1. Employer Based Medical Clinics Are they right for my organization ? Memphis Business Group on Health David Cummings RN, MHSA, FACHE MLH On-Site August 21,2014

2. Objectives 1.On-Site Clinic Goals 2.Scope of Services 3.Who has On-Site Clinic’s 4.Special Considerations 5.Costs 6.How Do you measure success ? 7.Wrap-up

3. On-Site Clinic Goals Reduce lost time and improve productivity Improve health outcomes-promote wellness Improved access and convenience Keep employees out of the ED Decrease overall healthcare costs Decrease in Workers Comp reportables Control medication expenses Recruitment tool

4. Scope of Services Treat urgent care complaints Workers Compensation Services Medication Dispensing Specialty referrals to high quality in network providers Travel medicine Extension of patients medical home

5. Clinic Scope of Services Health Screenings HRA completion areas Nutrition counseling Health coaching/disease management Fitness centers/Physical therapy Ergonomic Assessments

6. Who Chooses On-Site Clinics Geographic areas facing primary care shortages or low PCP utilization Those with high ED utilization Better ROI for more mature, high retention workplaces Employers who offer a high deductible plan

7. Who is eligible to use the clinic Employees Spouse/Partner - Dependent Children Retiree’s/Spouses Clinic Location On-Site Near-Site Charges Out of pocket expenses Do you share the clinic with another local company? Clinic Considerations

8. Cost of On-Site Clinics Single largest expenditure is for labor Nurse Practitioner Medical Assistant Ancillary services are also large drivers of cost but also savings. Pharmacy Physical Therapy X-Ray Laboratory

9. Measurements of Success Operational Measures Efficiency Measures Employee Satisfaction Cost Savings Patient/Employee Health Status

10. Picking the Right Partners We are not McDonalds Need Connections with the local medical community – Accountable Care Organizations, Patient Centered Medical Home, Payers Experienced in On-Site Services

11. 5 Keys to Successful On-Site Clinics 1.Provide Attractive Incentives for Utilization 2.Take Privacy and Confidentiality Issues Seriously 3.Practice Effective Communication and Awareness Building 4.Demonstrate a Top-Down Commitment to Wellness 5.Pick the Right Clinicians/Partners Adapted from HNI University

12. Thanks David.Cummings@mlh.org www.mlhonsite.com www.methodisthealth.org