Regionalization of General Surgery Within the Mayo Clinic Health System and the Mayo Clinic

Michael Roskos; Megan Nelson

doi:10.1016/j.suc.2020.07.002

Regionalization of General Surgery Within the Mayo Clinic Health System and the Mayo Clinic

Surg Clin North Am. 2020 Oct;100(5):937-948. doi: 10.1016/j.suc.2020.07.002. Epub 2020 Aug 8.

Authors

Michael Roskos¹, Megan Nelson²

Affiliations

¹ Department of General Surgery, Mayo Clinic La Crosse Fransican Healthcare, 700 West Avenue South, La Crosse, WI 54601, USA; Rural Track General Surgery Residency Program, Mayo Clinic Integrated Community and Rural Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address: Roskos.Michael@mayo.edu.
² Division of Community General Surgery, Mayo Clinic, 1216 Second Street Southwest, Rochester, MN 55902, USA; Department of Trauma, Critical Care and General Surgery, Mayo Clinic, Rochester, MN, USA.

PMID: 32882175
DOI: 10.1016/j.suc.2020.07.002

Abstract

Regionalization of surgery is an important component of surgical outcomes. This has been based on numerous studies validating the relationship of surgical volume to surgical outcomes. The Mayo Clinic is actively engaged in regionalization of surgery within its health system. It has embraced a nonvolume outcome approach focusing on outcomes using electronic medical record data mining and National Surgical Quality Improvement Program. Implementing surgical regionalization is supported but ineffectively implemented. In addition, the implementation process has been poorly described in the literature. The Mayo clinic has actively implemented regionalization within its health system, which includes supporting the health system.

Keywords: Locums; Mayo; Outcomes; Patient; Regionalization; Robotics; Surgery; Volume.

Publication types

Review

MeSH terms

Delivery of Health Care / organization & administration*
General Surgery / organization & administration*
Health Facilities*
Humans
Minnesota