Humanitarian Award - Mayo Clinic

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Judd-Plummer Lecturer The principal lecture presented at Mayo Clinic Alumni Association biennial meetings, established to honor two early, distinguished members of Mayo Clinic medical staff — E. Starr Judd, M.D., chief of the surgical staff, and Henry Plummer, M.D., chief of the Division of Medicine Presented by an outstanding physician, surgeon, scientist or educator Denis Cortese, M.D. President and CEO, Mayo Clinic Chair, Mayo Clinic Board of Governors Member, Mayo Clinic Board of Trustees U.S. Health Care Policy 8 Mayo Alumni Addressing current efforts in health care reform, Dr. Cortese noted that health care, like transportation and energy, is complex and requires a long-range plan to bring about necessary changes. “We cannot fix a major problem such as health care with a one-year plan,” he said. “Health care delivery needs to be examined from a scientific point of view — the science of engineering. When we systematically deliver care to our patients, it leads to improved outcomes, which improves patient and provider satisfaction. “We must factor value into health care delivery. We can define and measure outcomes, safety and service, which are the components of value and quality. This means we have the tools to measure value, and we must. Then we need to make sure that we deliver high-value care to our patients.” Dr. Cortese described his thoughts about a possible future for health care — a simple plan with three domains: n Knowledge: the sector of health care that generates new knowledge through research and investigation. This is the source of research that can transition to the bedside. The barrier between this domain and the care of patients is the length of time it takes to gain approval to use new treatments. In the United States, it takes 17 years on average for new research to translate to patient care, and, even more discouraging, the new treatments are applied correctly only 50 percent of the time. Breaking the barrier between the knowledge domain and patient care requires our full attention because this is where innovation in health care begins. n Care delivery: the sector that should focus on the needs of patients and how to deliver high-value care at a reasonable cost over time. However, now this domain is filled with hundreds of approaches to patient care; some are good but many are not. It is here that systems engineering can lead to consistent care processes that result in consistent, positive outcomes — where value is recognized, measured and reimbursed. The barrier between this domain and that of payers is a complete lack of consistency and connectivity, where providers are most often paid for volume instead of value. n Payers: the sector of health care that is in utter chaos. The business model needs to change completely so that patient outcomes drive payments. Many providers are underpaid, and some are overpaid because there is no consistent standard that links value and reimbursement. Again, systems engineering can support a relationship between providers and payers that keeps patient care at the center. “The country needs a shared vision of what we want health care to be in the future,” said Dr. Cortese. “We need real commitments to make this happen, and patient-centered, integrated care organizations can lead the way.”
MAyo CLINIC ALUMNI ASSoCIATIoN 66TH MEETINg 2009 William Manger, M.D., Ph.D. Professor of Clinical Medicine, New York University Medical Center A w A r d i n g e x c e l l e n c e Humanitarian Award and Professional Achievement Award Presented by Mayo Clinic Alumni Association to alumni, nominated by their peers, to recognize significant contributions to humanity and to the medical profession Humanitarian Award Dr. Manger (I ’55) was awarded the 2009 Mayo Clinic Alumni Association Humanitarian Award for his exceptional contributions, dedication and achievements in improving public health, especially in the prevention of childhood obesity. Dr. Manger has a history of emphasizing prevention as the first course of action with chronic illnesses. In 1977, he founded the National Hypertension Association, which has conducted groundbreaking research. In 2002, he established VITAL (Value Initiative Teaching About Lifestyle) as a humanitarian health measure to educate children in the prevention of unhealthy lifestyles. VITAL has been implemented in 11 states and Washington, D.C., with 300 schools and 30,000 children (kindergarten through second grade). Dr. Manger has written and coauthored five medical books and more than 240 scientific publications. Since 1983, he has served in the Department of Medicine as a professor of clinical medicine at New york University Medical Center. He is a Lecturer in Medicine (emeritus) at Columbia Medical School. In 1992, Dr. Manger received the Mayo Clinic Distinguished Alumni Award in recognition of his exceptional contributions in hypertension for having achieved national and international distinction in research, medical practice and education. Dr. Manger received his medical degree from Columbia College of Physicians and Surgeons in New york City and an undergraduate degree from yale University. He completed a fellowship in medicine at Mayo Clinic and received the Mayo Foundation Alumni Award for Meritorious Research for his work on the quantitation of epinephrine and norepinephrine in plasma. He received a Ph.D. from the University of Minnesota. Winter 2010 9
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Humanitarian Award - Mayo Clinic

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