It was sort of downplayed in one note that Mayo's claim to fame was their agreement with Rochester, Minn Mayo to live up to its "protocol and quality assurance". Those are a couple of critical points, "protocol" being a key policy and practice. Some practices are for Dept's to sit each week or as needed to discuss difficult cases and treatments. That seems to be a significant improvement over one Dr. in a single practice determining what is best or a group of "same" Dr's deciding what to do when there are potential monetary considerations with the decision.
I one time asked why the Dr's were so good at Mayo/Lahey, etc and was told that the Clinic's watch the Dr. very closely for the first year and if during that time they don't measure up they are not at the facility very long.
