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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. Objectives. On-Site Clinic Goals Scope of Services Who has On-Site Clinic’s Special Considerations Costs
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Employer Based Medical ClinicsAre they right for my organization ? Memphis Business Group on Health David Cummings RN, MHSA, FACHE MLH On-Site August 21,2014
Objectives • On-Site Clinic Goals • Scope of Services • Who has On-Site Clinic’s • Special Considerations • Costs • How Do you measure success ? • Wrap-up
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
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
Clinic Scope of Services • Health Screenings • HRA completion areas • Nutrition counseling • Health coaching/disease management • Fitness centers/Physical therapy • Ergonomic Assessments
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
Clinic Considerations • 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?
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
Measurements of Success • Operational Measures • Efficiency Measures • Employee Satisfaction • Cost Savings • Patient/Employee Health Status
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
5 Keys to Successful On-Site Clinics • Provide Attractive Incentives for Utilization • Take Privacy and Confidentiality Issues Seriously • Practice Effective Communication and Awareness Building • Demonstrate a Top-Down Commitment to Wellness • Pick the Right Clinicians/Partners Adapted from HNI University
Thanks • David.Cummings@mlh.org • www.mlhonsite.com • www.methodisthealth.org