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Mayo Clinic Proceedings: Having a Family at Age 92!

      This inaugural July 2017 issue of Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP:IQ&O)—an open-access, online-only journal—represents a natural extension of contemporary Mayo Clinic Proceedings (MCP) publication practices.
      • Lanier W.L.
      • Gerber T.C.
      Expanding the Mayo Clinic Proceedings mission: introducing Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP: IQ&O).
      The purpose of this editorial is to set forth the mission of the new journal, the rationale for its creation, and its scope and positioning in the scientific publishing landscape. I also highlight the key aspects of the operations of MCP:IQ&O and the challenges and opportunities that we see for this new journal.
      Mayo Clinic Proceedings, a venerable brand in the world of scientific publishing, recently celebrated its 90th anniversary
      • Lanier W.L.
      Celebrating Mayo Clinic Proceedings' 90th anniversary: a story of longevity and progression of mission.
      and is now in its 92nd year of publishing. It has undergone many changes in its long existence. Although MCP was a multidisciplinary journal for many years, it refocused on a general/internal medicine theme beginning in the mid-1990s.
      • Lanier W.L.
      Celebrating Mayo Clinic Proceedings' 90th anniversary: a story of longevity and progression of mission.
      • Lanier W.L.
      The evolution of Mayo Clinic Proceedings.
      Beginning in 1999, when William L. Lanier, MD, became editor-in-chief, MCP also saw an unprecedented growth in the number of manuscript submissions and in the quality of those submissions, resulting in a progressive decrease in the acceptance rate, which currently ranges from less than 2% to less than 20%, depending on the manuscript category.
      • Lanier W.L.
      • Gerber T.C.
      Expanding the Mayo Clinic Proceedings mission: introducing Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP: IQ&O).
      • Lanier W.L.
      Celebrating Mayo Clinic Proceedings' 90th anniversary: a story of longevity and progression of mission.
      Considering the many high-quality manuscripts that MCP rejects on the basis of editorial fit rather than priority ranking, and on the basis of MCP's desire to provide the best service possible to both our readers and authors, the journal's leadership formulated plans for offering a new MCP-branded publication venue. The decisions about the focus and mission of MCP:IQ&O (like those of MCP) were driven by our desire to align with the primary value of Mayo Clinic that “the needs of the patient come first.”
      The conception of MCP:IQO as a multispecialty journal was informed by Mayo Clinic's core principle of being a multispecialty group practice committed to an interdisciplinary team approach to complex patient care.
      • Berry L.L.
      • Beckham D.
      Team-based care at Mayo Clinic: a model for ACOs.
      Mayo Clinic has long taken an interest and leadership in the transformation of health care.
      • Jacobson R.M.
      • Isham G.J.
      • Finney Rutten L.J.
      Population health as a means for health care organizations to deliver value.
      Mayo Clinic's 150th anniversary in 2014 was an opportunity to look backward and forward on how the institution constantly reviews and refines its approach to its mission.
      • Lanier W.L.
      Celebrating the sesquicentennial of Mayo Clinic: 150 years of advances in medical practice, education, research, and professionalism.
      Beginning with the early days of the practice of William J. and Charles H. Mayo, innovation to better serve the patient, constant evaluation of the quality of the care that is being delivered, and defining the outcome metrics best suited to help optimize care have been at the core of Mayo Clinic's mission,
      • Berry L.L.
      • Seltman K.D.
      The enduring culture of Mayo Clinic.
      and will remain so carrying forward into the future.
      • Noseworthy J.H.
      What is ahead for Mayo Clinic?.
      As such, the decision to reflect strategies to optimize health care in the title of the new journal was an easy one. In this context, MCP:IQ&O makes its mission “building upon innovations in research, advancing the quality of medical and surgical care, and promoting optimal patient outcomes.”
      The decision on the business model most suitable to support the mission of MCP:IQ&O went through many iterations. Does the world need another online-only, open-access journal? There is an increasing need for improving discovery of scientific information, enhancing accessibility to published research, facilitating reproducibility of data, and fostering transparency of research methods,

      Anderson R, Denbo S, Graves D, et al. Report from the “What Is Open?” Workgroup. Open Scholarship Initiative Proceedings. 2016;1. http://journals.gmu.edu/osi/article/view/1375/1178. Accessed May 27, 2017.

      and many research funding agencies now mandate that published findings be made available promptly and freely.

      Finch J. Accessibility, sustainability, excellence: how to expand access to research publications: report of the Working Group on Expanding Access to Published Research Findings. https://www.acu.ac.uk/research-information-network/finch-report-final. Accessed May 27, 2017.

      Sheehan J. Increasing access to the results of federally funded science. The White House website. https://obamawhitehouse.archives.gov/blog/2016/02/22/increasing-access-results-federally-funded-science. Published February 22, 2016. Accessed May 27, 2017.

      Considering these factors, MCP leadership, with input from its publisher and oversight from MCP's sponsor, Mayo Clinic, strongly believes that the answer to the question above is yes. The concept of author publication charges is intended to cover the time and expense required for manuscript processing, editing, and production, as well as manuscript tracking and website hosting. This funding model remains relatively new for medical journals, but we believe that the cost of publication fees will be offset by the value of (1) the convenience afforded to authors of meeting open-access mandates and (2) the opportunity to see their research freely available immediately after publication, and highly discoverable on multiple platforms. We recognize that there may be concerns regarding the publication volumes, standards for peer review and acceptance, and business practices of some online-only, open-access journals.
      • Clark J.
      • Smith R.
      Firm action needed on predatory journals.
      However, authors and readers can rest assured that MCP:IQ&O will adhere to the high standards and level of integrity that they have come to expect from an MCP-branded journal.
      Elsevier, the publisher of MCP, is also the publisher of MCP:IQ&O. The visual branding of MCP:IQ&O is meant to be appropriately similar to MCP's to affirm a relationship but sufficiently different to allow authors and readers to easily distinguish between the 2 journals. MCP:IQ&O will have its own website at www.mcpiqojournal.org, fully cross-referenced with and searchable on MCP's website at www.mayoclinicproceedings.org. Manuscripts can arrive at MCP:IQ&O through different channels: by referral from MCP on the basis of editorial fit or by direct submission to MCP:IQ&O. Referral from MCP may occur after peer review, or without reviews after initial assessment by one of the associate editors (editorial triage). If peer reviews are available, they will be transferred to MCP:IQ&O along with the manuscript to form the basis for manuscript revisions and resubmission. New reviews will not be required, affording the authors fast turnaround times and freedom from mixed messages. We anticipate that the acceptance rate for this category of submission will be high.
      Manuscripts that have not undergone peer review before referral to MCP:IQ&O will be peer reviewed at the direction of MCP:IQ&O's editorial board. Although the referral process from MCP before formal peer review aims at identifying manuscripts of very high quality, we anticipate that the acceptance rate for this category of submissions will be lower because peer reviewer expertise may uncover methodological issues that had not been obvious in the triage and referral process.
      Manuscripts can also be submitted directly to MCP:IQ&O through the journal's manuscript submission portal at ScholarOne,

      Welcome to the submission site for Mayo Clinic Proceedings: Innovations, Quality & Outcomes. https://mc.manuscriptcentral.com/mcpiqo. Accessed May 27, 2017.

      where they will undergo peer review. The peer-review process will be modeled on the practices at MCP, albeit with instructions to reviewers and the acceptance criteria referenced to MCP:IQ&O's specific mission. Manuscripts submitted directly to MCP:IQ&O might differ from articles submitted to MCP in that they may address earlier-stage original research studies, or new or evolving (but less developed) areas of medical research or practice.
      • Lanier W.L.
      • Gerber T.C.
      Expanding the Mayo Clinic Proceedings mission: introducing Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP: IQ&O).
      Direct submissions to MCP:IQ&O should conform to the MCP:IQ&O Instructions for Authors.

      Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP:IQ&O): Instructions for authors. https://mc.manuscriptcentral.com/societyimages/mcpiqo/MCP-IQO%20Instructions%20for%20Authors.pdf. Accessed May 27, 2017.

      The health research reporting guidelines promulgated by the Enhancing the QUAlity and Transparency Of health Research (EQUATOR) Network

      Enhancing the QUAlity and Transparency Of health Research. EQUATOR Network website. https://www.equator-network.org. Accessed May 27, 2017.

      provide the sort of standards and structural discipline for scientific writing that clinical guidelines already provide to clinical practice.
      • Fuller T.
      • Pearson M.
      • Peters J.
      • Anderson R.
      What affects authors' and editors' use of reporting guidelines? findings from an online survey and qualitative interviews.
      Therefore, we encourage authors to adhere, when preparing their manuscript, to the EQUATOR Network guidelines pertinent to the category of article they are planning to submit. In particular, writers focusing on the domain of quality improvement should use the Standards for QUality Improvement Reporting Excellence (SQUIRE) 2.0

      SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. EQUATOR Network website. http://www.equator-network.org/reporting-guidelines/squire. Accessed May 27, 2017.

      guidelines to structure their submission.
      The editors of MCP:IQ&O will work closely with the editors of MCP in the manuscript referral process. To promote optimal communication and coordination between the 2 journals, I will work closely with MCP's new editor-in-chief, Dr Karl A. Nath,
      • Lanier W.L.
      • Nath K.A.
      Transition of editor-in-chief duties at Mayo Clinic Proceedings.
      • Nath K.A.
      Affirming the mission of Mayo Clinic Proceedings.
      and Dr Lori A. Erickson, another MCP associate editor, has agreed to take on the role of MCP:IQ&O deputy editor. To ensure high quality and consistency of editorial and adjudication processes, the entire editorial board of MCP has agreed to serve in dual capacity as the editorial board for MCP:IQ&O.
      • Lanier W.L.
      • Gerber T.C.
      Expanding the Mayo Clinic Proceedings mission: introducing Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP: IQ&O).
      Going forward, we will augment MCP:IQ&O's editorial board with world-class content experts from areas of medical and surgical practices that are currently not covered by MCP to help recruit and support an ever-widening base of contributors of articles that are relevant and valuable to MCP:IQ&O's audience. We will also incrementally work toward creating an independent MCP:IQ&O editorial board.
      As noted elsewhere,
      • Lanier W.L.
      • Gerber T.C.
      Expanding the Mayo Clinic Proceedings mission: introducing Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP: IQ&O).
      MCP:IQO will cover a wide range of topics spanning the disciplines of surgery, pediatrics, obstetrics and women's health, emergency medicine, and many others. Articles published in MCP:IQ&O will retain great interest to the traditional MCP audience in that most of the published content will feature varying combinations of “innovation,” “quality,” and “outcomes” perspectives in articles whose primary focus is on common, important, clinically relevant topics. MCP:IQ&O will retain most, but not all, article categories currently published in MCP.
      MCP:IQ&O is committed to best practices in medical publishing, with fast and fair assessment of author submissions and peer-review process, with the goal to provide a truly competitive timeline from submission to publication. However, to align MCP:IQO's publication practices with those of MCP, and to affirm that the accuracy and authoritativeness of our content is more important to our journal than rushed publication, MCP:IQ&O plans to publish articles only in their final copyedited and proofread format produced by the publisher, not the initial, accepted “post-print” versions of manuscripts. Also, MCP:IQ&O plans to be flexible and responsive to the needs of its authors and readers, and feedback on the journal's content and presentation is desired and welcome.
      It is indeed a great privilege to help make the MCP brand a family. Like any new journal, we are faced with building a loyal base among readers and authors. In the tradition of our parent journal MCP,
      • Lanier W.L.
      Celebrating Mayo Clinic Proceedings' 90th anniversary: a story of longevity and progression of mission.
      our focus will be on the quality of service we provide to authors and readers. Thus, we commit to prompt and thoughtful peer review and manuscript preparation, and to publishing content that is relevant and interesting to our readers' daily lives and that reflects the core value and mission of Mayo Clinic.

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        Expanding the Mayo Clinic Proceedings mission: introducing Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP: IQ&O).
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        Celebrating Mayo Clinic Proceedings' 90th anniversary: a story of longevity and progression of mission.
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        The evolution of Mayo Clinic Proceedings.
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        Team-based care at Mayo Clinic: a model for ACOs.
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        • Isham G.J.
        • Finney Rutten L.J.
        Population health as a means for health care organizations to deliver value.
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        Celebrating the sesquicentennial of Mayo Clinic: 150 years of advances in medical practice, education, research, and professionalism.
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        • Seltman K.D.
        The enduring culture of Mayo Clinic.
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        What is ahead for Mayo Clinic?.
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      1. Anderson R, Denbo S, Graves D, et al. Report from the “What Is Open?” Workgroup. Open Scholarship Initiative Proceedings. 2016;1. http://journals.gmu.edu/osi/article/view/1375/1178. Accessed May 27, 2017.

      2. Finch J. Accessibility, sustainability, excellence: how to expand access to research publications: report of the Working Group on Expanding Access to Published Research Findings. https://www.acu.ac.uk/research-information-network/finch-report-final. Accessed May 27, 2017.

      3. Sheehan J. Increasing access to the results of federally funded science. The White House website. https://obamawhitehouse.archives.gov/blog/2016/02/22/increasing-access-results-federally-funded-science. Published February 22, 2016. Accessed May 27, 2017.

        • Clark J.
        • Smith R.
        Firm action needed on predatory journals.
        BMJ. 2015; 350: h210
      4. Welcome to the submission site for Mayo Clinic Proceedings: Innovations, Quality & Outcomes. https://mc.manuscriptcentral.com/mcpiqo. Accessed May 27, 2017.

      5. Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP:IQ&O): Instructions for authors. https://mc.manuscriptcentral.com/societyimages/mcpiqo/MCP-IQO%20Instructions%20for%20Authors.pdf. Accessed May 27, 2017.

      6. Enhancing the QUAlity and Transparency Of health Research. EQUATOR Network website. https://www.equator-network.org. Accessed May 27, 2017.

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        • Pearson M.
        • Peters J.
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        What affects authors' and editors' use of reporting guidelines? findings from an online survey and qualitative interviews.
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      7. SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. EQUATOR Network website. http://www.equator-network.org/reporting-guidelines/squire. Accessed May 27, 2017.

        • Lanier W.L.
        • Nath K.A.
        Transition of editor-in-chief duties at Mayo Clinic Proceedings.
        Mayo Clin Proc. 2017; 92: 488-489
        • Nath K.A.
        Affirming the mission of Mayo Clinic Proceedings.
        Mayo Clin Proc. 2017; 92: 1015-1018