Employer Based Medical ClinicsAre they right for my organization ?

Memphis Business Group on Health

David Cummings RN, MHSA, FACHEMLH On-Site

August 21,2014

Objectives1. On-Site Clinic Goals2. Scope of Services3. Who has On-Site

Clinic’s4. Special Considerations5. Costs6. How Do you measure

success ?7. 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

• 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?

Clinic Considerations

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 Clinics1. Provide Attractive Incentives for Utilization2. Take Privacy and Confidentiality Issues

Seriously3. Practice Effective Communication and

Awareness Building4. Demonstrate a Top-Down Commitment to

Wellness5. Pick the Right Clinicians/PartnersAdapted from HNI University

Thanks• David.Cummings@mlh.org

• www.mlhonsite.com

• www.methodisthealth.org