Retail Health Informatics

What does the future hold for early adopters of health care technology? October 27, 2014

The Future of Early Adopters

• Fran Spivak, MS, RN, CPHIMS – Director Health Informatics – Healthcare Clinic – Walgreens

• Sue Brown, MSN, FNP-BC, CPHIMS – Director Clinical Informatics – MinuteClinic – CVS Health

Learning Objectives

1. Describe the history of retail health clinics

2. Discuss retail clinics’ early adoption of health care technology

3. Forecast the future trajectory of informatics in retail health clinics

Retail Clinics: History

• First Retail Clinics opened in 2000

– Minneapolis grocery store host

– Cash-only limited-service clinics

Retail Clinics: Philosophy

• Affordable, accessible, convenient care

– Transparent pricing – In-network with major

insurers – Daily, evening, and

weekend hours without an appointment

– Neighborhood retail outlets

Retail Clinics: Philosophy

• High-quality care for children and adults

– Qualified Nurse Practitioners

– Evidence-based standards of care

– Peer/collaborating physician review

– National accreditation for Quality and Safety

Retail Clinics: Current State

• 14 independent retail clinics

• 42 states

• 1,700 clinics

• 21 million visits

Retail Clinics: Future State

• 3,000 by 2016

– Effectively doubling

Retail Clinics as Early Adopters

• Electronic medical records

• Patient kiosks

• Patient portals

• Mobile technology

Trajectory of Informatics in Retail Health • Interoperability

• Population Health Management

• E-Health

– Telehealth

– Mobile Health

• Emerging Role of Pharmacist

Interoperability

• ONC: 10-Year Vision to Achieve an Interoperable Health IT Infrastructure

ONC: 10-Year Interoperability Vision • Leverage health IT to increase health care quality,

lower health care costs and improve population health

• Support health - not limited to care delivery • Build incrementally from current technology • Establish best minimum possible • Create opportunities for innovation • Empower individuals

10-Year Interoperability Vision

Population Health Management

• Chronic Disease Management

• Integrated Clinical Workforce

• Analytics

• Patient Engagement

eHealth - Telehealth

• “Use of medical information exchanged from one side to another via electronic communication to improve a patient’s clinical health status.”

American Telemedicine Association

E-Health: Mobile Health

• Mobile Applications

• Internet of Things

Emerging Role of the Pharmacist

• Collaboration, Integration and Improved Outcomes

• Opportunities to Play a Strategic Role

– Medication Management – Disease Management – Primary Care Follow-up

• HIEs

Emerging Opportunities for Nurse Informaticist

• EMR development and implementation

• Data Analytics • Interoperability • E-health

– Mobile – Telehealth

• Population Health

Contact

• Sue Brown

– susan.brown5@cvscaremark.com

• Fran Spivak

– frances.spivak@walgreens.com