Word: mayo
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Dates: during 1990-1999
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Other teaching hospitals are following similar strategies, with some variations. The Mayo Clinic in Rochester, Minnesota, saw the managed-care wave coming and hatched a particularly wide array of responses. For one thing, it standardized purchasing of such supplies as knee braces and rods for broken bones. It orders in bulk and demands discounts. Meanwhile, Mayo has a thriving side business in newsletters, books and cd-roms...
...Mayo was quicker than many research institutions to build a medical network of its own. It has merged with two other Rochester hospitals, opened clinics in Jacksonville, Florida, and Scottsdale, Arizona, and joined nine other clinics and five hospitals with a total of nearly 1,450 physicians over a wide area of Minnesota and neighboring Wisconsin and Iowa. Like old-time circuit riders, Mayo physicians regularly visit these facilities to provide specialized care and pass on the latest medical developments; they have also begun to consult by computer. And Mayo One, the hospital's emergency medical helicopter, can rush patients...
...such empire building is to maintain a flow of patients to the teaching hospital. His health-insurance company initially tried to talk Daniel Vonk, a teacher from Fernandina Beach, Florida, out of going to the Mayo branch in Jacksonville because its fees were so high. Vonk went anyway, on a referral from a sports-medicine specialist who had done an mri when he learned that an ache in Vonk's leg had persisted for more than a year. Mayo specialists diagnosed the problem as bone cancer and subjected Vonk to three operations; Vonk also spent six months in a partial...
...anything to the cost of medical education, and that has got to change.'' UCLA has already talked with several local hmos about a premium tax to finance teaching functions. Others have suggested imposing such a surtax on all insurance premiums. Says Bruce Kelly, the director of government relations at Mayo: "We endorse a set-aside program to fund research and teaching.'' But a delegation of teaching-hospital administrators who visited Capitol Hill in mid-May, sensing the draconian political climate, made only an exceedingly modest plea: if Medicare funding...
Whatever happens, no one doubts the teaching hospitals will survive. Besides revenues that in some cases compare favorably with those of Fortune 500 corporations -- the Mayo Foundation in 1993 took in $1.6 billion -- many also have generous endowments. But will they purchase institutional survival by lowering the standards of excellence in care, training and research that have been their fundamental reason for existence? Some experts are deeply worried. "We're coming close to the edge of impacting quality," says Dr. Michael O'Sullivan, chairman of Mayo's regional-practice board. That may sound like the standard whine of anyone threatened...