building a culture of health: cvs health and...

12/5/2016

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Building a Culture of Health:CVS Health and MinuteClinic

Angela Patterson DNP, FNP-BC, NEA-BC

Chief Nurse Practitioner Officer, MinuteClinicVice President, CVS Health

About

Purpose-driven company: Helping people on their path to better health

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Omnicare

© 2016 CVS Health Confidential & Proprietary

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THE MEDICAL CLINIC OF CVS

HEALTH AND LEADING RETAIL

CLINIC PROVIDER IN THE

UNITED STATES.

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4©2015 CVS Health and/or one of its affiliates: Confidential & Proprietary

MinuteClinic provides increased, convenient

access to quality, affordable care

1,100+Full-time clinics

in 33 states and D.C.

3,000+Providers (NPs/PAs)

nationwide

Walk-in care,

7 days a week including evenings

Up to 80%savings over higher

costs of care

92% overall patient satisfaction

70+major health system

affiliations

Largest retail clinic provider: More than 32 million visits since inception

THE FIRST RETAIL HEALTH CARE PROVIDER TO BE

FULLY ACCREDITED BY THE JOINT COMMISSION

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Retail Healthcare Services

HEALTH CONDITION

MONITORING

PREVENTIVE CARE

AND SCREENINGS

• Practitioners treat and prescribe medications for common illnesses, minor injuries and skin conditions

ACUTE CARE

WELLNESS

• Comprehensive health screenings are available to identify high blood pressure, high cholesterol and diabetes

• Practitioners perform camp, sports, administrative, Department of Transportation and college physicals, and administer vaccinations

• Convenient monitoring services and patient education to help members better manage existing conditions

• Access to face-to-face health improvement programs (Examples: smoking cessation, weight loss, etc.)

6©2015 CVS Health and/or one of its affiliates: Confidential & Proprietary©2014 MinuteClinic. All rights reserved. CVS Health confidential and proprietary information. Not for distribution.

Filling the Gap & Providing Additional Access Points

PCP Emergency Department

Urgent CareMinuteClinic

Offer value through integrated care delivery across health care

continuum

Minor Illnesses

Chronic, Wellness

Urgent

Severe

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Collaborate with

Health Systems & PCPs:Collaboration

& Integration

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Patient-Centric Retail Health Care:

Strategic Pillars

National

Footprint:Provider Presence

on a National Scale

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Tele-Health:Reach

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Advancing Clinical

Services:Common Chronic Diseases,

Health & Wellness

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National Care Delivery PlatformNational Care Delivery Platform

Supporting Primary CareSupporting Primary Care

Our Clinical Affiliations Enhance Quality,

Access and Continuity of Care

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TeleHealth: Continuing to Innovate

Access to Care Delivery

High Definition Video, High Fidelity Audio

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TeleHealth Visit Compared to

a Traditional Visit

Jennifer M. Polinski, ScD, MPH, et al. Patients’ Satisfaction with and Preference for Telehealth Visits. Journal General Internal Medicine. Published Online 13 August 2015.

TELEHEALTH VISIT COMPARED TO A TRADITIONAL VISIT

34%

61%

4%1%

BETTER THAN A

TRADITIONAL

VISIT

JUST AS GOOD AS

A TRADITIONAL

VISIT

NOT SURE WORSE THAN A

TRADITIONAL

VISIT

n = 2,383

95% Just as good/

Better than a

traditional visit


MinuteClinic: fully accredited by the Joint Commission since 2006

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Comparing Cost And Quality Of Treating Common Illnesses Across Medical Settings

Notes: N = 2,100 care episodes compared across venues. Aggregate quality scores based on 14 objective measures of quality.Source: “Comparing Costs and Quality of Care at Retail Clinics With That of Other Medical Settings for 3 Common Illnesses,” Ann Intern Med. 2009;151:321-328.

Quality Indicators

Emergency Departments

Physician Offices

Urgent Care

Retail Clinic

55%

61%

63%

64%

Emergency Departments

PhysicianOffices

Urgent Care

Retail Clinic

$544

$145

$134

$89

Cost Per Episode

Non Pharmacy Cost Pharmacy Cost

$26

$21

$22

$21


Quality Of Care For 3 Common Conditions

• Study of 75K episodes of care with severity matched controls• Retail clinics performed better than Ambulatory Primary Care Visits and

Emergency Departments Visits across all quality measures

Publication (2014): The quality of care received at retail clinics for three common conditions (Shrank WH et al.; American Journal of Managed Care, Vol. 20; pages 794 – 801,2014)

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Evidence Based PracticeAvoidance of Antibiotics in Bronchitis: HEDIS

0 10 20 30 40 50 60 70 80 90

Sanford Clinic

Mankato Clinic

Innovis Health (Essentia Health West)

Park Nicollet Health Services

CentraCare Health System

Quello Clinic

St. Luke's Clinics

Allina Health System

HealthEast Clinics

Altru Health System

Ridgeview Clinics

Mayo Clinic (Main)

Fairview Health Services

University of Minnesota Physicians

HealthPartners Clinics

Burnsville Family Physicians

MinuteClinic

PercentMedical Group Average = 20%

Retail Clinics

Source: 2012 Health Care Quality Report available from http://mncm.org

Working to

Build a Culture of HealthANTIBIOTIC STEWARDSHIP

MILLION HEARTS CAMPAIGN

IMPROVE HEALTH LITERACY

HEALTH CARE INTEROPERABILITY

HYPERTENSION IDENTIFICATION

CHRONIC DISEASE MANAGEMENT

HIV AND HEPATITIS C SCREENING

IMMUNIZATION AGAINST COMMUNICABLE DISEASES

SMOKING CESSATION

WEIGHT REDUCTION

NARCOTICS-FREE PRESCRIBING

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Thank you

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