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The governance gap: Why world-class facilities need world-class systems

Mayo Clinic

Healthcare systems worldwide are investing billions in state-of-the-art medical facilities. Gleaming towers rise. Advanced equipment arrives. Operating theatres rival anything in North America or Europe. Yet many of these facilities struggle to deliver on their promise.

The challenge is not infrastructure – it is what happens inside it. Without robust governance structures, leadership development, and quality systems to match the physical investment, a gap emerges between potential and performance. This governance gap is where diagnostic inconsistencies take root, operational inefficiencies multiply costs, and patient outcomes fall short of expectations.

Bridging the gap: From blueprint to bedside
Mayo Clinic Global Consulting works with healthcare organizations worldwide to embed operational excellence from the earliest planning stages through to clinical operations. Drawing on over 150 years of advancing medicine, we deliver actionable strategies informed by deep operational experience and a collaborative model of care.

Consider a Gulf-based health system that recently opened a new tertiary facility. Leadership recognized that world-class infrastructure required equally sophisticated governance. Through a multi-year engagement, Mayo Clinic facilitated strategic planning, delivered governance assessments, and hosted immersive visits where leaders engaged with approximately 80 Mayo Clinic experts. The results: a 2030 strategic plan finalized, new governance models implemented, and 100 staff achieving Mayo Bronze Quality Fellow certification. The institution subsequently joined the Mayo Clinic Care Network.

In Asia, a 400-bed oncology centre engaged Mayo Clinic for a model of care that could be embedded from the earliest design phases. Sixty Mayo Clinic experts participated across two immersive visits, delivering 12 capability-building sessions. The engagement produced a phased physician workforce model aligned with the Mayo Model of Care – ensuring that when doors opened, systems were ready to match the facility.

A leading South American hospital sought differentiation through clinical excellence. Through structured assessments and a one-year visiting scholar program, the institution launched the continent’s first subspecialized multiple myeloma centre – establishing a new regional benchmark and advancing research collaboration through jointly authored publications.

The integrated approach
These examples illustrate a consistent principle: complex problems require sophisticated solutions, but those solutions should ultimately simplify care and improve outcomes. For healthcare systems facing growing populations, increasing chronic disease prevalence, and the imperative to provide world-class care while managing costs, this approach offers a pathway to sustainable transformation.

Connect with us at World Health Expo Dubai
Mayo Clinic Global Consulting will be present at the World Health Expo Dubai, where our team is ready to discuss how Mayo Clinic’s proven methodologies can address your specific challenges. Whether you are planning a new facility, seeking to strengthen governance and quality programs, or building sustainable workforce capabilities, we have solutions tailored to your needs.

Take the first step today:

  • Email: InternationalCollaborate@mayo.edu
  • Call Mayo Clinic International: +1 507-422-5292
  • Join the growing number of global healthcare leaders who have discovered that with Mayo Clinic by your side, ex­ceptional patient care and operational excellence are complementary achieve­ments.
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