustration.

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It appears to also not only be adult children. My family member was recently seen. While I have an account set up with automatic payments, and in the past, all family members bills went into that same account, we just received a separate bill for my family member's appointment with a different guarantor number. So when I log in to my bill on my online account, the first page shows I owe $20 and says no payments have been made in the past year, and yet when I click on to see the more detailed account summary, it shows that I have indeed been making my bi-weekly payments, and that I owe $0. This is very confusing. Luckily, I have a co-worker who has had a similar problem as many others with no communication and bills being sent to collections, as well as automatic payments just randomly being stopped, so I was aware that I should be watching for issues. I would never have expected my family member to be getting his own bill which he is considered responsible for, separate from my account!

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