careworks convenient healthcare the geisinger health system experience
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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
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Retail Clinics
An innovative, growing segment in healthcare. But …
Wolves in sheeps clothing?
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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
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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
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Longitudinal Medical Management
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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
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Geisinger Building Blocks(How We Got Started)
Innovation focusOperational capacity Retailer relationshipFinancial appetitePolitical willKnow-how
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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
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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
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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
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Our ExperienceSquare peg in a round holeSite strategyConsumer marketingBrand developmentReferrals and downstream revenueNew target marketDelivering quality carePatient satisfactionPhysician acceptance
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Integrating Retail Clinics into a Local System of Care
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Continuum of Integration
Traditional Community Hospital Model
Fully IntegratedHealth System
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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
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Initial physician support (or lack thereof)
Physician leadersEmployed physiciansAffiliated physicians
FM ▪ GIM ▪ EM ▪ Peds
Size of practice
Local competition
Stage of practice
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Community Physician Liaison
Primary care physicianIndependent and localMedical community credibility
InterfaceTrouble shootQuality oversightFacilitate collaborationClinic promotion and outreach
Background
Role
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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
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Communication Tactics
Department chair meetingsMedical staff presentations Outgoing email and letterPromote awareness of medical liaison roleOutreach to individual practicesLeverage trust of health system
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Our Experience (So Far)
Physicians interested in collaborationNo detectable impact on patient visitsQuality of care not a concernImproved continuity of careWell received by patients