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

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200

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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.