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Transformation [Symposium on Innovative Healthcare Delivery: Mayo Clinic]
Reprinted: October 15, 2007
http://transformationsymposium.wordpress.com
With a million visits a year and a satisfaction rate of 97% to 100%, those patients who experience MinuteClinic (www.minuteclinic.com) seem to love it. But in the world of retail clinics, does more convenient care mean better care?
The CEO Opinion
Michael Howe, the CEO of MinuteClinic, believes it does. Nicholas F. LaRusso, Chair, Mayo Clinic Department of Medicine, talked with Howe, a speaker at last year’s Transformation Symposium, about his organization’s effort to transform the delivery of health care.
Howe explained, “The broadest perspective to start with is redefining the word ‘integration’ in health care. Typically when we think about integration in health care we think about it from the standpoint of bringing all the solutions to a single point, and as long as the patient comes to that location, providers can solve most, if not all, of their issues. MinuteClinic really looked at it the other way and asked how would you integrate high-quality, simple health care solutions into a consumer’s lifestyle. Our goal is to put access to health care professionals into the pathway of the consumer.”
Growing Concept
With 200 clinics around the country and plans to double that, Howe is well on his way. Found in CVS stores, MinuteClinic’s team of board-certified practitioners are trained to diagnose, treat and write prescriptions for a variety of common family illnesses for patients 18 months and older.
Accredited
But, it is not all about convenience for Howe. He points out that MinuteClinic spent a year and a half working with The Joint Commission to become fully accredited. And, though they are the only retail provider at this point to be accredited, he thinks retail clinics should seek accreditation to really define themselves at the highest level of care.
Best-of-Breed and EMRs
By building a health care service based on best-practice protocols for focused conditions and through leveraging their electronic medical record (EMR) to measure their providers’ adherence to these guidelines, Howe believes that the retail clinic model delivers higher-quality care at a lower price that is more accessible and more convenient for patients than traditional primary care practices.
Assessment
During the last symposium, Howe shared his vision of a truly integrated health care system and the retail clinic’s role within it.
Transformation: A Symposium on Innovative Healthcare Delivery Mayo Clinic. Nicholas F. LaRusso; Chair, Mayo Clinic Department of Medicine.
Link: http://transformationsymposium.wordpress.com/2007/10/15/the-role-of-the-retail-clinic-michael-howe/
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Retail Clinics and CONs?
Did you know that Florida Gov. Charlie Crist just signed a bill streamlining the state’s certificate-of-need process. It includes a “loser pays” provision to cover a hospital’s legal fees if there is an unsuccessful appeal after a CON has been granted by the state.
But, are retail medical clinics subject to these laws?
Thanks.
-Betty
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Insurer-Run Care Expanding Into Retail Clinics
Insurer-owned health clinics are regaining prevalence across the U.S., with more than 1,200 retail clinics appearing at former urgent care centers, strip malls, and even in some grocery store chains. These clinics appeal both to patients, who are drawn to flexible scheduling, extended hours, urgent care services, as well as insurers attracted to potential financial and marketing benefits.
Click to access insurer.pdf
Despite this resurgence, the ultimate role of retail clinics in the healthcare system remains to be seen.
Source: Health Capital Consultants, LLC
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Retail Medical Clinics – A Report
What happens when you get your health care at the shopping mall?
http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/11/10/what-happens-when-you-get-your-health-care-at-the-shopping-mall/
Beverly
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Scope-Of-Practice Laws For Nurse Practitioners Limit Cost Savings That Can Be Achieved In Retail Clinics
[by Joanne Spetz, Stephen T. Parente, Robert J. Town, and Dawn Bazarko (Health Affairs)]
Retail clinics have the potential to reduce health spending by offering convenient, low-cost access to basic health care services. Retail clinics are often staffed by nurse practitioners (NPs), whose services are regulated by state scope-of-practice regulations.
By limiting NPs’ work scope, restrictive regulations could affect possible cost savings. Using multistate insurance claims data from 2004–07, a period in which many retail clinics opened, we analyzed whether the cost per episode associated with the use of retail clinics was lower in states where NPs are allowed to practice independently and to prescribe independently.
We also examined whether retail clinic use and scope of practice were associated with emergency department visits and hospitalizations. We found that visits to retail clinics were associated with lower costs per episode, compared to episodes of care that did not begin with a retail clinic visit, and the costs were even lower when NPs practiced independently.
Eliminating restrictions on NPs’ scope of practice could have a large impact on the cost savings that can be achieved by retail clinics.
James
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Walmart wades into provider territory
After years of partnering with local hospitals and providers for some 100 walk-in clinics, Wal-Mart is now going solo, opening six in-store Wal-Mart Care Clinics in Texas and South Carolina.
http://www.healthcarefinancenews.com/news/walmart-wades-into-provider-territory
The retailer opens six non-healthcare partnered primary care clinics and plans on opening more.
Beverly
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