30
Oct 09

Retail Clinic Stars are…Allina-ing?

Interesting Developments Dept: Allina and MinuteClinic To Join Forces (Minneapolis Star-Tribune, 10/29/09)

Interesting, we feel, for four reasons:

  • Most evidence shows that integrated systems deliver better health care, and better health care value, than fragmented, purely “patient-organized” care does. The unspoken question is “can ‘thinly integrated’ systems (of which the Allina/MinuteClinic initiative may become an example) deliver much the same care quality results as more formally integrated systems like Geisinger, Kaiser, Mayo, et al?”;

  • Walmart has cautiously begun constructing a similar ‘alliance’ model with hospitals in various parts of the country – in fact, it is further along than CVS/MinuteClinic;

  • While Allina officials are suggesting that retail clinic involvement in management of chronic conditions is a long-term objective, they were careful to mention that opportunity in the announcement of this collaboration initiative;

  • Some observers (the redoubtable Tom Charland of Merchant Medicine, for instance) anticipate that MinuteClinics will be a source of direct referrals to Allina. We’re not clear how that will play out, either with those MinuteClinic visitors who already have primary care doctors, or with those who have no primary care doctor but are likely be referred to one by MinuteClinic practitioners in the course of any treatment session that produced a conversation about hospitalization – but we’re interested that people are thinking so.

10/31 EDIT: we note Wall Street Journal Health Blog’s Jacob Goldstein picked up the Allina story on Friday. The Journal is subscription-only but occasionally the odd piece makes it into the Sunday business sections of regional newspapers.


04
Oct 09

The Retail Care Revolution Will Be…Twittered (volume 2 in a series)

We’ve been using TweetBeep to learn whether, & how often, Twitterers tweet about retail health care. The early evidence tells us a variety of things:

  • tweets about emergency room treatment far, far outnumber tweets about visits to urgent care, walk-in, or retail clinics (tho for a while tweets about Beyonce’s Emergency Room (“OMG I’m spinning Emergency Room may need meds 2 recovr lol”) increased the degree of difficulty in interpreting the data);
  • Clinics are rarely referenced by brand name, & then tweeters frequently apply their own creative twists (examples: “Walgreens walk-in clinic” vs “Take Care Clinic”; “at Wgrns minute clinic waiting”; etc)
  • based on the tweet content, people are not doing a particularly good job of determining where they should be going for their retail care.

04
Oct 09

The Retail Care Revolution Will Be Televised (and Blogged, and…Volume 1 in a series)

Why on earth there are nine YouTube vid clips labeled “retail clinics” as of 10/4/09 is beyond us, but there you are.

It only today occurred to us that a nifty recurring ‘column’ here would address what real actual people are saying (and videoing, and blogging, etc) about the emergence of convenient health care alternatives. We’re quite pleased with ourselves for coming up with that notion, and look forward to adding more installments on this theme. (We’re also guessing that anyone who actually takes blogging seriously is rolling their eyes at our naivete, but we say to you, ‘whatevs, dude’).

We’ve even given this type of entry its own special category: Retail Clinics: Field Reports. Watch for more entries with that label soon.

Tara Parker-Pope’s 10/3/09 entry in her Well blog for the NY Times is the source of our inspiration this morning. When Medical Care Goes Retail (registration required; does anyone still not know that about NYTimes online?) is not exactly the most imaginative title, is itself a riff on her colleague Walecia Konrad’s 10/2/09 NYT article on retail clinics, “A Quick Trip to the Store for Milk and a Throat Swab”, and her few descriptive paragraphs on retail clinics aren’t pathbreaking by any means.

Where things get interesting is in the 70 (as of mid-morning Eastern US time, 10/4/09) responses to her closing question: “Have you used a retail medical clinic? Tell us about your experience.”

The comments are for the most part civil, though probably only 50% address actual patient experiences. As in many other such forums, a significant number of contributors are health care professionals – doctors, nurses, and physician assistants – and professionals in training, whose entries generally hew to predictable ‘party lines’; doctors expressing doubts – and fears, and occasionally derision – about the quality of care rendered by retail health practitioners, and nurses and physician assistants making the care for improvements that retail care brings in both performance relative to recognized standards and in the patient experience – their perception of having been cared for appropriately (no surprise that “prompt” enters into their implicit criteria for appropriateness more frequently than it does the physicians’). Here, though, we find the entries are in the main thoughtful and fact-based.

What do you think?


02
Oct 09

Atlantic General Plans to Open Three New Clinics

A little ray of retail clinics sunshine on an overcast East Coast Friday afternoon:

Atlantic General Partners With Pharmacy For Walk-In Clinics (Ocean City, NJ Dispatch, 10/2/09)

AGH plans to open health clinics in the Ocean Pines Rite Aid, at Manklin Creek Rd. and Route 589, as well as in Pocomoke City and Millsboro, Del….The clinics, with one nurse practitioner and two exam rooms, will open the first week of November.

In point of fact, retail clinics operators have quietly opened several new clinic locations over the past month or so.