Jim Boswell, MBA VP Physician Services / BMHCC and CEO / BMG Robert Vest, JD COO / BMG

Transcription

1 Jim Boswell, MBA VP Physician Services / BMHCC and CEO / BMG Robert Vest, JD COO / BMG

2 ! Baptist Memorial Healthcare Corporation " Award Winning Network " 14 affiliate hospitals in Mid-South! Baptist Medical Group " Operational since 2010 " Over 500 providers representing 43 specialties " Physician led, professionally managed, patient-focused

3 " Rise in Retail Clinics! Exchanges make healthcare a personal and individual choice! Consumer-driven health plans, solutions and services " An on demand society! Convenient (time and location)! Reasonable costs! Use of technology " Affordable access to primary care! Shortage of primary care physicians! Need for additional providers to meet demand " Move to Accountable Care! Payers and providers are looking for total population health

4 1. Develop the most appropriate constellation of access points for patients seeking primary care services 2. Expand the ability to deliver the required continuum of care with a focus on lowcost, high quality, convenience-based primary care. Access can range from: Primary Care and Walk-in Clinics Minor Medical Centers/Urgent Care Centers Retail Clinics Primary Care Clinics

5 " Patient convenience (locations, days and hours) " Reduce fragmented healthcare services " Manage population health " Reduce cost of duplication of services " Improve continuity of care for patients " Manage chronic disease " Focus on preventative and wellness vs. episodic care

6 Walk-Ins Welcome Open 7 Days a Week with expanded hours Most Insurance Plans Accepted Nurse Practitioners and Physician Assistants Physician Collaboration and Quality Overview Treatment for Patients 7 Years and Older 11 Walgreens Retail Clinic Locations

7 # Acute Care (cold & flu, fever, sinus infections, etc) # Chronic Medical Conditions # Child Immunizations # Adult Immunizations # Annual Wellness Exam # Well Woman Exam # Employment Physicals # Sports Physicals # Flu Shots # Worker s Comp # Drug Testing/screenings # Disability Exam # Sprains/strains # Muscles aches /pains # UTI # ENT infections # GI Distress # Allergies/Asthma

8 Fee for Service Environment Risk-Sharing Environment Improved Access Overflow and after hours coverage Diversion of nonemergent ER visits Extension of primary care physician offices Extended Reach Connecting patients without a primary care provider Referral option for patients in need of specialty, diagnostic, and acute care Care Coordination High-quality, low-cost setting for care Screening, monitoring, and education of chronic care patients Decreasing preventable hospital admissions and re-admissions Expanding access to preventive services; impacting HEDIS & Stars measures Key Enablers: EMR Appointment Scheduling PCP Visit Summary Electronic Data Transmission to Healthcare Providers Source: Walgreens

9 Innovation Referral Line (Primary Care to Specialty) Mobile applications and online scheduling Electronic Medical Record connectivity APN/PA utilization (cost efficiency) Marketing Patient education on the right level of care at the right time

10 # Bi-directional Coordinated Care Assist in finding PCP and Primary Care Medical Home Defines process for patient referrals # Provider to Provider Communication Processes Patient Visit Summary via e-fax and EMR interface # Shared Clinical Metrics # Collaborating Physicians and Clinical Champions

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12 ! Targeted Disease States: " Diabetes " High Blood Pressure " Asthma " High Cholesterol " Obesity! Provide screening, education, ongoing monitoring, and education for patients in coordination with their physicians! Support the execution of the primary physician s treatment plan! Enhance patients overall well being and role in self care in order to decrease exacerbations of their illness and increase compliance! Provide visit summaries and follow-up to the patients primary physician with patient consent

13 - Provides additional points of access for patients with location & schedule limitations - Delivers lower cost care in the right settings - Improves the continuity and coordination of care - Develops experience and insights into population health management - Increases presence in strategic locations

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