In a triage environment, a priority patient is an individual who requires a certain level of urgency when treating them. The levels are predetermined and assessed by the admitting R. N. A key tool used to accomplish this is to increase the practice of “treat and street. ” (www. Monoclinic. Org) Traumas/Direct Admits/ Treat and Street When a patient comes into an emergency room department, there is a direct correlation between the patients wait time and their level of satisfaction. Internal and external studies at the Mayo Clinic have shown that the ideal wait time for satisfied customers should average 35 minutes or less.

When the wait times reach 75 minutes plus, the dissatisfaction levels increase exponentially. (WV. Monoclinic. Org) For a patient to “be scene” they must undergo a multiple step process. The patient sees a C. A. , then an L. P. N. , finally they see an M. D. And possible follow up with a dietician. This linear model, which was the previous system used, is known as the “Conveyor Belt Care” system. This model of care is built around face-to-face interactions between the patient and the physician, nurse, or other staff members; with a focus on acute care and a tendency toward a reactive mindset.

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Conveyor Belt Model 2 Recent research from Mayo’s has shown that approximately 15 to 18% of emergency department patients are frustrated/dissatisfied with their wait times. The research conducted by Internal Audit Services gave these patients a list of interaction points in the emergency department process and asked them whether they encountered unsatisfactory delays before each encounter. 2. 4. Being greeted by someone in admissions Being taken into a treatment room Being treated by a nurse Being treated by a physician There is wide variation in patient perceptions Of where bottlenecks occur.

Thirty percent of patients who were dissatisfied with their wait times said there was an unsatisfactory delay before being greeted in admitting, a relatively low figure compared to the 65% who were dissatisfied with the time it took to be taken to a treatment room and 60% dissatisfied with the delay before being treated by a physician. There is significant potential for improvement at every stage, but the two major bottlenecks are clearly the latter two phases. (www. Monoclinic. Org) The following is a SOOT analysis for the Mayo Clinic DEED intake process: STRENGTHS WEAKNESSES

Value : Management has obtained qualitative Bottlenecks: Current wait times in the data through debriefing interviews with the emergency room can vary drastically, providers and patients regarding the value and is currently one of the biggest of the interactions. Of patient dissatisfaction. Integrated Systems: The system records important Conveyor Model: The current model of details like availability of the patient, laboratory tests, face to face care is inefficient and one comments by doctors and any other diagnosis being of the main factors leading to the given. Doctors can check patients previous history adolescents. ND this way multiple doctors work as a team through this system in treating a patient. OPPORTUNITIES THREATS New Model of Care: The Center for Innovation has Lack Of Corroboration: Current staff proposed a new wraparound care model. May resist the changes to a new model. Innovation: Mayo is continually innovating and Transitioning: The current old 3 looking into new systems and technologies to evolve. Systems may need new tech. The following is a PESTLE analysis for The Mayo Clinic: Political: Usually trends are given by health laws, regulations and government regulations.

The AC is currently at the center stage of in highly political state and federal environments that Mayo Clinic and it’s network operates in. Federal and state budget deficits are helping drive reforms that are focused on cost containment. 2 Economic: Economic forces have a significant impact on company operations this include the gross domestic product. Sustained moderate growth of gross domestic product generally produces a healthy economy in which health- related businesses, like Mayo Clinic, are in a position to cater the growing demand of health care services.

The current economic environment, forever, remains uncertain and the “Inflection point” for health care delivery involves: Changing public and private payment models, as well as payer and provider consolidation. 3 Social: Social forces include the traditions, values, social trends, consumer psychology and social expectations that have endured for decades and even centuries. The values are relative concepts that society holds in high esteem. They, along with social trends, pose threats, and provide opportunities or constraints, in shape of demographic changes, social expectations, etc. , for Mayo Clinic.

Technological: Medical Technology is evolving rapidly and Mayo Clinic should be able to keep abreast with the changing medical technology. The technological forces include developing medical technology and scientific innovation that provides opportunities, threats, and restrictions on businesses. In health care setup, the change is rapid and constant. Recent advances in medical robotics, computers, lasers, and related areas have provided significant opportunities for the development Of health services quality. Advances in computing, have helped make many tasks at low cost and high level of customer satisfaction.

Mayo Clinic, being the leading non- profit organization, should adapt to the technological advances in the medical field, as changes in medical technology or business can decimate entire sectors leading to a change in demand for one treatment methodology to another (Andrews, 2008). 5 Legal: regulations. Mayo clinic has to be on constant outlook for any changes in the policies of the government, which might affect its performance. Being a non- profit organization, it is imperative for the organization to always look for any changes in the political and legal environment, and adapt to those changes. 6 Environmental:

Recently, The Mayo Clinic in connection with the State of Minnesota, has launched an innovation project dubbed “Destination Medical Center. “Destination Medical Center (DIM) is an innovative economic development initiative to secure Minnesota’s status as a global medical destination now and in the future. Some quick facts about DIM: Nearly $6 billion in private investment in the market, realizing approximately $10 to $1 in private to public investment. 4 A public investment proposal of $585 million from State and local jurisdictions. The investment is not an upfront payment but instead structured over a 20 year period.

None of the public dollars will be used to pay for Mayo buildings and/or programs. There is also a centralization element to DIM -? the creation of new business/jobs developed through close collaborations. Rochester, and Minnesota as a whole, is currently losing almost all Of the start-up biotech companies created here to other States. A component of DIM includes a strategy to promote Rochester and the State of Minnesota as a desirable location for start-up businesses, keeping them, and the jobs they bring. (www. Monoclinic. Org) Stakeholder Engagement Mayo Clinic’s stakeholders include the patients, his/her family and society at rage.