Advancing the Science

Mayo Clinic Medical Science Blog

February 9th, 2016 · Leave a Comment

Improving the State of the World: The Global Conversation on Health Care Delivery

By meghanknoedler meghanknoedler

Leaders from around the world converge annually to take part in global conversations at the World Economic Forum (WEF).  “Improving the state of the world,” lies at the heart of their mission, which they met to discuss in late January.world health

Notably, John Noseworthy, M.D., Mayo Clinic President and CEO, and, Sylvia Burwell, Department of Health and Human Services (DHHS) Secretary were both in attendance, championing health and health care delivery.  Also in attendance and contributing to the conversation were, other top private sector moguls and government officials including, Sheryl Sandberg, Chief Operating Officer of Facebook, Vice President of the United States, Joe Biden, and Canadian [...]

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Tags: health care delivery, Jeff Bolton, John Noseworthy, Jon Ebbert, Lindsey Philpot, payment reform, Rob Nesse, Sarah Meier, Science of health care delivery, Sylvia Burwell, Veronique Roger, World Economic Forum

February 5th, 2016 · Leave a Comment

Reducing patient wait time and improving staff satisfaction in the Emergency Department

By elizabethzimmermann elizabethzimmermann

 ED-CELL_VT3409990v10-7Emergency Department Clinical Engineering Learning Laboratory: Engineering better experiences for Emergency Department patients, employees

“I saw 21 patients today, and it’s now 5 p.m. There are only seven in the waiting room, despite an afternoon that saw peak registrations of 21 per hour,” said Eric Boie, M.D., Emergency Medicine, one recent Monday evening. “I can’t help but think what this Monday would have looked like before [the Emergency Department Clinical Engineering Learning Laboratory]. Clearly ... [there would be] patients waiting and many leaving without being seen.”

Health Care Systems Engineering is one of the programs in the Mayo Clinic Robert D. and Patricia E. Kern Center for the [...]

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Tags: ED CELL, emergency department, health care systems engineering, kern center, learning laboratory, living lab, process improvement, Science of health care delivery, smart staffing

January 28th, 2016 · Leave a Comment

Pharmaceutical Pricing and Marketing: Markets vs. Regulation Seminar

By delivery delivery

The cost of medications is becoming a major threat to patients seeking treatment for disease, and the problem appears to be growing. What role a free market system and competition should play in a commercial area regulated by government regulation including patents is difficult to gauge. Patients and advocacy groups are calling for more awareness of the rising prices of important drugs for cancer and other life threatening conditions.

Mayo Clinic and Arizona State University have a strong and growing collaborative relationship surrounding the shared desire to improve health and the way patients experience health care. That collaboration most recently led to a seminar to address issues on pharmaceutical pricing and marketing, bringing together experts from across the [...]

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Tags: Arizona, cost of care, cost of health care, health care delivery, pharmacy, Rafael Fonseca

January 26th, 2016 · Leave a Comment

Resolutions for the New Year, HVHC 2.0

By meghanknoedler meghanknoedler

hvhc2It’s that time of year when we all make resolutions for the New Year.  We all strive to better ourselves: our mind, our body, our spirit.  Refocus and refresh.  Health care collaboratives seem to be no different, but rather than focusing on the individual, they are focused on bettering the lives of all patients.

Recently, the High Value Healthcare Collaborative (HVHC) repurposed the old and rang in the new HVHC 2.0. Founding member and current executive committee member Rob Nesse, M.D., says “it represents a return to our roots.”

Mayo Clinic, in conjunction with 17 other similar health care institutions across the country, including The Dartmouth Institute [...]

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Tags: high value health care, High Value Healthcare Collaborative, HVHC, Jim Naessens, Jon Ebbert, kern center, Lindsey Philpot, Nilay Shah, Rob Nesse

January 21st, 2016 · Leave a Comment

Educating the Now and Next Generations in Health Care Delivery

By delivery delivery

CSHCDThe New Year offers an opportunity to take stock of what we are doing to advance the science of health care delivery. In the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, one of the ways we do this is through education – both organic and collaborative programs.

We focus on integrating programs and opportunities to deliver training to current and future health care providers. We seek to equip health care providers with an understanding of the complex issues in the health care system today, and provide them the tools they need to fix it. Such education creates a knowledgeable team equipped to [...]

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Tags: continuing medical education, Education, healthcare delivery, kern center

January 19th, 2016 · 1 Comment

Mayo Clinic and Others Call Aging into the Limelight

By mforliti mforliti

James Kirkland, M.D., Ph.D., Director of the Mayo Clinic Robert and Arlene Kogod Center on Aging

James Kirkland, M.D., Ph.D., Director of the Mayo Clinic Robert and Arlene Kogod Center on Aging

Aging: It’s a topic that impacts each and every one of us. It’s the single greatest risk factor for most chronic diseases, which account for the majority of morbidity and health care expenditures in developed nations. In a recently released book, “Aging: The Longevity Dividend,” experts in the field explore the topic and concurrent research in-depth and call for aging to be brought into the limelight.

Linda Partridge of the Max Planck [...]

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Tags: aging, Center on Aging, Dr James Kirkland, Kogod Center on Aging, research

January 5th, 2016 · 2 Comments

Did your patient have cardiac ablation? Don’t stop the anticoagulant!

By elizabethzimmermann elizabethzimmermann

peter noseworthy

Peter Noseworthy, M.D., is a cardiac electrophysiologist at Mayo Clinic, and a Kern Health Care Delivery Scholar in the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery.

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As a cardiac electrophysiologist, I am interested in helping to improve health and quality of life for my patients who see me because of an abnormal heart rhythm. The most common abnormal heart rhythm I treat is atrial fibrillation.

Although quite a few people – some 33 million worldwide – are diagnosed with atrial fibrillation (AF), many live their lives largely unaffected by the condition. AF does increase the [...]

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Tags: anticoagulant, atrial fibrillation, Optum Labs, OptumLabs, Peter Noseworthy, stroke

December 22nd, 2015 · Leave a Comment

Madonna Living Community Series Update: Collaborative care model for depression

By elizabethzimmermann elizabethzimmermann

Ramona DeJesus, M.D.

Ramona DeJesus, M.D.

Mayo Clinic's three transformational centers - the Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, the Center for Regenerative Medicine, and the Center for Individualized Medicine collaborate with the Madonna Living Community to offer a bi-monthly speaker series in which Mayo Clinic speakers share their research on topics relevant to both residents and the surrounding community.

On Thursday, December 17, Dr. Ramona DeJesus spoke about Depression Management in Primary Care: The Collaborative Care Model to an audience at Madonna's Sister Generose Auditorium.

She described a collaborative care model program, called Depression Improvement [...]

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Tags: collaborative care, depression, DIAMOND, EMERALD, Madonna Living Communities, primary care, Ramona DeJesus, kern center, Science of health care delivery

December 16th, 2015 · Leave a Comment

Minimally Invasive Surgery – Same Results, Less Complications, Disparity in Application

By elizabethzimmermann elizabethzimmermann

Researchers find disturbing patterns of underuse for endometrial cancer patients.

Surgeons should use minimally invasive surgery to perform hysterectomy in women with non-metastatic endometrial cancer instead of the more risky open abdominal option. So why aren’t they?

This is the question that a collaborative team comprised of researchers from Mayo Clinic, Johns Hopkins and the University of California (Irvine and San Diego) is asking.

In a research paper published online ahead of print in Obstetrics & Gynecology, the team, led by senior author Sean Dowdy, M.D., Chair, Division of Gynecologic Surgery at Mayo Clinic, concluded that hospital utilization of minimally invasive surgery for the treatment of endometrial cancer varies considerably, [...]

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Tags: endometrial cancer, hysterectomy, kern center, Mayo Clinic Cancer Center, minimally invasive surgery, MIS, quality measures, Science of health care delivery, Sean Dowdy, uterine cancer

December 8th, 2015 · 2 Comments

Healthcare Cost Concerns? Overtesting is part of the problem

By elizabethzimmermann elizabethzimmermann

medical person with needle taking a blood drawIt’s not a new conversation – if you thought back over the last few weeks, you probably could remember at least one healthcare-related chat. Almost as likely, that conversation will have included mention of the cost, time, or other burden that you, or someone you know, have experienced.

The cost of healthcare continues to rise. At the same time, patients and caregivers are becoming more informed regarding their own healthcare concerns, and engaging in much more interactive decision-making with their providers regarding treatment options. If they don’t already, these conversations should include ensuring a mutual understanding of what tests are being ordered, and what the usefulness of the test(s) will be for care [...]

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Tags: Choosing Wisely, healthcare costs, kern center, Optum Labs, OptumLabs, overtesting, Rozalina McCoy, Science of health care delivery, Type 2 diabetes

December 1st, 2015 · Leave a Comment

Small School - National Influence - Right Tools

By elizabethzimmermann elizabethzimmermann

ddp-right-tools-6colMayo Medical School is equipping students with the tools they will need to fix the nation's health care system.

Over the next two years, the school will establish a national footprint, expanding from a Minnesota campus into Arizona and Florida, and more than doubling its student body. At the same time, it will be transforming the traditional medical school curriculum, pairing the medical degree with a certificate in the Science of Health Care Delivery.

The challenges facing the country's health care system — from issues with access to rising costs — are considerable and complex. The science of health care delivery focuses on how patients actually receive care. From using engineering principles to determine the most [...]

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Tags: kern center, Mayo Medical School, Science of health care delivery

November 24th, 2015 · Leave a Comment

Mayo Clinic Wins Innovative Applications in Analytics Award

By elizabethzimmermann elizabethzimmermann

informs2Edging out MIT and American Airlines for 2015 win
Researchers from the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Health Care Systems Engineering Program and the Department of Orthopedic Surgery were presented the INFORMS Innovative Applications in Analytics Award Nov. 2, 2015, during the INFORMS Annual Meeting in Philadelphia. Their research was chosen through a multi-level review and selection process spanning over several submissions from a wide range of industries. Mayo Clinic’s project was chosen over other finalists American Airlines and MIT Operations Research Center/Rue La La (an online retail company).

Pooja [...]
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November 17th, 2015 · Leave a Comment

Halting the Cycle

By elizabethzimmermann elizabethzimmermann

ddp-halting-the-cycle-6col

To help patients receive timely care, Kalyan S. Pasupathy, Ph.D., Ronna L. Campbell, M.D., Ph.D., and Thomas R. Hellmich, M.D., are looking at the problem through an engineering lens.

Mayo Clinic is Re-Engineering Mental Health Care Delivery

An estimated 1 in 5 adults in the U.S. lives with a mental health condition, reports the Substance Abuse and Mental Health Services Administration. Over 24 million of them failed to receive treatment in 2013, and of those who sought treatment, they found a health care system unwieldy and complex.

Researchers in the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery and the

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Tags: Behavioral Health, emergency department, Kal Pasupathy, kern center, mental illness, Ronna Campbell, systems engineering, Thomas Hellmich

November 12th, 2015 · Leave a Comment

Time for Thanks and Sharing — Delivery Science Summit Talks Available

By elizabethzimmermann elizabethzimmermann

DSSLinkedInThank you for your involvement!

Delivery Science Summit 2015 – Building the Evidence Base in Health Care Delivery wrapped up in September, but that was just the beginning.

We are pleased to be able to share the general sessions and keynote addresses via the Delivery Science Summit Talks page.bagian

Some presenters directly incorporated the patient voice, others built their stories around the whole patient experience. All were in keeping with the goals of the science of health care delivery – to enhance patient experience while improving health and managing the cost of care.

A couple of highlights to look for: [...]

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Tags: #DSS2015, conference, Delivery Science Summit, kern center, Science of health care delivery, speakers, talks, video

November 10th, 2015 · Leave a Comment

Building the Evidence Base in Health Care Delivery — Underutilization of Inexpensive Test Could Have Dire Consequences

By elizabethzimmermann elizabethzimmermann

microscopic slide of pancreatic tumor cellsCA 19-9 tumor marker test especially important for early-stage patients, Mayo finds

Only 1 in 5 U.S. pancreatic cancer patients receive a widely available, inexpensive blood test at diagnosis that can help predict whether they are likely to have a better or worse outcome than average and guide treatment accordingly, a Mayo Clinic study shows. People who test positive for elevated levels of a particular tumor marker tend to do worse than others, but if they are candidates for surgery and have chemotherapy before their operations, this personalized treatment sequence eliminates the elevated biomarker’s negative effect, researchers found.

The findings were presented [...]

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Tags: Carlos Puig, Christopher Shubert, David Nagorney, Elizabeth Habermann, John Bergquist, kern center, Mark Truty, Michael Farnell, Michael Kendrick, pancreatic cancer, Rory Smoot, Ryan Groeschl, underutilization

November 9th, 2015 · Leave a Comment

Mayo Rheumatologist Dr. Timothy Niewold Recognized for Achievements in Lupus Research

By bobnellis bobnellis

timothy-niewold-13730541Mayo Clinic rheumatologist Dr. Timothy Niewold has received the Lupus Foundation of America’s Mary Betty Stevens Young Investigator Prize for his research on the autoimmune disease lupus.

Dr. Niewold accepted his award Nov. 8 at a reception held by the foundation to coincide with the American College of Rheumatology's annual scientific meeting in San Francisco.

Dr. Niewold’s research “is helping us better understand the causes of lupus and its complications, getting us closer to new and improved ways to treat lupus and the organ damage it creates," says Dr. Gary Gilkeson, professor of medicine/microbiology and immunology at the Medical University of South Carolina and the chair the Lupus Foundation of America's Medical-Scientific [...]

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Tags: American College of Rheumatology, Lupus, Lupus Foundation of America, rheumatology, Timothy Niewold

November 5th, 2015 · Leave a Comment

Partnering with the Somali Community Through Research

By elizabethzimmermann elizabethzimmermann

Mayo Clinic’s health equity research program, the Arizona branch of the Office of Health Disparities Research (OHDR), is dedicated to support meaningful research programs to identify, develop, and deploy strategies to eliminate health disparities. We also work to ensure that our research subjects (and patients) reflect the diverse communities that form the mosaic of our nation.

We do this in collaboration with many community partners. One of our most esteemed partnerships is with the Somali American United Council of Arizona (SAUC) led by Dr.  Mohamed Ali Abukar. The process of creating relationships with them and understanding the Somali community has been rich and rewarding

abukar Dr. Mohamed Ali Abukar, President [...]

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Tags: Arizona, community-based research, community-engaged research, Mohamed Ali Abukar, research, SAUC, Somali, tobacco

November 3rd, 2015 · Leave a Comment

Making Research Accessible to the Community

By elizabethzimmermann elizabethzimmermann

In an effort to make research information more accessible to the community, Mayo Clinic's three transformational centers — the Center for Individualized Medicine, the Center for Regenerative Medicine, and the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery — have joined forces with Madonna Living Community to offer a speaker series for members of the residence as well as the local community at large.

WeinshilboumMeeting bi-monthly, Mayo Clinic speakers share their research on topics relevant to this audience.

On Tuesday, October 20, Dr. Richard Weinshilboum spoke about Pharmacogenomics: Genomics and Drug Response to residents and guests [...]

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Tags: center for individualized medicine, community outreach, Madonna Living Communities, pharmacogenomics, researcher

October 27th, 2015 · Leave a Comment

A Better Road to Recovery?

By elizabethzimmermann elizabethzimmermann

ddp-better-road-to-recovery-6col

"I help guide patients based on what I see from my perspective — how well patients recover with one choice of anesthesia versus another," says Rebecca L. Johnson, M.D.

Going Fully Under May Not Be Best Option for All Hip and Knee Replacement Surgeries

In this article, Rebecca Johnson, M.D., a Kern Health Care Delivery Scholar in the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery discusses her observations regarding what could be a pivotal decision affecting post-operative recovery.

Readers will also learn a bit more about this clinical anesthesiologist and what drives her passion for improving the [...]

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Tags: anesthesiology, hip replacement, kern center, knee replacement, Rebecca Johnson

October 20th, 2015 · Leave a Comment

What others are saying…Mayo Clinic and value-based care

By elizabethzimmermann elizabethzimmermann

LumpectomyCleanMargin-1024x771A collaborative study co-led by breast surgeon Judy Boughey, M.D.; surgical outcomes researcher Elizabeth Habermann, Ph.D.; and pathologist Gary Keeney, M.D.; that was published more than a year ago, is making news again this month.

Impact of analysis of frozen-section margin on reoperation rates in women undergoing lumpectomy for breast cancer: Evaluation of the National Surgical Quality Improvement Program data, was published in the journal Surgery, in March 2014. It showed that patients at other hospitals were more than 4 times as likely as patients at Mayo Clinic (Rochester location only included) to undergo reoperation within 30 days after a lumpectomy.

The reason attributed? “Comprehensive intraoperative [...]

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Tags: Elizabeth Habermann, Harvard Business Review, HBR, high value health care, kern center, surgical outcomes, value analysis