Sue Pereira MD Medical Director Phil Vinyard MHA
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Sue Pereira, MD Medical Director Phil Vinyard, MHA, MBA, MDiv Practice Manager
Providers: Jamie Basnett FNP Lindi Binder PA Mindy Cherrington FNP Brenda Mc. Sherry FNP Deb Ritchie FNP PSRs: Lindsay Figge Blaine Regan Darren Smith
The Market for Retail Clinics • It’s estimated that retail clinics will provide about 10% of all primary care visits by 2015 • Patient characteristics: 60% without a PCP; 43% aged 18 -43. • About 50% of retail clinics are in only eight states: IL, FL, TX, OH, TN, MN, AZ, GA • Retail pharmacy chains own two-thirds of US retail clinics.
Why?
The Incentive
Why?
The Incentive
The Incentive Primary Care = Market Share
“On-Demand” Care: • Many consumers wait until they’re sick before selecting a provider, and then return to that provider for other services —or are referred to preferred partners. • Where a consumer receives care for her sore throat will likely influence where she receives her mammogram and knee arthroscopy.
I have a sore throat. Where do I go?
What We Learned From University of Iowa Quick. Care Clinics
UI Business Reasons for Quick Care: • Market demand—closing of Curaquick at Hy. Vee • Service UI Employees—easy access • Support UI Health Plans—reduce ER visits • Attract New Patients to F&CM—downstream revenue
Current Outcome: • • • 6 Quick. Care Clinics 38, 475 visits in FY 13 2. 24 visits/hour $180 K loss per site 35% patients have no PCP Downstream revenue to UI is $14 million/year (charges) • Excellent patient satisfaction scores (above 90 th percentile) • No decrease in Clinic volumes
Clinic Space Design: • A true retail look was important for marketing.
Clinic Space Design:
Staffing: • Clinical Oversight: F&CM Physicians • Providers: APRN and Physician Assistants • Clinical Support: Clinical Assistants (MOA role) • Clerical Support: PSR • Administrative Support: Clinic Manager, Nurse Manager, Medical Director
Services Offered:
Services Offered: • If a patient walks through the door, the encounter is registered and documented. • No charge for services < 5 minutes; i. e. don’t really need to be seen, or sent somewhere else. • QC staff take responsibility to close the loop and make sure follow up appointments are made the next day (if required).
Financial Strategy: • Billed as Level 3 for $79. • Tests and medications extra. • Payment expected up front for noinsurance patients. • Billed as Primary Care $10 co-pay instead of typical $50 Urgent Care copay
Success Strategy: • Price point $79/$10 • Easy access—no appointments, retail storefront. • Marketing • Direct contracting with UI & Others • Limited scope of practice • Staff skill levels • Customer Service • Integrated Medical Record • Integration with Primary Care
Our Approach to Quick Care
Our Approach to Quick Care: • We do not have the aversion to working out of a grocery store, but see it as an asset. • UI model is heavy on square feet— running a small clinic instead of a miniclinic. • 3, 900 Visits in First Year
Conley & Grindstone:
Conley & Grindstone:
Broadway:
Broadway:
Our Approach to Quick Care: • UI model generally overstaffed— 2 “nurses” plus 1 PSR per clinic. • We will staff 1 Provider (NP or PA) and 1 PSR. • We expect our PSRs to perform some patient care functions such as arriving and vitaling a patient, performing POC lab tests & controls. • We expect our Providers to also be able to do basic PSR functions.
Our Approach to Quick Care: • Billed as Level 2 or 3 for $89. • Tests and medications extra. • Payment expected up front for noinsurance patients. • Billed as Primary Care $10 co-pay instead of typical $50 Urgent Care copay
Our Approach to Quick Care: • • 7: 00 am – 7: 00 pm Monday-Friday 8: 00 am – 4: 00 pm Saturday-Sunday 8: 00 am – 4: 00 pm Holidays Closed Thanksgiving & Christmas
Our Approach to Quick Care: • Bronchitis, Colds, Ear Infection, Ear Wax Removal, Bladder Infection, Flu Mist, Flu Shots, Influenza, Minor Skin Irritations, Pink Eye, Seasonal Allergies, Sinus Infection, Strep Throat. • Screenings: Daycare Provider Physical, Pregnancy Test, Sports Physicals. • Immunizations: Pneumonia, Tetanus, Influenza. • No patients under 24 months. • No musculoskeletal care. • No abdominal pain workups • No non-sinus headache workups
Our Approach to Quick Care: POC Tests anticipated: Rapid Strep, Rapid Flu, Pregnancy, Urine Dip, KOH Prep. POC Tests ruled out: No Blood Sugar, No Mono-Spot Send Out Tests: GC/Chlamydia, Urine Culture, General Culture
www. mizzouquickcare. com
Where Should You Go?
Where Should You Go? Routine care for chronic illnesses & conditions, wellness exams. Primary Care Clinics Minor illness or injury not needing a physician or extensive testing or imaging. Quick Care Clinics Minor illness or injury needing a physician, limited testing or imaging. Primary Care Clinics Urgent Care Clinics Major illness or injury needing a physician, and immediate and comprehensive testing or imaging. Emergency Room
Opening Targets: Conley September 8 th Grindstone September 9 th Broadway September 15 th
What Questions Do You Have?
