Quality Report


Quality Report

Mayo Clinic Florida
HCO ID: 369946
4500 San Pablo Road
Jacksonville, FL, 32224
(904) 953-2100
www.mayoclinic.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Ambulatory Care
Accreditation Decision
Effective Date
5/14/2021
Last Full Survey Date
2/22/2024
Last On-Site Survey Date
2/22/2024
Gold Seal
Hospital
Accreditation Decision
Effective Date
8/16/2022
Last Full Survey Date
2/23/2024
Last On-Site Survey Date
4/5/2024

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
10/24/2022
Last Full Survey Date
9/21/2022
Last On-Site Survey Date
9/21/2022
Gold Seal
Certification Decision
Effective Date
2/2/2024
Last Full Survey Date
2/1/2024
Last On-Site Survey Date
2/1/2024

Sites

Mayo Clinic (Mangurian Building)
4500 Mellish Drive
Jacksonville, FL, 32224

Available Services

  • Alternative/Complementary Care (Outpatient )
  • Cardiology (Outpatient )
  • Computed Tomography (CT) (Outpatient )
  • Diagnostic Imaging (Outpatient )
  • General Practice (Outpatient )
  • Hematology/Blood Treatment (Outpatient )
  • Infusion Therapy (Outpatient )
  • Internal Medicine (Outpatient )
  • Magnetic Resonance Imaging (Outpatient )
  • Neurology (Outpatient )
  • Oncology/Cancer Care (Outpatient )
  • Other Diagnostic Tests/Therapeutic (Outpatient )
  • Other Medical/Dental Services (Outpatient )
  • Pharmacy/Dispensary, General (Outpatient )
  • Ultrasound (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mayo Clinic Chemotherapy Infusion Center
  • Mayo Clinic Clinical Studies Unit
  • Mayo Clinic Department of Cardiovascular Diseases
  • Mayo Clinic Department of Hematology and Oncology
  • Mayo Clinic Department of Integrative Medicine
  • Mayo Clinic Department of Laboratory Medicine and Pathology
  • Mayo Clinic Department of Neurology and Neurosurgery
  • Mayo Clinic Department of Radiology
  • Mayo Clinic Department of Women's Health
  • Mayo Clinic Sterile Compounding Pharmacy

Mayo Clinic (Pablo Oaks Building)
4315 Pablo Oaks Court
Jacksonville, FL, 32224

Available Services

  • Other Medical/Dental Services (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mayo Clinic Department of Psychiatry and Psychology

Mayo Clinic Ambulatory Practices
4500 San Pablo Road
Jacksonville, FL, 32224

Available Services

  • Allergy (Outpatient )
  • Alternative/Complementary Care (Outpatient )
  • Audiology (Outpatient )
  • Cardiology (Outpatient )
  • Computed Tomography (CT) (Outpatient )
  • Computed Tomography Angiography (CTA) (Outpatient )
  • Dermatology (Outpatient )
  • Diagnostic Imaging (Outpatient )
  • Echocardiography (Outpatient )
  • Family Practice (Outpatient )
  • Gastroenterology (Outpatient )
  • Gastroenterology Procedures (Outpatient )
  • General Practice (Outpatient )
  • Internal Medicine (Outpatient )
  • Magnetic Resonance Angiography (MRA) (Outpatient )
  • Magnetic Resonance Imaging (Outpatient )
  • Mammography (Outpatient )
  • Nuclear Cardiology (Outpatient )
  • Nuclear Medicine (Outpatient )
  • Occupational Therapy (Outpatient )
  • Oncology/Cancer Care (Outpatient )
  • Optometry/Eye Care (Outpatient )
  • Orthopedic Medicine (Outpatient )
  • Other Medical/Dental Services (Outpatient )
  • Otolaryngology/Ear, Nose, and Throat (Outpatient )
  • Pharmacy/Dispensary, General (Outpatient )
  • Positron Emission Tomography (PET) (Outpatient )
  • Pulmonary Medicine (Outpatient )
  • Rheumatology (Outpatient )
  • Ultrasound (Outpatient )
  • Urology (Outpatient )
  • Vascular Medicine (Outpatient )
  • X-ray (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mayo Clinic Ambulatory Surgery Center

Mayo Clinic Hospital
4500 San Pablo Road
Jacksonville, FL, 32224

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • Eating Disorders
  • Eating Disorders (Outpatient )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Nuclear Pharmacy (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Transplant Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Total Hip and Total Knee Replacement
  • Ventricular Assist Device

Other Clinics/Practices Located at This Site:

  • Mayo Clinic Ambulatory Infusion Center
  • Mayo Clinic Department of Apheresis and Bone Marrow Transpla
  • Mayo Clinic Department of Cardiopulmonary Rehabilitation
  • Mayo Clinic Department of Dermatological Surgery
  • Mayo Clinic Department of Pain Medicine and Pain Rehabilitat
  • Mayo Clinic Department of Physical Medicine and Rehabilitati
  • Mayo Clinic Department of Radiation Oncology
  • Mayo Clinic Department of Radiology
  • Mayo Clinic Department of Respiratory Services
  • Mayo Clinic Digestive Diseases Center
  • Mayo Clinic Hematology Oncology Transitions Care Unit – Infu
  • Mayo Clinic Neurological Testing (Electromyography)
  • Mayo Clinic Spine Center

Mayo Clinic Outpatient Dialysis
4500 San Pablo Road
Jacksonville, FL, 32224

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Mayo Clinic Primary Care - Gate Parkway
7826 Ozark Drive
Jacksonville, FL, 32256

Available Services

  • Dermatology (Outpatient )
  • Diagnostic Imaging (Outpatient )
  • Family Practice (Outpatient )
  • Mammography (Outpatient )
  • Orthopedic Medicine (Outpatient )
  • Other Diagnostic Tests/Therapeutic (Outpatient )
  • Other Medical/Dental Services (Outpatient )
  • Physical Medicine and Rehabilitation (Outpatient )
  • Ultrasound (Outpatient )
  • X-ray (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mayo Clinic Department of Dermatology
  • Mayo Clinic Department of Family Medicine
  • Mayo Clinic Department of Laboratory Medicine and Pathology
  • Mayo Clinic Department of Orthopedic Surgery
  • Mayo Clinic Department of Physical Therapy and Occupational
  • Mayo Clinic Department of Radiology

Mayo Clinic Sleep Disorders Center (Basso Building)
4634 Worrall Way
Jacksonville, FL, 32224

Available Services

  • Other Medical/Dental Services (Outpatient )
  • Sleep Studies (Outpatient )

Mayo Primary Care Center - St. Augustine
110 Southwest Lake Drive
Saint Augustine, FL, 32086

Available Services

  • Diagnostic Imaging (Outpatient )
  • Family Practice (Outpatient )
  • Other Diagnostic Tests/Therapeutic (Outpatient )
  • Other Medical/Dental Services (Outpatient )
  • X-ray (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mayo Clinic Anticoagulation Clinic
  • Mayo Clinic Department of Family Medicine
  • Mayo Clinic Department of Laboratory Medicine and Pathology
  • Mayo Clinic Department of Radiology

Mayo Primary Care Center-Beaches
742 Marsh Landing Parkway
Jacksonville Beach, FL, 32250

Available Services

  • Diagnostic Imaging (Outpatient )
  • Family Practice (Outpatient )
  • Other Diagnostic Tests/Therapeutic (Outpatient )
  • Other Medical/Dental Services (Outpatient )
  • X-ray (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mayo Clinic Department of Family Medicine
  • Mayo Clinic Department of Laboratory Medicine and Pathology
  • Mayo Clinic Department of Radiology

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Ambulatory Care 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.