• 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

@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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There are several options for employees to consider when managing healthcare expenses. 1. As you evaluate annual medical benefit options through Mayo Clinic, you may want to consider selecting a higher level of coverage for you and your family. This helps minimize future out of pocket expenses. 2. Health Savings Accounts (HSA) may be utilized to pay for out of pocket expenses. HSA’s allow a pre-tax contribution which can be utilized to pay for deductible and coinsurance patient responsibilities. HSA’s can roll over from year to year. Please see the HR Connect page for more information. 3. Flexible Spending Accounts (FSA) may be utilized to pay for out of pocket expenses. FSA’s allow a pre-tax contribution which can be utilized to pay for deductible and coinsurance patient responsibilities. The Health Care FSA allows up to $500 to be rolled over to the following year. Please see the HR Connect page for more information. 4. Mayo allows zero interest payment plans of 10% of the self-pay balance per month and can make temporary arrangements below 10% on a case by case basis. 5. Mayo provides financial assistance for qualifying patients based on family income and outstanding medical expenses. Mayo continues to evaluate additional payment options. Please contact Patient Account Services at 844-217-9591 to discuss your options.

** Comment posted by subject matter expert **

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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.

Jump to this post

There are several options for employees to consider when managing healthcare expenses. 1. As you evaluate annual medical benefit options through Mayo Clinic, you may want to consider selecting a higher level of coverage for you and your family. This helps minimize future out of pocket expenses. 2. Health Savings Accounts (HSA) may be utilized to pay for out of pocket expenses. HSA’s allow a pre-tax contribution which can be utilized to pay for deductible and coinsurance patient responsibilities. HSA’s can roll over from year to year. Please see the HR Connect page for more information. 3. Flexible Spending Accounts (FSA) may be utilized to pay for out of pocket expenses. FSA’s allow a pre-tax contribution which can be utilized to pay for deductible and coinsurance patient responsibilities. The Health Care FSA allows up to $500 to be rolled over to the following year. Please see the HR Connect page for more information. 4. Mayo allows zero interest payment plans of 10% of the self-pay balance per month and can make temporary arrangements below 10% on a case by case basis. 5. Mayo provides financial assistance for qualifying patients based on family income and outstanding medical expenses. Mayo continues to evaluate additional payment options. Please contact Patient Account Services at 844-217-9591 to discuss your options.

** Comment posted by subject matter expert **

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@daniellekrueger

I have sent emails several times asking a question of Billing of why my family member's bills state CT scan on 2 different bills for the same day. I have gotten several replies back that they can't find these bills or that my family member is not listed under my account -who is not of age yet. I have given billing numbers -that are right on the billing page that I am sending emails on -yet they can't find them. How else do I show them what I'm talking about. If they can't find the bill -then I guess I don't need to pay it. Very frustrating customer service.

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It is possible that there is a charge for a facility fee and a charge for a professional fee. Please contact Patient Account Services at 844-217-9591 to review your account. They should be able to review and resolve as needed.

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@toddvanbuskirk

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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Payment plans are never stopped without notification. If payment plans become substandard due to new services, Mayo contacts the patient to let them know that the payment plan is substandard and requires further discussion. Mayo can establish a substandard payment arrangement for a limited timeframe. Once that timeframe is complete, Mayo again contacts the patient to discuss. If Mayo cannot reach by phone, a letter is sent to the patient asking the patient to call Patient Account Services. Accounts are never placed with a collection agency without contacting the patient via phone and letter. Please contact Patient Account Services at 844-217-9591 to discuss your specific options.

** Comment posted by subject matter expert **

COMMENT
@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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For all Mayo Clinic sites on Epic, employees can establish a single or multiple Payroll Deduction (PRD) payments for multiple family member guarantors. The employee will sign a separate payroll deduction authorization for each non-employee spouse, adult child, or a non-custodial minor. If an employee has a payroll deduction established, it will continue until their balance is down to $0.00. If your balance ever goes to $0.00 for a pay period, you will need to call Patient Account Services to reestablish your PRD for any new services. Please contact Patient Account Services at 844-217-9591 to discuss your specific PRD options.

** Comment posted by subject matter expert **

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@unretired

A family has one insurance plan/one premium. Why should that family not have one integrated billing?

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Mayo Clinic is using the standard Epic functionality that is utilized by Epic facilities nationwide. Mayo Clinic continues to evaluate options with Epic to better manage patient balances.

** Comment posted by subject matter expert **

COMMENT
@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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Payroll deduction automatically ends when a balance is paid in full. There are legal requirements that force Mayo to ask if an employee wants to continue with payroll deduction. Mayo never places an account with a collection agency without notifying a patient. Patients receive a minimum of four statements and one letter indicating that there is a balance due and to contact Patient Account Services to discuss options.

** Comment posted by subject matter expert **

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@jessebrinkman

Does Mayo Clinic own or have a ownership stake in the collections agency the outstanding bills get sent to?

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Mayo Clinic utilizes two different collection agencies and has no ownership stake.

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@patriciamcnamara

"5. Mayo provides financial assistance for qualifying patients based on family income and outstanding medical expenses." There is more to consider here than just income vs medical expenses. For example: house payment, car payment, daycare expenses, household bills, and perhaps ongoing medications for the event that occurred. Please Mayo – listen to, and work with your employees!!! We all want to pay our bills, help us to achieve that!

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Mayo Clinic works with each patient individually. Individual household expenses vary significantly from patient to patient and is challenging to validate and prioritize. Patients are expected to pay personal balances in full. Mayo offers payment plans to assist patients who cannot pay their balance in full.

** Comment posted by subject matter expert **

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@gregorywisa

Additionally, it's extremely disheartening to see no official reply posted to the question asked over and over through this comment thread: "Why are employees' payroll deductions being canceled and the account sent to collections without notice?" There are so many comments reporting this in this thread that this question should be answered.

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Every patient receives multiple statements indicating their personal balance due. In addition, every patient receives at least one letter from Mayo asking the patient to pay the remaining balance or call Patient Account Services to make arrangements. If a patient is already at a collection agency, new balances will also be placed with the same agency.

** Comment posted by subject matter expert **

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@gregorywisa

Additionally, it's extremely disheartening to see no official reply posted to the question asked over and over through this comment thread: "Why are employees' payroll deductions being canceled and the account sent to collections without notice?" There are so many comments reporting this in this thread that this question should be answered.

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Every patient receives multiple statements indicating their personal balance due. In addition, every patient receives at least one letter from Mayo asking the patient to pay the remaining balance or call Patient Account Services to make arrangements. If a patient is already at a collection agency, new balances will also be placed with the same agency.

** Comment posted by subject matter expert **

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@kpavek

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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A News Center article is coming out shortly. In addition you may contact Patient Account Services at 844-217-9591 with any questions.

** Comment posted by subject matter expert **

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@melissasmidt

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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When a patient calls Patient Account Services, their account is reviewed to determine what has transpired. If an error has occurred, Patient Account Services can correct the issue. This could include rebilling insurance, moving the account ahead to monitor and pulling the patient's account back from a collection agency. All employees are encouraged to contact Patient Account Services at 844-217-9591 if you receive a notification that a balance is due and you are not planning to pay the balance in full.

** Comment posted by subject matter expert **

COMMENT
@gregorywisa

Additionally, it's extremely disheartening to see no official reply posted to the question asked over and over through this comment thread: "Why are employees' payroll deductions being canceled and the account sent to collections without notice?" There are so many comments reporting this in this thread that this question should be answered.

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Payroll deduction is terminated when one of the following scenarios occurs: 1. When a balance reaches zero, payroll deduction is automatically terminated. When charges are incurred, the employee must reestablish payroll deduction. 2. When an employee's personal balance has been placed with an outside collection agency, Mayo no longer manages the patient balance. A new payment arrangement must be established with the agency. 3. Employees may request to end payroll deduction at any time.

** Comment posted by subject matter expert **

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