• 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

@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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Same thing happened to my family member. He went to Mayo for a CT then went away. When he got back, he didn't see a bill so he called….they said he was sent to collections because he didn't respond to some phone inquiries….now he can't be seen at Mayo until he pays the 2500$ in full….How does a person do that? He asked to set up a payment plan, they wouldn't let him, he filled out the financial aid paperwork and he made too much to qualify. How can that be ok, Mayo??

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Exactly!

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If you set up a payment plan, I should think that you ought to receive written confirmation that the payment plan is set up, what the terms of the plan are, and what, if any, expiration date is applicable. If we are not currently doing this, why? I think a bill payment plan should be viewable in Patient Portal so that both staff and patients can verify its existence and terms. Additionally, Mayo is saying that no patients are sent to collections without multiple attempts to contact them to resolve the issue. Yet, multiple employees post repeatedly that they have not been contacted before being sent to collections. These two positions are mutually exclusive. What are the methods Mayo uses to contact patients with due balances? How many attempts are made? Are different contact modalities used (telephone, Patient Portal, mail? How are these attempts documented? Is the documentation reviewable by the patient to whom it applies? Frankly I think no one should be sent to collections without at least three documented contact attempts, including a final attempt by registered mail. A missed call from the Mayo Clinic masking number and no voicemail left hardly counts.

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I, too, had an issue with patient accounts a couple of years back. They state 2 notices are sent but I didn't receive either. I was told when you make a payment, it is sent to your oldest balance whether or not you indicate the date of service. You can get around this by phoning in your payment. None of these practices are made public. Confusing and not patient friendly!

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@seanpermann

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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I had this issue a year ago after I got hired, I have a past due balance that is in collections and can not receive care until it is paid off in full. So, I am basically paying for insurance I can't use because I can't afford to pay $500 a month for my outstanding charges. I have to really be in pain/ or feel like I am dying before I will ever think of going to the ED for any care because I know it's just going to be another bill that is going to add on to the collections total. The law firm that they use for collections will not work with you for payment plans and are extremely rude on the phone. They always make me feel like I'm 2 in. tall when I call to make my payments, because I can't pay them what they want up front. Sadly, it's all about the $$ and not about the patients or employees at all.

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I too had a payment plan. At some point, without my knowing, it stopped and I was referred to collections. I would like to know why I was not informed. The " we have to inform you" was never done and apparently I am one of many who have had this happen.

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I'm confused why its states 10 percent for your bill, I have been told by account services for the last 4 years that it is their policy we have to pay 20 percent, which is so hard for me as a single mom and no child support. can the truth be told please.

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I also had my payment plan stopped , what's up with that !

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@briandukek

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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Brian, you bring up some very valid questions. I have the premiere employee+ family plan. Last year, I did end up paying the max out of pocket. Premiums $280/month x12= $3360 yearly. Out of pocket max in addition to premiums is $5000 so the total yearly would be $8360 if you hit your oop max. If mayo requires 10% payment per month of your $5000 bill that is $500 per month, factoring in that you have to continue to pay your monthly premium out of your paycheck and assuming your family doesn't accrue any additional medical bills your payments for the next 10 months would be $500 (outstanding bill) plus the $280 premium for a monthly total cost of healthcare to be $780 a month not including any prescriptions or again any additional costs. Mayo did accept $150 a paycheck so I have almost paid off my bill now. This being said we did still take my family member to the Dr a few times so we had additional bills so it's not quite paid off. I have to admit I have decided to forgo healthcare due to these costs. We can't afford $300 a month payment, plus our $280 premiums plus additional costs, so unless its serious we just don't go to the Dr. It's sad to say we work for one of the best healthcare organizations and can't afford healthcare, but its the sad state of healthcare overall in our country.

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Its hard to believe not that many years ago Mayo employees had 100% medical coverage. It was the best possible perk for working here. If it were still that way think of all the billing issues, hardships and hurt it would save. Too bad there couldn't be some form of 100% coverage again but would likely mean very high premiums.

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When the Mayo brothers were in charge, no one was turned away who needed care–no matter their financial status. Now we're so electronically impersonal, and I can't even pay my bill online because the new system isn't set up. So even trying to pay my bill has become more difficult. When Thanos snapped his fingers, instead of disappearing, half the employees got sent to collections! We're employees, we're not going anywhere, so why is this happening? I've spoken with people over the phone who are in daily pain and are unable to get treated because of this billing practice. I can't believe this is what the Mayo brothers would want their name associated with. This was an institution founded on the needs of the patient. We keep saying it, but does our institution listen anymore?

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@jdavit

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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Same thing happened to us. We have been told multiple times that payment plans require yearly renewal— and we have never been given any grace or notification. We have had more issues with billing. It is almost easier to pay the collection agency.

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Mayo collection practices haven't changed much over the years but billing systems have changed. I remember what it was like many years ago, gas was 25cents per gallon, if you had insurance you didn't have medical bills, and minimum wages were $2.10 an hour. When we sign up for our medical insurance we decide the deductible and co-insurance that best fits our needs. I choose to use pretax dollars for my FSA which will cover my deductible amount. A Health Savings Account would also be an available option for some. A payment plan of 10% is reasonable to help you cover your expenses every year. When balances carry over year to year it becomes more difficult to "get ahead" of the billing. My experience with Payroll deductions in the past was that it was set with XX dollar amount. New balances weren't added to it so they weren't part of that payment plan, I would have needed to up the payroll deductions by setting a new one payment plan up with all the balances. These are just some of my thoughts and experiences, Patient Account Services is there to help. Call, talk with them, just remember they don't make the rules their responsibility is to follow directions from leadership. We can help no one if we aren't fiscally sound.

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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'm having the same issue, I was told because it is in collections that payment plans are no longer an option. I don't have they much laying around so I haven't been able to see cardiology for heart issues because of the bill .. I would think that Mayo would have an option for employees to payroll deduct even if it has hit collections. At least they wouldn't be only getting a percent from the collection agency

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this is why all my care is received outside of Mayo. I can't afford to pay the Mayo prices so medical offices outside of Mayo take our BCBS insurance and are drastically cheaper. Even lab work is drastically cheaper at a Sonora Quest or Lab Corp outside of Mayo even though they are supposed to be the same.

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