Orthopaedic Urgent Care Center. Charles May Jewett Orthopaedic Clinic, LLC (407)

Transcription

1 Orthopaedic Urgent Care Center Charles May Jewett Orthopaedic Clinic, LLC (407)

2 Agenda Urgent Care Concept Operational Structure Staffing Models Scheduling Customer Service Track and Report Volume Trends Financial Performance Marketing Strategies Contracting 2

3 History & Operational Structure Start up issues and questions Will it cannibalize regular day clinics? Will it attract non acute / chronic patients? Will it attract emergent patients? Will it be seen as competitor to referring MDs? How will patients perceive services from non orthopedist MD? How do we determine distribution of follow up care? MD who sees patient from AH clinic? Appropriate subspecialist? How handle / control security or safety matters? How should we position and market the new service? 3

4 Patient Access Start up issues and questions How do we handle the calls per day for injuries? How do we work the patients into full clinics? What will it do to our existing wait times? At what location? How will we staff the center? What services will we provide? How will the community perceive services from midlevel providers? Is the community prepared for this industry change? Will it be seen as competitor? How do we ensure quality? How will we supervise the midlevel's? Appropriate subspecialist? Ability to consult with PA s? How do we make the distribution of patients fair and equitable? What marketing strategies will we use? 4

5 Operational Structure Address patient access Opened a clinic for Physician Extenders to provide services Opened a new facility Hours of Operation Have a physician on site Offer ancillary services Offer all services except for back and necks Staff training 5

6 Center s History First center opened in Winter Park, May 2005 Monday Friday Hours 7:30 am to 4 pm Evening hours added August 2008 Monday & Wednesday, Hours 7:30 am to 8 pm Additional evening hours and Saturday added November 2008 Tuesday & Thursday, Hours 7:30 am to 8 pm and Saturday 9:00 am to 3:00 pm Second center opened April 2011 in Lake Mary Open the same hours as the first center 6

7 Staffing Model Clinical Staffing Physician Assistants (PAC) Nurse Practitioners (ARNP) Primary Care Sports Medicine Physician Orthopaedic Physician in the building Employee Staffing X-Ray Nursing Administrative Management 7

8 Scheduling Patient Convenience Just Walk in First Available Dual Schedules 8

9 Customer Service A WOW Experience Easy Access 9

10 Customer Service Ancillary Services Extremity MRI Physical Therapy DME Digital X-Ray Patient Engagement Referring Physicians 10

11 Volume Trends 2010 New 6, Established 3,761 Average: patients per shift New 6,810 Established 4,002 Average: patients per shift 2012 (Added another Center) Lake Mary (Opened April 2012) New 6,774 New 3,375 Established 4,745 Established 1, New 9,827 Established 6,339 Average: patients per shift 11

12 Walk-in Appointments 1200 Walk- Ins Jan Feb- 13 Mar Apr- 13 May Jun- 13 Jul Aug- 13 Sep- 13 Oct- 13 Nov- 13 Dec

13 Return Appointments 800 Return Pa0ents Jan- 13 Feb- 13 Mar- 13 Apr- 13 May- 13 Jun- 13 Jul- 13 Aug- 13 Sep- 13 Oct- 13 Nov- 13 Dec

14 Walk-ins and Return Appointments Jan- 13 Feb Mar- 13 Apr- 13 May Jun- 13 Jul Aug- 13 Sep- 13 Oct Nov- 13 Dec Walk- ins Return PaHents 14

15 Financial Performance Revenue (per patient) $240 Operating Expense (per patient) $61 - $126 Payer mix favorable Medicare 11% vs 21% regular clinics Patient payments 3% Deposits $250 $600 FTE s per provider MGMA 3.62 Net income ~ $2.3 million Per MD ~ $100,000 Ancillary revenue ~ 11,252 per Shareholder 15

16 Incentives and Compensation Staffed by PAC s, ARNP s, Primary Care Sports Medicine Incentives: Work Saturday ~ off on Friday Paid 4 extra hours for working Saturday Compensation Base salary $100,000 to $125,000 Production Bonus ~ 10% Physician Supervision Sub specialized $20,000 per year 16

17 Marketing Strategies Word of Mouth Workers Comp Insurance Companies 17

18 Marketing Strategies Primary Care Office Printed Material Direct Marketing Digital Billboard Radio Schools 18

19 Contracting Get Your Payer on Board Highlight the Importance Time Saver Alternative to Emergency Room Cost Containment Contract Language Indirect Supervision Provider Numbers Patient Satisfaction 19

20 Questions 20