“PRIMARY CARE ACCESS”

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

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

Background

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

Trends in Healthcare

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 low-cost, 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

The community’s need for access…

Impacting the cost and quality of care…“Access and Care Coordination”

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

• 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

Retail clinics offer patient convenience…

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

Provide patient services…

Retail clinics extend primary care access

Fee for Service Environment

Risk-Sharing Environment

Improved Access• Overflow and after hours

coverage • Diversion of non-

emergent ER visits• Extension of primary care

physician offices

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

• Electronic Data Transmission to Healthcare Providers

• PCP Visit Summary

Extended Reach• Connecting patients

without a primary care provider

• Referral option for patients in need of specialty, diagnostic, and acute care

Source: Walgreens

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

Innovation and marketing to improve efficiency and awareness…

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

Coordinated care leads to more cost effective care…

Communication to patients and providers improves care…

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

Targeted Disease States:

Diabetes

High Blood Pressure

Asthma

High Cholesterol

Obesity

Coordinating care helps detect and manage chronic disease…

- 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

Final benefits to patients and employers…