Barb J. Keller
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2016-439 – Medicare reimbursement for anesthesia services is currently dependent on a complex set of rules which include the rank of the anesthesia provider and the number of concurrent rooms supervised. Initial analyses show that Medicare non-compliance can result in a ~5% loss of gross revenue in the anesthesia department. Mayo Clinic investigators have developed a tool that tracks operating rooms in... Read More
2016-423 – Antimicrobial therapy can be a complex field, in which suboptimal regimens can result in ineffective treatment or development of microbial resistance. Proper antimicrobial stewardship involves not only tracking patients throughout treatment, but also documentation of treatment outcomes for future reference. This stewardship process is difficult to manage and time-consuming. Mayo Clinic... Read More
2016-389 – The treatment of cancer patients is very complex, with treatment decisions made all the more difficult in patients with multiple comorbidities and compounding drug toxicities. Front-line treatments can be straight forward, but disease relapses often require input and expertise from multidisciplinary teams. These teams utilize their collective experience in disease treatment and patient... Read More
Innovative Asthma Ascertainment by Using Natural Language Processing Algorithm Enabling Automated Chart Review
2016-271 – Mayo Clinic investigators have developed a novel natural language processing (NLP) algorithm designed to automate chart review in order to ascertain asthma status and date of onset by using free text from a patient’s medical record. An initial validation of this algorithm in a patient cohort showed a sensitivity and specificity of 89% and 97% (respectively) when compared to asthma status... Read More
2016-451 – No standard tools are currently available to measure a patient’s progress in regards to their care plan or discharge goals. Determination of patient status is dependent upon delving into multiple medical documents, a process that is cumbersome and costly. Mayo Clinic investigators have developed the Electronic Case Management Tool to simplify the ascertainment of patient status and provide... Read More
2016-135 – The advent of next-generation sequencing has opened the door to widespread identification of somatic mutations in tumor genomes. These somatic mutations can be utilized to identify “true clonal mutations”, or those that are responsible for driving tumor growth in an individual, and therefore could be useful in the identification of therapeutic targets. The primary issue in the identification... Read More
2016-142 – Surgical training using educational models generally involves explaining surgical techniques through verbalization. This training method can be ineffective for visual learners. Mayo Clinic investigators have developed an augmented reality environment that is designed to provide students with real time verbal and visual feedback. This web-based system projects a trainee’s view of a surgical... Read More
2016-216 – Rounding is an essential part of the hospital experience, but it can be difficult for patients and families to process information in real time, even when a provider organizes takes care to explain medical information in plain language. This is all the more challenging when a patient (and their family) speaks a non-native language. Mayo Clinic investigators have developed a structured format... Read More
2014-379 – The global hearing aid market is a multi-billion dollar industry. Although this industry is lucrative, market penetration is very low, primarily due to high cost and the stigma associated with hearing aids. These barriers limit the number of users that could benefit from hearing assistance technologies. Mayo Clinic investigators have developed a low-cost, non-invasive hearing solution that... Read More
2016-477 – The Establishment of primary care provider panels is a complex and difficult process. This process is made all the more difficult in the transition from fee-for service to value-based reimbursement. One of the primary focuses of value-based reimbursement is documenting the overall care of a patient, and a major component of this is assigning each patient to a primary care provider. Mayo... Read More
2016-040 – The “Clinical Registry and Machine Assisted Human Abstraction” is designed to collect and manage aggregated patient information for use in practice management and research. Clinical registries have shown to demonstrate tremendous value, however, the creation and management of registries is expensive and time consuming. This technology provides a standard means to quickly establish a... Read More
2015-159 – The Anesthesia Auditing Program Software provides quality improvement for anesthesia medication administration. The program audits all anesthesia medication transactions across a number of databases. The program has demonstrated significant improvements in patient safety, financial charge capture, drug diversion prevention, and documentation accuracy. The program has the ability to work or... Read More
2015-124 – Business Enhancement Analytics Tool (BEAT) is a novel, real-time, cloud-based data analytics platform with multiple functionalities and end users. BEAT has solved hundreds of business cases by unlocking and leveraging data. It can be used on its own but also as a complementary solution for other existing business intelligence frameworks. BEAT offers a variety of functionality that on a high... Read More
2013-280 – Background: Mayo Clinic Supply Chain Management is recognized as one of the top supply chain organizations in the country and was recently designated as the number two supply chain organization by Gartner in the healthcare category. One large driver in this recognition is our ability to link financial, operational, and clinical data systems to provide patient outcome and procedure cost... Read More
2013-285 – Mayo Case No.: 2013-285 Title: Application-based VAD Interrogation System to Prevent Adverse Events Background: According to The Advisory Board Company, the incidence of heart failure in the United States continues to increase with the number of new cases reported growing from 500,000 to 676,000 per year. They estimate that 10% of these cases represent class IV heart failure which is... Read More
2013-273 – Background: Aerobic fitness is one of the best predictors of all-cause mortality but not easily assessed on a large scale accurately. Technology Description: A web based health fitness assessment tool which may be carried out at any location and requires nothing more than a device camera, web portal, a step, and a chair. Using technology based light reflection and color spectrum, heart... Read More
2013-225 – MC Health Connection Patient Decision Support Tool is a software program which can aid patients in important medical decision making. The tool works by organizing medical decision making into decision trees. For each potential limb of decision, the program provides education, risks and benefits and the predicted course of care for each choice. It also delivers, for each choice, an... Read More
Improvements to a Novel System for Assessing and Documenting a Trainees Competence in Endoscopic Procedures
2013-112 – This represents improvements to the Mayo Colonoscopy Skills Assessment Tool (MCSAT). The Original MCSAT is a tool designed to be used for assessing endoscopy skills at the bedside In GI fellows throughout the training process. This improvement streamlines the previous tool to make it shorter but also adds the ability to track polyp detection rates lacking in the previous form.
2013-099 – Immobilization board that would be positioned under patient’s pelvis. This would allow radiation therapist to tilt pelvis when aligning patient for treatment.
2013-015 – This is an automated tool that assigns a risk score to patients as they are admitted and move through their hospital course. It makes the patient risk factors as well as potential interventions to reduce the risk of readmission transparent to the patient’s care team, closing the loop on the process. We are utilizing AMALGA from Microsoft but the value is in the scoring methodology as a... Read More
2013-014 – Laparoscopic Bowel Retractor for Intra-Abdominal Surgical Exposure. Development of a device that has an ease of operation and keeps the bowel away from the surgical area.
2013-005 – Mechanical, Time-based, Probiotic Delivery Device.
2012-246 – Mayo has available licensing its patient education materials and videos within the areas of: Allergic Diseases Anesthesiology Cardiac Surgery Cardiovascular Colorectal Surgery Dental Specialties Dermatology Endocrine ENT Gastroenterology General Internal Medicine General Thoracic Surgery Gland General Surgery Hematology Hospital Internal Medicine Infectious Diseases Laboratory Medicine... Read More
2012-206 – This novel digital exam camera (DEC) will allow for visualization in multiple orifices or cavities such as rectum, vagina, wounds, oropharynx, ears, nasal cavity, etc.
2012-182 – Lung cancer is the leading couse of cancer deaths in the United States. Lobectomy is the gold standard extent of resection for most lung cancers, but some patients are poor candidates for lobectomy due to poor pulmonary health/function and/or other comorbities. Sublobar resection, the removal of less than a lobe of the lung, is a compromise procedure for these patients in that it allows for... Read More
A Time Dependent Device for Segmental Whole Gut for Lumina & Mucosal Microbial Swab Sampling by Anatomic Location
2012-169 – Swabs from the middle portions of the gastrointestinal tract are currently very difficult to obtain due to the limitations of current techniques such as endoscopy. Understanding the biology of these regions can potentially have a large impact on the overall health of both people and animals through the effect of the GI tract on other parts of the body. Mayo Clinic investigators have... Read More
2012-153 – The practice of radiology is a non-linear process where image processing and routing decisions for best practice are often done by humans on the fly. Commercial PACS and image processing workstations assume a fixed workflow that is enshrined in their database schemas, and may only account for 4-5 stages in the lifetime of a diagnostic imaging study. DEWEY uses DICOM (with proposed expansion... Read More
2012-073 – Erectile dysfunction (ED) is estimated to affect 20-30% of men between the ages of 40-80 years. In cases of medication-resistant ED, surgical treatment, and especially penile prosthesis implantation is the standard of care. Complications of surgery can include neurovascular and urethral injury, and other tissue damage that can contribute to sub-optimal outcomes. A Mayo Clinic investigator... Read More
2012-013 – Innovative educational resource for providing patients with up to date, accurate information about contraceptive options. To Access the App through the iTunes Store, click on the link below. Mayo Clinic About Birth Control: Options for You
2012-010 – A cognitive assessment test that uses a video game to gage performance with real time feedback in a variety of environments: The test will engage the user and give insight to several cognitive metrics that are integrated with physiological metrics under varying conditions of stress, both mental and physical. The ultimate goal is to create a versatile game that assesses the totality of human... Read More
2011-273 – Urinary incontinence or loss of bladder control affects millions of people worldwide. An artificial urinary sphincter is one treatment option to restore continence. The basic design of the current artificial urinary sphincter was introduced in the 1980’s and has 3 separate components implanted at 3 separate surgical locations. Mechanical failure or complications often lead to revision or... Read More
2011-267 – Ink filled disk placed on patient at time of simulation (CT). Used to help mark and guide needle to give permanent tattoo.
2011-197 – Many attempts have been made to replace circumferential segments of the esophagus with tubular prostheses of various materials, but experimental and clinical trials have not been successful due to frequent complications. An artificial esophageal replacement device which aims to overcome the problems of the previous attempts. Development of viable esophageal replacement would dramatically... Read More
2011-188 – Ileostomy or colostomy are common permanent bowel procedures performed for inflammatory disease, trauma, or cancer. The development of an internal reservoir, obviating the need for an external appliance, has been hampered by the need for an interface between living tissue and the device. The invention disclosed herein is an adaptation of a floating ball valve. Within the bowel lumen lies a... Read More
2011-154 – The purpose of SAMR is to help clinicians find answers to clinical questions. The medical literature needed to correctly treat a patient grows exponentially. Data shows that both health care institutions and individual physicians are overwhelmed trying to incorporate this new knowledge. SAMR is a tool that could bridge this gap to improve patient care. SAMR uses semantic elements, the meaning... Read More
2011-111 – Modulating the Autonomic Nervous System to Treat Hypertension and Heart Failure Mayo Clinic physicians have demonstrated that modulation of the autonomic nervous system can reduce blood pressure and improve symptoms in congestive heart failure (CHF) patients. Afferent nerves originating from skeletal muscle or from the kidneys are blocked to achieve the reduction in blood pressure and the... Read More
2011-104 – Ileostomy patients with highly liquid effluent can experience high frequency emptying requirements that can be inconvenient to patients. This invention is a dual chamber ostomy pouch with the chambers separated by a filter. The filter allows water to pass into the second chamber while containing solid waste in the first chamber. The chambers can have separate drain valves allowing them to be... Read More
2011-086 – A data reporting system for competency metrics has been developed that takes trainee endoscopic performance data collected by a validated assessment tool and presents the data in such a manner that allows fellowship directors to identify which trainees have achieved competence and which ones may be in need of remediation and all points between. With this system we have also identified unique... Read More
2011-073 – Technology Description Hospitals and surgery centers face significant cost pressure when it comes to maintaining materials and supplies. With supply costs representing a significant expense in surgical services, close and careful monitoring is needed to reduce costs and improve efficiencies. Developed at Mayo Clinic, the Supply Inventory Management System (SIMS) is a comprehensive program... Read More
2011-059 – This web or CD-ROM based electromyography (EMG) training tool consists of an interactive, case-based program that assists trainees in learning the application of electrodiagnostic studies and interpretation of findings.
2010-318 – An innovative freight management solution has been developed which represents a new business model developed on transparency and risk-sharing within a reseller market. Working with supply partners, key individuals within supply chain management have developed this program which involves practice, process and designs generally not used or common within healthcare. The solution results in... Read More
2010-294 – In laparoscopic radical prostatectomy (RP), the pedicle is transected, but care must be taken to preserve the adjacent neurovascular bundle. Electrocautery or other hemostatic energy sources are not used due to concerns over collateral thermal damage, adhesives or sutures alone have not been shown to provide reliable hemostatis, and existing clips can be difficult to place and adjust. A... Read More
2010-220 – Radiation therapy treatment is used in nearly two-thirds of all cancer patients. Accurate targeting of the tumor over the treatment period is critical to effective therapy. Placement of permanent tattoos is the current standard practice to aid in the alignment and targeting of radiation therapy over multiple treatments. Existing tattoo methods involve the use of freehand needle sticks,... Read More
2010-177 – Background: The incidence of Barrett’s esophagus and esophageal adenocarcinoma (EAC) is rising in Western nations, and, according to the National Cancer Institute, EAC is the fastest growing form of cancer in the United States. Esophagectomy is standard treatment for Barrett’s esophagus with high grade dysplasia and malignancy. However, due to high morbidity rates associated with... Read More
2010-170 – The Enterprise Data Model is a schematic entity-relationship diagram depicting how data relates to each other within the context of Mayo’s practice, education and research activities. It collectively forms the basis around which all information at Mayo is organized, and from which the system pulls data for purposes of developing the logical and physical representation of data within its... Read More
2010-162 – The application works on the iPod Touch and iPhone platform and will improve access to exposure-based therapy for individuals with anxiety disorders. The application can be used independently as a self-help program or in conjunction with a health professional. To Access the App through the iTunes Store, click on the link below. AnxietyCoach App
2010-157 – Transoral robotic surgery (TORS) offers potential advantages and benefits over other current treatment modalities in surgical procedures of the head and neck, but in some patients, inadequate exposure to target tissues reduces the number of cases that can be performed by this method. Transoral retractors are used to provide access to a patient’s oral cavity and larynx during these procedures,... Read More
2009-375 – Existing systems for positioning a patient for radiation therapy treatment include use of moldable masks (aquaplast) that aid in alignment of bony anatomy and fiducial markers and the tumor target. The current process of aligning the multiple markers can be time consuming and tedious. Gloves are required and the reflective surface coating on the markers is prone to wear out. This invention... Read More
2009-144 – Using audiovisual support we have created educational videos in all facets of General Surgery Education: Knot tying, Syringe, Specimen handling, Operative procedures, reading Chest X-rays/CT Scans/ MRI, etc. Basically we are creating a library of AV clips (30 seconds - 5 minutes) that educate Students/Residents/Fellows/Staff on everything in surgery.
2009-104 – Proximal migration of biliary stents can lead to difficult and time consuming endoscopic removal procedures. Separately, while the use of prophylactic pancreatic stents may be increasing due to potentially decreased risk of pancreatitis, endoscopic procedures are often required to facilitate stent removal. Design features to improve spontaneous stent removal and ease retrieval have been... Read More