Commensality – or bring back the lunch break Mayo Clinic is widely acknowledged to be a high-performing academic medical centre delivering excellent care to patients. Established more than 150 years ago, it is a not-for-profit system led by doctors and based on multispecialty medical practice. At our annual conference, one of Mayo Clinic’s leaders, Steve Swensen, shared learning and found a receptive audience.
Steve explained that Mayo Clinic appeals to the intrinsic motivation of its 64,000 staff to provide the best possible care to patients. Decisions are made through consensus in a system he described as a democracy, not an autocracy. A key belief is that staff will perform to the best of their abilities if they are valued, supported and encouraged both to carry out their work and improve it. The King's Fund
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