“Primary care access”

“Primary care access” Jim Boswell, MBA – VP Physician Services / BMHCC and CEO / BMG Robert Vest, JD – COO / BMG

Background • 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

Trends in Healthcare • 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

The community’s need for access… • Develop the most appropriate constellation of access points for patients seeking primary care services • 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

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

Retail clinics offer patient convenience… • 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

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 • Extended Reach • Connecting patients without a primary care provider • Referral option for patients in need of specialty, diagnostic, and acute care • 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 • PCP Visit Summary • Electronic Data Transmission to Healthcare Providers Source: Walgreens

Innovation and marketing to improve efficiency and awareness… 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

Coordinated care leads to more cost effective care… • 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

Communication to patients and providers improves care…

Coordinating care helps detect and manage chronic disease… • Targeted Disease States: • Diabetes • High Blood Pressure • Asthma • High Cholesterol • Obesity • 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

Final benefits to patients and employers… • 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

“Primary care access”