• 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

What would someone be able to do if they gained employment at Mayo, but had a prior bill? This person had obtained the insurance through mayo but because the employee owes a balance they can't use services they pay for and their insurance payment is being deducted monthly for a service they are being barred from using.

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It is alarming to see the number of employees who are having problems affording their healthcare while Mayo Clinic is reporting record earnings. Mayo Leadership continually reminds employees that they are the reason for the success. Leadership should be encouraged to develop ways to help employees with their healthcare expenses.

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I hope leadership understands that those who post on these columns with these “hot-button” topics are not “disgruntled” employees trying to make trouble. These are real people, real employees with legitimate concerns. This, unfortunately, has become the norm of our culture as many employees feel as though they are not cared about or not being heard. In terms of the billing examples above, similar stories are all too common in this organization. Many of us give a lot of ourselves (missing out on family time, etc.) to an employer where the perception is that said employer does not care about the people who make this organization run. The perception as a whole (and remember that often times perception is reality) is that we are all just numbers; we are not people, humans working for the good of many. Many employees do not comment on these forums for fear of being labeled as a trouble maker or possibly even losing their jobs. This billing issue is just one of many examples where employees feel they are being treated unfairly. Please remember as employees, we are patients, too.

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I too had my payment plan stopped without any approval from me or a notification and it went to collections. I still cannot afford health care and I strive to cover my family, but my own care is a lost cause, and I pray whatever happens isn't too painful and not prolonged, because I can never receive hospital care again.

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I was told to pay the Mayo statement first, then worry about Epic bill. Also told not to worry it will all work out. reading all the comments I think I need to panic a little.

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I read the official statement that "Mayo does not discontinue payment plans without……" However, several employee are stating that this is Exactly what has happened to them. And, it happened to us as well, and my husband and I are both 25+ yr. employees. We have never had a bill default not issue with our payroll deduction in the past. …Frustrating.

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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 agree, most people including myself cannot afford 10% of their total bill per month. I set my automatic deduction for less than that through payroll and haven't had a problem yet. OMC does have some practices which may be better for patients than our billing, but Mayo currently doesn't ask for deductibles and coinsurance upfront for most insurances. I had a family member who had a major ortho surgery at OMC and they were given an estimate and bill up front, their deductible and coinsurance was calculated and they did have to pay all of that prior to the surgery. Much like dental billing practices. This is what you are billed for by Mayo after the fact and can make payments on. I'm not sure about regular outpatient appointments or testing but I am certainly glad that Mayo doesn't ask for all of that up front. Medical costs are outrageous as a whole in this country and that defiently needs to change, but its certainly much larger than Mayo. Let's hope for legislation and national healthcare changes that make it more affordable for everyone.

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I have been sent to collections 3 times in the past 3 years for bills less than $3000. I always made consistent payments on each payday but it is never enough, even though I have always paid off my bills. I have also been denied routine care and treated very poorly in the ED. I was billed $167 for a recent routine blood & urine test after the Mayo insurance. It seems those prices have gone up. I believe that my account is most certainly flagged, considering the poor care and threatening bills I receive. This must be the new normal for employees.

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Unfortunately, It seems like there are many issues with billing. I too had my bill sent to collections regardless of the $100-$200 payments I was making routinely because it wasn't set up with an official payment plan. I never received notice (by mail or phone) that there were discrepancies with my account until I received a call after they sent my account to collections notifying me that my daughter may not be able to attend her Pediatric Specialties Appointment. I was also informed that I was "lucky" because they didn't send it to collections until 3 months following when they supposedly sent the final notice via auto-generated mail, and the turnaround is typically 30 days.

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Perhaps better titles for the articles are in order. Many people have no idea what the "Plummer Project" means to them.

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@heidiwalker

I read the official statement that "Mayo does not discontinue payment plans without……" However, several employee are stating that this is Exactly what has happened to them. And, it happened to us as well, and my husband and I are both 25+ yr. employees. We have never had a bill default not issue with our payroll deduction in the past. …Frustrating.

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It makes one wonder if other patients are having this issue, or just staff?

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@cloroch

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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I thought the same thing. Seems to be a trend, Mayo…

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This response is great if all employees are involved with the Plummer Project, but not all are, so how would those employees receive the information? They likely would not be looking at the Plummer intranet page nor would they receive a guidebook, as it does not pertain to their role. There should possibly be an all-staff communication, rather than a Plummer Project communication.

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It appears to me as though there are some quite substantial issues with billing recently. I believe part of the problem is due to the transition between multiple billing systems in the recent past. I was astounded to get a "collections" notice in the mail over a small balance when according to patient online I had nothing owed. Only by querying the amount did I find out that it was all due to work done in a previous billing system that did not show in the online balance.

COMMENT

It would be interesting to get some metrics regarding bill payment/collections and whether there is an association with our various insurance plans. The lowest insurance plan is the least expensive but carries the highest out-of-pocket maximums. 1. What is the average and median annual cost including both insurance premiums and co-pay for employees using Mayo Premium/Select/Basic? 2. What percentage of people are being referred to collections? Are these isolated cases or is this common? 3. Is there a recent spike in the number of people sent to collections due to an undiagnosed bill processing issue? 4. Is there an association between collections and the lowest insurance category? 5. What rate are employees sent to collections compared to non-employees?

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