Gaining Admission to Mayo Clinic (from out of state)

Posted by mpflood7 @mpflood7, Sep 30 12:19pm

Does anyone know the ways to get admitted to Mayo Clinic? It seems like it is very difficult (especially when out if state and thousands of miles away). I am trying to gain admission to address a systemic disorder and am told I should ideally have a internal medicine specialist as the quarterback who can bring in specialists and utilize the multi-specialty, integrated, collaborative team approach unique to Mayo Clinic. However when my doctor calls Mayo Clinic internal medicine – what if she fails to get me admitted? (This despite at least 4 of my local doctors who have examined me stating that I meet the criteria of “acute medical necessity”.) I’m told further that if IM denies my admission, I would have to wait 1 whole year to re-apply. This seems ludicrous as I will be either homeless and/or dead in a year. Can anyone shed light on this? Hopefully I will obtain admission but need to know how to get around the 1-year wait period if I should get denied.

@mpflood7, I moved your message to the Visiting Mayo Clinic group https://connect.mayoclinic.org/group/traveling-to-mayo-clinic/
I think you will benefit from the feedback other members have received about similar questions. I encourage you to browse the past discussions.

To your specific questions
Internal Medicine may be one route to take. Keep in mind that Internal Medicine is a busy department and that they may be at capacity at one campus (AZ, FL or MN) but not at another. Be sure to inquire. Regardless of which campus you are treated at, you will benefit from cross-campus, cross-specialty expertise. The multi-specialty, integrated, collaborative team approach is practised by all departments at Mayo Clinic, not just Internal Medicine. For example, if your systemic condition is related to the endocrine system, your intake may be through the Endocrinology department and your care would be "quarter-backed" through that department should you need to be seen by other specialty areas.

I am unaware of the 1-year wait to reapply rule. I'm bringing in fellow members @burrkay @dandl48 @seaspray @bernese53 @sadie168 @fourof5zs @suzanne2 who may be able to provide further guidance and experiences.

MPFlood, has your doctor already submitted the referral and started the process?

REPLY

I was a self-referral to Orthopedic Surgery at Mayo-Rochester; the process took about four months. You might have better luck if you ask your doctor(s) to refer you to a different department. Almost any department will do in terms of being able to see doctors in other departments. For example, I have gotten internal referrals to Neurology, Sleep Medicine, Cardiology, Dermatology, and Endocrinology. Does your systemic disorder have a dermatological appointment, for example? If so, begin there.

REPLY
@colleenyoung

@mpflood7, I moved your message to the Visiting Mayo Clinic group https://connect.mayoclinic.org/group/traveling-to-mayo-clinic/
I think you will benefit from the feedback other members have received about similar questions. I encourage you to browse the past discussions.

To your specific questions
Internal Medicine may be one route to take. Keep in mind that Internal Medicine is a busy department and that they may be at capacity at one campus (AZ, FL or MN) but not at another. Be sure to inquire. Regardless of which campus you are treated at, you will benefit from cross-campus, cross-specialty expertise. The multi-specialty, integrated, collaborative team approach is practised by all departments at Mayo Clinic, not just Internal Medicine. For example, if your systemic condition is related to the endocrine system, your intake may be through the Endocrinology department and your care would be "quarter-backed" through that department should you need to be seen by other specialty areas.

I am unaware of the 1-year wait to reapply rule. I'm bringing in fellow members @burrkay @dandl48 @seaspray @bernese53 @sadie168 @fourof5zs @suzanne2 who may be able to provide further guidance and experiences.

MPFlood, has your doctor already submitted the referral and started the process?

Jump to this post

Thank you Colleen. Very helpful. I’ve submitted my doctor’s referral and I will be meeting with her on Monday to plan a “battle strategy” to get me admitted.

Yes – it would be additionally helpful to know of the so-called “1-year rule” in IM. (If it is true, it certainly puts a lot of pressure on the patient to get it right the first time. In my case, as I can’t wait a year, my life depends on it.) In fact, it would be good to know if that same rule applies to all departments. I was told contradictory information on it too – including by IM staff themselves.

Overall, the administrative staff at Mayo is far far better than the 2 other hospitals I’ve looked at (Columbia and Johns Hopkins). However, I came across two very nasty administrative staff in Mayo IM who told me of this so-called 1-year rule.

For background … when I first contacted Mayo (and knew nothing), I was immediately sent an online Patient Appointment Request form – which asked questions already answered in my very carefully prepared (by 4 of my doctors) Clinical Summary / Referral. I then completed the appointment form but since it had no option to attach the Clinical Summary, I simply put “need email to send Clinical Summary”. I put no clinical information on the online form. A couple of days later, I received what seemed like an auto-reply stating the my request for an IM appointment was denied. The email didn’t mention a 1-year to re-apply rule. I also never received an email for where to send my Clinical Summary.

I then called IM and was told of this so-called 1-year rule. It didn’t make sense to me so I called back. After telling the new admin staff member the story, she then contradicted what I was previously told and said she would just send me another online appointment request form. Given it seemed like such an important form though, I told her to wait to send it until I got my doctor on board to help complete it.

Once I did that, I called IM back and asked for the same person to send me the form. That’s when I encountered 2 nasty IM admin staff (in a row). Both told me of this so-called 1-year rule. They also blocked me from speaking to the woman who was to send me the form, as well as denying my request to speak to a supervisor or a doctor. The second woman even (shockingly) said to me, “IM cannot help you”, then when on to further say (very pointedly), “do not call IM again”. Can you imagine? Your life is at risk and you have to hear such rude and even dangerous words?! This too by a non-medical person who is usurping the judgment of a doctor?!

Needless to say, I called another department to not only complain but also to rectify the situation – especially since the rejection decision made no sense as it was based on no review of (plentiful) clinical data. I was relieved then to speak with a women in that other department who said I could appeal the rejection decision and that she would file a report explaining my “story” and supporting me.

I’m still not sure but I have been further told that to gain admission, I would both have to 1) complete the same patient appointment request form, and 2) have my local doctor refer me. Since it seems duplicative, does anyone know if this is accurate? Given the confusion (and now fear), I am now letting my local (Florida) doctor complete both.

My local doctor referring me is a Neurologist and I will be meeting with her Monday – for her to call Mayo. Though my IM doctor is referring me too, she refuses to get on the phone with any hospital – though curiously, she’ll accept a call from the hospital. My guess is that she already knows the addministrative bureacratic nightmare that most hospitals are – and she’s not getting paid for wasted time – that is, being transferred around, being placed on hold, speaking to non-doctors, etc. So much for my local doctor’s ethics as well.

However, since I am told I need an IM doctor to act as a “quarterback” and bring in the necessary specialists to address the sysemic issues (liver, heart, pancreas, neurological, etc), I still need IM – and am therefore wondering if my Neurologist should call to speak with an IM doctor. Or should she call another Neurologist? Does anyone have any thoughts on this?

Since the medical criteria for admission – “acute medical necessity” is also a subjective standard, it sure seems that my local doctor has to be a passionate advocate in fighting for me – I’m more comfortable in having my Neurologist do it rather than my unimpressive IM doctor, as my Neuroligist seems more capable and interested.

Excuse my rambling but if anyone could answer the questions peppered throughout my note, I would appreciate it. As always, thank you.

PS: Though I am from NYC, I presently live in south Florida. Though I have never really been hospitalized, I grew up in a ‘medical family’ – with a father who was a doctor and a mother who was a psychologist as well as nurse. Not that it takes much more than common sense, but I was going on rounds as a child, reading my father’s texts, hearing about both patients and hospital dynamics etc – perhaps making me a bit more ‘hip’ to things medical. Of the 9 states I’ve lived in, I’ve never come across worse health care (generally) than in south Florida. It’s very much not like the America I knew. As such, it makes me all the more appreciative of the refreshing input I am receiving here on this Mayo Clinic forum. Thank you.

REPLY

In sum, 3 express Questions:

1) Is there a 1-year “rule” whereby if you are denied to IM, you must wait 1-year to reapply? Is it true in all departments too?
2) What are the routes to gain admission A) completing an online Patient Appointment Request form, or B) Having your MD refer you? Is it one or the other or both?
3) Given the facts of needing an IM doctor be the quarterback, should my neurologist speak to a IM doctor or another neurologist?

Please feel free to comment on any implied questions that are in my above comments as well. Thank you.

REPLY
@mpflood7

Thank you Colleen. Very helpful. I’ve submitted my doctor’s referral and I will be meeting with her on Monday to plan a “battle strategy” to get me admitted.

Yes – it would be additionally helpful to know of the so-called “1-year rule” in IM. (If it is true, it certainly puts a lot of pressure on the patient to get it right the first time. In my case, as I can’t wait a year, my life depends on it.) In fact, it would be good to know if that same rule applies to all departments. I was told contradictory information on it too – including by IM staff themselves.

Overall, the administrative staff at Mayo is far far better than the 2 other hospitals I’ve looked at (Columbia and Johns Hopkins). However, I came across two very nasty administrative staff in Mayo IM who told me of this so-called 1-year rule.

For background … when I first contacted Mayo (and knew nothing), I was immediately sent an online Patient Appointment Request form – which asked questions already answered in my very carefully prepared (by 4 of my doctors) Clinical Summary / Referral. I then completed the appointment form but since it had no option to attach the Clinical Summary, I simply put “need email to send Clinical Summary”. I put no clinical information on the online form. A couple of days later, I received what seemed like an auto-reply stating the my request for an IM appointment was denied. The email didn’t mention a 1-year to re-apply rule. I also never received an email for where to send my Clinical Summary.

I then called IM and was told of this so-called 1-year rule. It didn’t make sense to me so I called back. After telling the new admin staff member the story, she then contradicted what I was previously told and said she would just send me another online appointment request form. Given it seemed like such an important form though, I told her to wait to send it until I got my doctor on board to help complete it.

Once I did that, I called IM back and asked for the same person to send me the form. That’s when I encountered 2 nasty IM admin staff (in a row). Both told me of this so-called 1-year rule. They also blocked me from speaking to the woman who was to send me the form, as well as denying my request to speak to a supervisor or a doctor. The second woman even (shockingly) said to me, “IM cannot help you”, then when on to further say (very pointedly), “do not call IM again”. Can you imagine? Your life is at risk and you have to hear such rude and even dangerous words?! This too by a non-medical person who is usurping the judgment of a doctor?!

Needless to say, I called another department to not only complain but also to rectify the situation – especially since the rejection decision made no sense as it was based on no review of (plentiful) clinical data. I was relieved then to speak with a women in that other department who said I could appeal the rejection decision and that she would file a report explaining my “story” and supporting me.

I’m still not sure but I have been further told that to gain admission, I would both have to 1) complete the same patient appointment request form, and 2) have my local doctor refer me. Since it seems duplicative, does anyone know if this is accurate? Given the confusion (and now fear), I am now letting my local (Florida) doctor complete both.

My local doctor referring me is a Neurologist and I will be meeting with her Monday – for her to call Mayo. Though my IM doctor is referring me too, she refuses to get on the phone with any hospital – though curiously, she’ll accept a call from the hospital. My guess is that she already knows the addministrative bureacratic nightmare that most hospitals are – and she’s not getting paid for wasted time – that is, being transferred around, being placed on hold, speaking to non-doctors, etc. So much for my local doctor’s ethics as well.

However, since I am told I need an IM doctor to act as a “quarterback” and bring in the necessary specialists to address the sysemic issues (liver, heart, pancreas, neurological, etc), I still need IM – and am therefore wondering if my Neurologist should call to speak with an IM doctor. Or should she call another Neurologist? Does anyone have any thoughts on this?

Since the medical criteria for admission – “acute medical necessity” is also a subjective standard, it sure seems that my local doctor has to be a passionate advocate in fighting for me – I’m more comfortable in having my Neurologist do it rather than my unimpressive IM doctor, as my Neuroligist seems more capable and interested.

Excuse my rambling but if anyone could answer the questions peppered throughout my note, I would appreciate it. As always, thank you.

PS: Though I am from NYC, I presently live in south Florida. Though I have never really been hospitalized, I grew up in a ‘medical family’ – with a father who was a doctor and a mother who was a psychologist as well as nurse. Not that it takes much more than common sense, but I was going on rounds as a child, reading my father’s texts, hearing about both patients and hospital dynamics etc – perhaps making me a bit more ‘hip’ to things medical. Of the 9 states I’ve lived in, I’ve never come across worse health care (generally) than in south Florida. It’s very much not like the America I knew. As such, it makes me all the more appreciative of the refreshing input I am receiving here on this Mayo Clinic forum. Thank you.

Jump to this post

Again, you will probably have better luck with Neurology than going though IM. Good luck.

REPLY
@mpflood7

In sum, 3 express Questions:

1) Is there a 1-year “rule” whereby if you are denied to IM, you must wait 1-year to reapply? Is it true in all departments too?
2) What are the routes to gain admission A) completing an online Patient Appointment Request form, or B) Having your MD refer you? Is it one or the other or both?
3) Given the facts of needing an IM doctor be the quarterback, should my neurologist speak to a IM doctor or another neurologist?

Please feel free to comment on any implied questions that are in my above comments as well. Thank you.

Jump to this post

Go through neurology. Also it is possible to self-refer.

REPLY
@bernese53

Again, you will probably have better luck with Neurology than going though IM. Good luck.

Jump to this post

Thank you. I’ll pass it on to my Neurologist as well.

REPLY
@bernese53

I was a self-referral to Orthopedic Surgery at Mayo-Rochester; the process took about four months. You might have better luck if you ask your doctor(s) to refer you to a different department. Almost any department will do in terms of being able to see doctors in other departments. For example, I have gotten internal referrals to Neurology, Sleep Medicine, Cardiology, Dermatology, and Endocrinology. Does your systemic disorder have a dermatological appointment, for example? If so, begin there.

Jump to this post

Very good. I’m told I’ll need as many as 10-12 specialties. Thanks.

REPLY
@colleenyoung

@mpflood7, I moved your message to the Visiting Mayo Clinic group https://connect.mayoclinic.org/group/traveling-to-mayo-clinic/
I think you will benefit from the feedback other members have received about similar questions. I encourage you to browse the past discussions.

To your specific questions
Internal Medicine may be one route to take. Keep in mind that Internal Medicine is a busy department and that they may be at capacity at one campus (AZ, FL or MN) but not at another. Be sure to inquire. Regardless of which campus you are treated at, you will benefit from cross-campus, cross-specialty expertise. The multi-specialty, integrated, collaborative team approach is practised by all departments at Mayo Clinic, not just Internal Medicine. For example, if your systemic condition is related to the endocrine system, your intake may be through the Endocrinology department and your care would be "quarter-backed" through that department should you need to be seen by other specialty areas.

I am unaware of the 1-year wait to reapply rule. I'm bringing in fellow members @burrkay @dandl48 @seaspray @bernese53 @sadie168 @fourof5zs @suzanne2 who may be able to provide further guidance and experiences.

MPFlood, has your doctor already submitted the referral and started the process?

Jump to this post

I was a self referral. I was first seen and evaluated by the General Internal Medicine department at the Mayo Clinic in MN. After a very comprehensive exam and their studying the CD's I brought with test results and local physician's notes, I was referred to, and given appointments in numerous departments of the Clinic. Plan on an extended stay. They are great about setting up your appointments but it keeps you busy. With my issues involving numerous areas I managed to go from one week to two. But I got answers and that's why I came. Keep pursuing.

REPLY

Thank you. When you say plan on an extended stay, do you mean the 1-2 weeks you reference or longer?

REPLY

Where do you suggest staying for an extended stay? Again, I am a novice but think I would prefer inpatient since I would know the exact cost – but if outpatient, cost could be variable. Beyond also not being up to running from appointment to appointment, most importantly too, I would think inpatient would better allow for the multi-specialty, integrated “collaborative” team approach. How could it be similarly collaborative if outpatient? Thank you for any further thoughts.

REPLY

The Mayo Clinic is able to provide collaborative care on an outpatient basis and does it well. Because of the risk of hospital-acquired infection, Mayo limits the length of inpatient stays (they did this even before Co-vid 19). You will definitely receive collaborative integrative care on an outpatient basis. In terms of time spent in Rochester (or Jacksonville or Arizona), it depends. I am in Rochester now and am staying an extra week for two appointments because it is preferable for me to stay here rather than return home (I live in Tennessee) and travel back. The schedulers will try to get appointments in a short time frame. In terms of places to stay, you can check with the Mayo Clinic concierge who might be able to point you to different types of lodging. There are shuttle buses to the Clinic and Mayo will provide wheelchair transport to get you to your appointments.

How do you plan to get to Mayo?

REPLY
@bernese53

The Mayo Clinic is able to provide collaborative care on an outpatient basis and does it well. Because of the risk of hospital-acquired infection, Mayo limits the length of inpatient stays (they did this even before Co-vid 19). You will definitely receive collaborative integrative care on an outpatient basis. In terms of time spent in Rochester (or Jacksonville or Arizona), it depends. I am in Rochester now and am staying an extra week for two appointments because it is preferable for me to stay here rather than return home (I live in Tennessee) and travel back. The schedulers will try to get appointments in a short time frame. In terms of places to stay, you can check with the Mayo Clinic concierge who might be able to point you to different types of lodging. There are shuttle buses to the Clinic and Mayo will provide wheelchair transport to get you to your appointments.

How do you plan to get to Mayo?

Jump to this post

Thank you. I plan on flying to MN from Florida.

When you say “Collaborative” on an outpatient basis, can you elaborate? Do the doctors really communicate, do they meet in a room to discuss the case, does each know enough about the other specialties they are collaborating with, etc?

REPLY
@mpflood7

Thank you. I plan on flying to MN from Florida.

When you say “Collaborative” on an outpatient basis, can you elaborate? Do the doctors really communicate, do they meet in a room to discuss the case, does each know enough about the other specialties they are collaborating with, etc?

Jump to this post

The medical records are totally integrated so each doctor you see knows about your issues and medical treatment plans already made. They really do communicate. In the time of covid-19, I do not think they are meeting in a room to discuss patients but I am sure they do. The Mayo brothers were pioneers in terms of integrated collaborative care…the medical care you receive is excellent.

REPLY

Excellent and concise information – thank you.

REPLY
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