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CONVENIENT CARE MODELS Amer Kaissi, Ph.D. 3/25/2014.

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Presentation on theme: "CONVENIENT CARE MODELS Amer Kaissi, Ph.D. 3/25/2014."— Presentation transcript:

1 CONVENIENT CARE MODELS Amer Kaissi, Ph.D. 3/25/2014

2 AMHA for Pharmacists Program, Simmons College Outline 1) Convenient care 2) Retail clinics 3) Other convenient care models 4) Future 2

3 "There's a place where ancient animals are roaming around near extinction. They are completely clueless about their future fate. Then there is Jurassic Park."

4 61% of primary care physician offices do not have an arrangement where patients could be seen after hours Schoen et al. (2009)

5 68% of emergency room visits are neither immediate nor emergent in nature Cunnigham (2011)

6 Type of visitTime Required to See Provider Actual Wait time Immediate0 min28 min Emergent15 min37 min Urgent15-60 min50 min Semi-urgent min68 min Non-urgent> 120 min76 min Government Accountability Office (2009)

7 46,000 expected primary care physician shortage by 2025 Bodenheimer (2012)

8 AMHA for Pharmacists Program, Simmons College Convenient Care Care that is cheap, effective, and delivered in more convenient settings than traditional physician offices 8

9 Disruptive Innovations

10 AMHA for Pharmacists Program, Simmons College 10 Outline 1) Convenient care 2) Retail clinics 3) Other convenient care models 4) Future 10

11 AMHA for Pharmacists Program, Simmons College Retail Clinics Walk-in clinics located in grocery stores, drugstores and general merchandise retailers Care is usually delivered by a Nurse Practitioner or Physician Assistant Up-front menu-style pricing 11

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14 Condition/TestPrice Allergy symptoms$79-$89 Earache/infection$79-$89 Blisters$79-$89 Bug bites & stings$79-$89 Asthma screening$59-$69 Physical exam$59 Sport physical$59

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16 Major Players# of clinics

17 Mehrotra et al. (2012) $66 Retail clinicl $103 Urgent care $106 Physician office $570 Emergency room Cost per visit

18 Mehrotra et al. (2009) Quality scores

19 Net Promoter Score

20 CompanyNPS Apple Hardware71% Traders Joe73% Amazon.com76% Retail Clinics80% USAA Banking83%

21 Reason for use% I didnt need to make an appointment57% It accepted my insurance46% Its location was more convenient45% It was less expensive41% I didnt have to wait too long35% It was open when the Drs office wasnt34% I dont have a regular Dr.18% 2013 Consumer Survey-RC

22 22 What would you have done today if the retail clinic was not an available option? AnswerPercentage Just wait and see 30% Go to ER 26% Go to urgent care center 18% Go to any clinic that would see me 26% Wang et al. (2012)

23 61% of patients that visit a retail clinic indicate that they dont have a primary care physician Mehrotra et al. (2012)

24 AMHA for Pharmacists Program, Simmons College 24 Outline 1) Convenient care 2) Retail clinics 3) Other convenient care models 4) Future 24

25 AMHA for Pharmacists Program, Simmons College 25 Outline 1) Convenient care 2) Retail clinics 3) Other convenient care models 4) Future 25

26 AMHA for Pharmacists Program, Simmons College Urgent Care Centers Usually free-standing At least one MD is present at the clinic all the time Care is typically delivered by MD+ NP or PA Can treat serious conditions such as sprains, strains, lacerations, contusions, fractures 26

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29 Reason for use% It was open when the Drs office wasnt54% I didnt need to make an appointment44% It accepted my insurance35% Its location was more convenient32% It was less expensive22% I didnt have to wait too long27% I dont have a regular Dr.16% 2013 Consumer Survey- UCC

30 AMHA for Pharmacists Program, Simmons College Online Health Services 24/7 access to provider Minor medical conditions Answer questions based on algorithm/protocol /text/video communication Low fee 30

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32 Example: Hello Health

33 AMHA for Pharmacists Program, Simmons College House Call Services Provider visits home/work on evenings and weekends Contracts with employers/ insurance companies Annual membership + low visit fee 33

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36 AMHA for Pharmacists Program, Simmons College 36 Outline 1) Convenient care 2) Retail clinics 3) Other convenient care models 4) Future 36

37 Prediction is very hard, especially about the future Yogi Berra

38 AMHA for Pharmacists Program, Simmons College 38 Predictions Increased utilization New models 38

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43 AMHA for Pharmacists Program, Simmons College 43 Predictions A two-tiered health care system: 1. Basic primary care delivered by NP/PA in convenient locations/ways 2. Complex primary care & specialty care delivered by MDs in more traditional locations 43

44 44 Flipping Health Care: Retail Clinics and Other Convenient Care Models Amer Kaissi


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