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Convenient Care ClinicsConvenient Care Clinics
Difference Between Difference Between Urgent Care Centers and Urgent Care Centers and Convenient Care ClinicsConvenient Care Clinics
Urgent Care ClinicsUrgent Care Clinics
• More than 8,000 Urgent Care clinics• Handle wider more urgent scope of
injuries/illnesses• 85% have at least one physician on staff
at all times• Limited hours• Urgent Care Association of America
– No convenient care clinic membership (convenient care clinic’s scope is too limited)
What is a Convenient Care What is a Convenient Care Clinic (CCC)?Clinic (CCC)?
Service Category Example of Medical Conditions
Respiratory Illness Colds Strep Throat Sinus
infections
Sore throat Bronchitis Mononucleosis
Head, Ear and Eye Condition
Headaches Earaches
Pink Eye Styes
Skin Conditions Poison ivy Rashes Skin
infections
Sunburn Acne Warts
Stomach, Digestive, and Urinary Conditions
Nausea Urinary tract
infection
Diarrhea Vomiting
Immunizations Flu Tetanus Diphtheria
Meningitis Hepatitis MMR
• Average size: 450 sq ft
• Most open 7 days a week with evening hours
• Average operating cost: $600,000/year– $75,000/site to set up
• Care given by nurse practitioner – Networked with local
physicians/hospitals in case of emergency or unusual conditions
CCC vs. Primary CCC vs. Primary PracticePractice
Characteristic Convenient Care Clinics Physician’s Office
Site Retail Outlets (pharmacies, big-box stores, grocery stores)
Physician’s office and hospital emergency departments
Current Focus of Care Acute, non-serious conditions Chronic, acute and preventative
Appointment Scheduling Walk-in Depends on physician’s availability
Diagnosis or Treatment Pathway Immediate, less than 15 minutes Defined by physician or health professional availability
Labor Input Nurse Practitioner or physician assistant Physicians
Cost per Encounter $50-$75 (Majority priced at $59) $55-$250
Technology Input Portable diagnosis equipment and electronic medical records
Varying. Minimal electronic record adoption in physician practices
CCC GrowthCCC Growth
CCC GrowthCCC Growth
•October 2006: 205 in operation
• January 2009: Over 1,000 in operation
Convenient Care Clinics in the United States
0
200
400
600
800
1000
1200
10/10/06 3/1/07 9/1/07 2/1/08 7/1/08
Clinics Open as of June Clinics Open as of June 0808
Seven Largest CCCs in U.S.
520
178
6035 25 21 14
0
100
200
300
400
500
600
MinuteClinic Take CareHealth
Systems
The LittleClinic
RediClinic Target Clinic AuroraQuickCare
QuickHealth
CCC CompetitionCCC Competition
•Wal-Mart to open 400 The Clinic at Wal-Mart sites by 2010.
•CVS has long term goal of 2,500 MinuteClinics (520 clinics as of JUN 08)
•Walgreens added 160 Take Care clinics between JUN 08 and MAR 09
Convenient Care Convenient Care AssociationAssociation
• Founded OCT 2006• 43 Members• To be a member you are required to either:
– Go through the CCA’s certification process– Be accredited through an accreditation organization– The sponsoring hospital has an accreditation
• CCA promotes common standards of practices, provides a untied voice to promote CCCs, work on reducing government opposition.
Why Customers Choose Why Customers Choose CCCsCCCs
• Convenience– No appointment necessary– Usually wait 15 minutes of less– Evening and weekend hours
• Cost– $50-$75 for most services ($55-$250 at
physician’s office)– Most insurances accepted to cover some/all
cost
Need for Additional Need for Additional CCCsCCCs
• Decreasing amount of ERs, increase in ER visits
• 99 million physician office visits for low-acuity conditions in 2005.
• 16 million ER visits classified as non-urgent in 2005.
• Non-Urgent ER visits are up 38% since 2000
Addition of CCCs to Addition of CCCs to AAFESAAFES
Why add CCCs?Why add CCCs?
1. Relieve stress on military ERs
2. Military families have been referred to outside doctors– Payments to
outside doctors: nearly $1 billion in 2006
3. Increased disease prevention and detection
4. Improve military’s health, productivity, and morale
5. Utilize Electronic Medical Records
Drawbacks to CCCsDrawbacks to CCCs
•Medical liability cases
•Potential for costly regulation through organization or government regulation
Accreditation with Accreditation with ACHCACHC
Accreditation through Accreditation through ACHCACHC
•Accreditation from ACHC means the highest level of quality– Minimize risk of medical liability lawsuits
and costly organization or government regulation
• ISO 9001:2000 certified
•Experience with health care outside of the traditional clinical settings
ReferencesReferences
• Keckley, Paul H., Underwood, Howard R., Gandhi, Malay. “Retail Clinics: Facts, Trends, and Implications.” Deloitte Center for Health Solutions.
• Zoroya, Gregg. “At U.S. military hospitals, ‘everybody is overworked.’” USA Today. 4 JUN 2007.
• Winkenwerder, William. “Draw Backs to Retail Clinics.” Deloitte Center for Health Solutions.