Bringing Health Care To Employees Where They Work Shop

							      MBGH Learning Network

Bringing Health Care To Employees Where
          They Work & Shop:
  Advances in Worksite & Retail-Based
    Health Clinics & Health Centers
                  June 13, 2007
          DrinkerBiddle, Chicago, Illinois

   This program is made possible by a grant from
For those present…
• Please silence your…
  –   Pagers
  –   Cell phones
  –   Blackberries
  –   IPods
  –   X-Boxes/ Game Boys
  –   Other noise making devices or colleagues


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And for those on the web
and phone…
• Be aware your telephone is an open microphone and we want to
  allow all to hear the program, not office music, so…
   – Please place your phone or speakerphone on MUTE,
      not HOLD, during the program

• Let us know if you can’t hear the speakers

• Questions can be emailed to us or you can speak up during the
  Q & A sessions at end of the formal talks

• When asking a question, please identify yourself

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Special Thanks
• Novartis
• DrinkerBiddle
• MBGH Staff
  – Lori Hurtt
  – Cheryl Larson
  – Jessica Westhoff



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      MBGH Learning Network

Bringing Health Care To Employees Where
          They Work & Shop:
  Advances in Worksite & Retail-Based
    Health Clinics & Health Centers
                  June 13, 2007
          DrinkerBiddle, Chicago, Illinois

   This program is made possible by a grant from
Employer clinics began in the
early 1990’s
• Goodyear, Deere & Co., Bethlehem Steel and Quad/Graphics were
  among the first to offer onsite medical and pharmacy services
• Employer-owned health centers were built by large employers, with
  union support, having 5000-10,000 employers in a single location
• Most were located primarily in rural communities, in the plant or
  nearby
• Many were built to respond to high managed care costs or limited
  access to primary care
• The clinics were staffed by local or contracted Family Physicians
  overseeing allied personnel
• Some were integrated with occupational health centers, other distinctly
  separate to avoid the perception of being treated by “company
  doctors”
• Rural centers were often utilized by 50-60% of employees for primary
  care, lab work, emergencies, minor surgeries and wellness programs
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Early Concerns
• Growth was limited, as employers expressed concerns about:
  – Cost
  – Medical liabilities
  – Local physician opposition
  – Difficulty getting hospital privileges for clinic doctors
  – Lack of integration with the “preferred” medical network
  – Logistics of running and staffing the center
  – Having sufficient workforce numbers in sites to make the
    expense worth the return
  – Not core business

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Today a different look
• About 25% of Fortune 1000 employers are revisiting the onsite clinic solution
   – To reduce medical, workers comp and pharmacy costs
   – To improve quality
   – To enhance preventive care and compliance with DM programs
   – To offer prescriptions
   – To provide convenient resources and reduce absenteeism
   – To offer an added benefit and recruitment feature
• More affordable center options are now being offered, making it available for
  employers with smaller populations
   – Centers staffed only by allied personnel
   – Operations managed by outside firms, under a fixed fee, who assume
     liability and other costs
   – Enables employer to focus on core business



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Now, a new player has come
into town




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Retail clinics: Meeting today’s
consumer’s medical needs
• Consumers demand more convenience in their medical care
   – Late and weekend hours
   – Easy access
   – Shorter wait times
   – Lower prices
• New vendors are offering limited medical services through retail
  locations
   – Grocery stores (Hannaford Brothers)
   – Pharmacies ( Walgreens, CVS)
   – Large retail stores (Wal-Mart, Target)
• Some retail centers independent of medical community, some
  with ties or managed by medical groups
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What lies ahead?
• Onsite and retail centers serve uninsured
• Organized medicine legislatively challenging “quality” and
  “safety” of centers
• Centers create another fragmentation of our “unorganized”
  system of care
• Lack of centralized medical information system could cause
  problems
• Retail centers as mini emergency rooms?
• Target offering imaging centers?



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      MBGH Learning Network

Bringing Health Care To Employees Where
          They Work & Shop:
  Advances in Worksite & Retail-Based
    Health Clinics & Health Centers
                  June 13, 2007
          DrinkerBiddle, Chicago, Illinois

   This program is made possible by a grant from