Mayo Clinic Health System Southwest Wisconsin Region Inc

Programs: Patient care (schedule o)patient care:mayo clinic health system franciscan medical center, inc. (fmc) is part of the mayo clinic health system (mchs), a family of clinics, hospitals and health care facilities serving communities in minnesota, iowa, wisconsin and georgia. As part of mayo clinic, the health system offers care designed for the whole body close to the patient's home when they need it. A multidisciplinary team of experts has ready access to knowledge, resources, and expertise of mayo clinic and collaborates on providing exactly the care the patient needs. Mchs sites employ approximately 1,000 physicians and 15,000 allied health staff. In addition, mayo clinic physicians from multiple specialties regularly see patients at health system facilities. Besides having health care facilities in nearly 70 communities, mchs includes 19 owned hospitals, five owned nursing homes, physician service agreements with one additional hospital, and contract management agreements with two additional hospitals and one nursing home. Since its inception in 1992, mchs has grown into one of the most successful regional health care systems in the united states. More than 600,000 unique patients account for more than 2. 6 million visits annually in mchs. It is also a national leader in quality and safety efforts. Fmc fulfills its mission through the following locations and services:hospitals: fmc has hospitals in la crosse (248 beds) and in sparta (25 beds). The hospitals provide acute health care services including 24-hour emergency care, adult and pediatric surgery, labor, delivery, maternity care, rehabilitation services, and health education classes. The hospitals had 7,687 inpatient admissions, 925 deliveries, and 8,341 surgeries during 2014. Sleep lab: the fmc sleep lab has received the full five-year accreditation from american academy of sleep medicine. The facility was approved following a lengthy examination process and site visit that covered the unit's policies, procedures, and activities. Each year the sleep lab evaluates approximately 250 patients. The accreditation will open up the lab as a new choice for patients from a broader range of insurance plans. National outcomes measurement system: since january 1999, the speech-language pathologists at fmc have been taking part in a national project that allows them to track patient outcomes and compare their services with other therapy programs across the state and the nation. The national outcomes measurement system project consists of making a special assessment of the patient at the first and last visit. By comparing such factors as functionality prior to care, number of visits, number of minutes of care and functionality at the end of the sessions, therapists can now accurately track the progress of patients. Clinics: family practice clinics provide outpatient services in arcadia, galesville, la crosse, onalaska, prairie du chien, sparta, and tomah, wisconsin; waukon, iowa; and caledonia and la crescent minnesota. Affiliation with mchs allows members of these communities access to various specialty services such as:-occupational health: the services include workers' compensation services, dot physicals, job site assessments, health and safety consultations, significant exposure follow-up, disability management and return-to-work programs, drug testing services, breath alcohol testing and respirator fit testing. -allergy: patients with allergic conditions and problems with immune response are treated and services include both consultations and diagnostics. -cardiology: cardiology services provided include cardiology assessments, consultations, and follow-ups. -geriatric: services provided include geriatric consultations and follow-ups related to all aspects of specialty elder care including dementia, memory loss, medication management, long-term care and disease management. -pediatric neurology: services provided include pediatric neurology consultations and follow-ups. Pediatric neurology provides sub-specialty expertise for children with difficult seizure disorders, headaches, developmental disorders and hyperactivity and learning disorders. Home health: home health services provides health care services to patients in the convenience of their home, nursing home, or hospital room. The five areas of care provided are home care, hospice, pharmacy, home medical equipment and infusion therapy. Home care: home care includes services of skilled professional nurses who provide specialized care and teaching to patients with acute needs such as wounds, ostomies, diabetes management, medication management, and infusion therapy including chemo administration. Home health aides provide personal care and assistance with exercise programs. Physical therapists provide specialized care and teaching in the areas of home therapeutic exercise programs, functional/activities of daily living training, gait training, wheelchair fittings and the use of adaptive equipment. Occupational therapists provide specialized care and teaching patients how to use adaptive equipment for activities of daily living, safety adaptations, functional programs, and energy conservation with daily tasks. Home care had 5,229 visits in 2014. Hospice: hospice uses a team approach to caring for patients with life threatening illnesses, providing specialized care and teaching and also focuses on patients' quality of life and death with dignity. The team consists of skilled nurses, home health aids, physical therapists, occupational therapists, social workers, chaplains and volunteers. Bereavement follow-up after a patient's death is an additional benefit for the family. Hospice provides the equipment, medications and supplies (related to their life threatening illness) necessary to assure the comfort of patients in their final days in familiar surroundings with family and friends. Hospice had 5,773 patient visits during 2014. Dementia care: fmc has developed a comprehensive dementia care program for people with dementia and their families. The program provides diagnosis, treatment, education, support services and long-term follow-up. Home medical equipment: located in la crosse, arcadia, sparta, and tomah, this area offers a full range of medical equipment and supplies including beds, walkers, commodes, canes, wheelchairs, scooters, supplies related to diabetes, breast feeding, ostomy, and sports related equipment. Respiratory therapists provide oxygen concentrators and portables, apnea monitors, bi-paps and cpaps, nebulizers, as well as other respiratory needs. Our staff members are trained in seating systems for wheelchairs and scooters. Free delivery and service is provided in a 100-mile radius around la crosse. Home medical had 6,604 patient encounters in 2014. Home infusion therapy: there were 192 new patients serviced by home infusion therapy during 2014. Fmc provides care to persons covered by both medicare and medicaid at substantial discounts from standard fees. Charity care is also provided for patients that are financially unable to pay for services provided. The cost of charity care provided in 2014 was approximately $2,407,000. The cost of uncompensated care provided low income patients through medicaid was approximately $28,623,000 in 2014. This shortfall includes the medicaid surcharge of $5,211,079 and $48,926 in taxes paid to minnesotacare, a program that offers healthcare assistance to low income residents of minnesota. The unreimbursed cost of medicare was $60,907,000 in 2014. Fmc voluntarily entered into an agreement with the wisconsin attorney general relating to charity care. The terms of the agreement include an automatic discount for uninsured patients, a payment cap for those uninsured patients that meet the organization's charity care criteria, and a commitment to make information available to patients regarding our charity care program. Additionally, the wi attorney general reviewed and approved our billing and collection policies and practices. Fmc also leases space to affiliated organizations to help further their exempt purpose of providing patient care.

education and research (schedule o) education and research:professional education is an integral part of the mission of fmc as evidenced by the following programs:la crosse medical health science consortium: the consortium is a partnership of the two healthcare providers and three post secondary educational institutions in la crosse. The purpose of the consortium is to create opportunities for education and research in the allied health sciences. The most recent project of the consortium was the opening of a $27 million allied health education and research facility in la crosse. La crosse-mayo family practice residency: the family practice residency program is affiliated with the mayo graduate school of medicine. Its focus is to give residents the knowledge, skills, and attitudes necessary for future practice in an ever-changing medical environment. Clinical pastoral education program: this program is working collaboratively and ecumenically to provide pastoral education for clergy and lay people of all faith traditions and denominations. The program's professional consultation board is comprised of representatives from a diversity of faith and community organizations. An emphasis is placed on providing spiritual care in an inter-disciplinary environment that serves people traditionally pushed to the margins of the community by poverty, mental illness, racism, violence, or other socioeconomic conditions. Gerontology certificate program: in a joint effort with the university of wisconsin-la crosse and community agencies, this new program is designed to increase the skills and competencies of a broad range of professionals including nurses, nursing assistants, social workers, occupational therapists, physical therapists, personal care assistants and others. It is a direct response to the growing demand placed on area agencies to serve our rapidly expanding population of older adults. Estrogen & women's health: this is an educational program for the medical community on advances in prevention, diagnosis, and treatment of diseases in women. The topic of estrogen and its role in women's health issues continues to be of great importance. A multifaceted learning approach is used in this course, including a lecture format to share the latest research, sample case presentations, and group discussion. This course was designed for physicians and residents in family practice, internal medicine and ob/gyn, medical students, physician assistants, nurse practitioners, and registered nurses and midwives. La crosse coulee region brain team: fmc members served on the la crosse coulee regional brain team, which is a community effort to encourage public discussion and actions related to the importance of early brain development; to find ways to support parents/families in nurturing their children; and to provide positive stimulating environments necessary for learning. In cooperation with the university of wisconsin-la crosse, the team surveyed 1,200 area professionals who work with children in an effort to determine the level of awareness of early brain development information and how their practice is affected. The survey results will be used to develop action plans which meet the educational needs of professionals working with young children. Other coulee brain team efforts include organization of a speakers bureau, message-of-the-month releases to media and the presence of the wisconsin's better badger baby bus tour at riverfest. Health career exploration: young men and women interested in health careers have an opportunity to job shadow or intern in numerous patient care areas within fmc. Fmc also offers health and wellness education for the public. Programs offered by fmc include prenatal care, smoking cessation, support groups for cancer, sudden infant death, neurological disorders, diabetes education, and basic and advanced life support instruction or cpr. In addition to educational programs, fmc healthcare professionals team up with scientists at mayo clinic and research centers across the country to evaluate new treatments and make cutting edge technologies available to patients.

community benefit(schedule o) community benefit:in keeping with its historic mission, fmc engages in numerous external activities that promote health and wellness for the mind, body and spirit of individuals in the communities it serves. Fmc not only engages in these activities as a system, but also encourages medical staff and employees to do the same. Examples include:st. Clare health mission: this is a free medical clinic with locations on the fmc's campuses in la crosse and sparta. The clinic serves persons who have no medical insurance and do not qualify for public assistance and is staffed by volunteer physicians and other employees. The clinic had 329 patient visits in 2014, with fmc expenditures of $285,838 for this program. Women's health:-minnesota breast and cervical cancer program: the minnesota breast and cervical cancer program is offered to patients at the clinic sites in minnesota or to patients referred to la crosse from a minnesota clinic for mammograms or the follow-up for breast or cervical cancer procedures that cannot be provided at those sites. This program serves low-income women who are either uninsured or underinsured. The grant was written to address the needs of women in our rural minnesota sites who were not receiving adequate preventative services. -wisconsin well woman program: offered in cooperation with the state of wisconsin and la crosse county, this program helps women with little or no health insurance get better access to free screenings for breast cancer, cervical cancer, depression, diabetes, domestic abuse, heart disease, high blood pressure and osteoporosis. -safe path domestic abuse and sexual assault service: this program started in 1996 and is funded through the operating budget of fmc with a significant grant from mchs-franciscan healthcare foundation. This group works with the emergency medicine trauma center (emtc) to develop the sexual assault component. The program provides the victim with one-on-one attention of a female nurse provider trained to do the exam and collect forensic evidence that is needed. Fmc is now a "designated sexual assault center" in wisconsin. Joint community health initiations: fmc often collaborates with gundersen lutheran medical center, county health departments and other organizations interested in community health and well-being on numerous topics, such as education conferences, child development materials, influenza vaccination education announcements, child safety, medication safety, and community health assessment programs. Advance directives program: established in cooperation with gundersen lutheran, the program assists patients and their families with end-of-life issues and decision-making. Free health checks and screenings: physicians, health educators, and other allied health staff provide numerous health screenings at events throughout the fmc service area. Such screenings include blood pressure, cholesterol, blood sugar, and stroke assessments. Corporate financial support: in being a "good corporate citizen", fmc also provides financial support to groups within its service area who are engaged in community health and wellness, public safety, the arts, education and quality of life issues. These activities include: runs and walks to raise funds for medical research, programs on self esteem for young women, fire safety materials for school children, self-help opportunities for the poor and underprivileged, concerts and performances by local arts groups, and sponsorships of lectures and programs on health related topics. Alzheimer's association: for several years fmc has been a sponsor of the alzheimer's association's memory walks held each fall and its annual education conference. Several mayo clinic physicians have presented at the annual conference. American cancer society: fmc was the lead sponsor of the very first la crosse area all youth relay for life. This relay, modeled after the summer event, and organized and designed especially for high school students, raised more than $20,000. The daffodils that decorate the market place restaurant each spring are also part of fmc's support. American heart association: staff from fmc's cardiovascular services play a lead role in the organization of the annual heart walk. For the past several years, teams from the medical center have also led the pack in funds raised. Fmc is also a longtime sponsor of the frigid five run held in january. United cerebral palsy: fmc has been the lead sponsor for the annual celebrity waiter night. Multiple sclerosis: fmc was the lead sponsor for this event that was held in april. This event has raised nearly $80,000 yearly through the efforts of more than 800 walkers. United fund for the arts and humanities: this is a consortium of ten local arts and humanities organizations that contribute significantly to the quality of life in the area. Fmc is a contributor to this annual campaign. Representation on community boards: fmc provides support for physicians and employees who participate at the "board of director" levels in community service organizations. All are encouraged to identify opportunities whereby fmc can contribute its collective knowledge and expertise in assisting these community groups to meet their missions of service. Healthtouch: with a touch of the screen, patients and staff can now access accurate, up-to-date information on medications, diseases and wellness topics thanks to healthtouch, an interactive kiosk in the resource library of the family health clinic. Disease management strategies: fmc is participating in the united coulee region influenza coalition in cooperation with gundersen lutheran and the health department in an effort to collaborate on improving the immunization rates in the community. Fmc (via the franciscan auxiliary which is part of fmc) receives donated services from community teen, college, and adult volunteers. The auxiliary was organized in 1952 to "improve the health of individuals and communities" through fundraising, service, collaboration, advocacy and education. Auxiliary projects are organized by a board of directors that meets monthly during the school year and are supported through the volunteer efforts of more than 200 members. Membership is open to all interested community members. Specifically, the auxiliary supports programs and services to address unmet healthcare needs; equipment and services to enhance patient care delivery; needy patient accounts; nursing education for western technical college and viterbo college students; and community health awareness and education projects. The auxiliary also strives to enhance the visibility of fmc in the community. During 2014, approximately 802 volunteers donated approximately 56,066 hours of service valued at approximately $1,293,443 based on the independent sector's value of volunteer time. These service hours were spent organizing and managing activities for the benefit of patients, patients' families, visitors and staff. Fmc operates lifeline (an easy-to-use personal response service) to ensure that older adults living at home can get quick assistance whenever it may be needed - 24 hours a day, 365 days a year. When the personal help button is pressed, a fmc monitor responds, assesses the situation and summons appropriate help. Fmc also offers both independent and assisted living options for seniors.