Upload
others
View
3
Download
0
Embed Size (px)
Citation preview
1
Careworks Convenient HealthcareThe Geisinger Health System ExperienceNational Retail Clinic Summit - Philadelphia 3.1.10
Dean Q. LinCEO, Careworks Convenient HealthcareVP, Business Development, Geisinger Health System
2
Retail Clinics
An innovative, growing segment in healthcare. But …
Wolves in sheeps clothing?
3
Retail Clinics
An innovative, growing segment in healthcare. But …
Fragmentation of carePossible effects on quality of careAccess to health record with pertinent patient informationImpact on medical home model
4
Geisinger Health System
Careworks Convenient Healthcare
Non-Geisinger Physicians With EHR
Last updated 07/09/09
Geisinger ProvenHealth Navigator SitesContracted ProvenHealth Navigator SitesGeisinger Medical GroupsGeisinger Specialty Clinics
Geisinger Inpatient FacilitiesAmbulatory Care Facility Geisinger Health System Hub and Spoke Market AreaGeisinger Health Plan Service Area
5
Longitudinal Medical Management
6
Geisinger Careworks
Retail and worksite clinics powered by Geisinger’s EMRFounding board member of Convenient Care Association 10/06Alliance with Lehigh Valley Health 9/08Provide consulting and management services to other health systems
7
Geisinger Building Blocks(How We Got Started)
Innovation focusOperational capacity Retailer relationshipFinancial appetitePolitical willKnow-how
8
Investment Rationale
Clinics will open in the community, with/out usBeing on the offensive offers upside potential Being on the offensive also provides a strong defensePresence of kiosks could allow for reduced physician requirements during off hours
9
Time Required for Primary Care of Patients
Hours/Day
Acute Care 4.6Preventive Care 7.4Chronic Care 10.6
22.6
10 Source: 2009 Survey of Health Consumers, Deloitte Center for Health Solutions
11 Source: 2009 Survey of Health Consumers, Deloitte Center for Health Solutions
12
46% open to non-traditional care
Source: 2009 Survey of Health Consumers, Deloitte Center for Health Solutions
13 Source: 2009 Survey of Health Consumers, Deloitte Center for Health Solutions
Opportunity for patient activation
14
Our ExperienceSquare peg in a round holeSite strategyConsumer marketingBrand developmentReferrals and downstream revenueNew target marketDelivering quality carePatient satisfactionPhysician acceptance
15
Integrating Retail Clinics into a Local System of Care
16
Continuum of Integration
Traditional Community Hospital Model
Fully IntegratedHealth System
17
Force Field Analysis
Access constraints
Consumers
Competition
Healthcare reform
Physician resistance
Execution risk
Focus
Plan: Collaborate with a like-minded health system with retail clinic experience
18
Initial physician support (or lack thereof)
Physician leadersEmployed physiciansAffiliated physicians
FM ▪ GIM ▪ EM ▪ Peds
Size of practice
Local competition
Stage of practice
19
Community Physician Liaison
Primary care physicianIndependent and localMedical community credibility
InterfaceTrouble shootQuality oversightFacilitate collaborationClinic promotion and outreach
Background
Role
20
Development Principles
Focus on services that are least threatening to PCPs and build trustMake respect for patients medical home tangibleIdentify physician communication preferencesFollow-through on communication promise
21
Communication Tactics
Department chair meetingsMedical staff presentations Outgoing email and letterPromote awareness of medical liaison roleOutreach to individual practicesLeverage trust of health system
22
Our Experience (So Far)
Physicians interested in collaborationNo detectable impact on patient visitsQuality of care not a concernImproved continuity of careWell received by patients