convenient care clinics a snapshot of year 1 steven w. cooley, md chief executive officer smartcare
TRANSCRIPT
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Convenient Care ClinicsA Snapshot of Year 1
Steven W. Cooley, MD
Chief Executive Officer
SmartCare
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What are Retail Clinics?Treat a limited range of common ailments, and charge a set fee for service
Located in pharmacies, grocery stores or other retail environments
Patients seen by a nurse practitioner or physician’s assistant, with physician oversight
Offer extended office hours, real time registration, and minimal wait times
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Convenient Care Clinics
Walgreen’s, Kansas City
Aurora Pharmacy, Milwaukee
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SmartCare Centers
– Fifteen(15) locations in Colorado– Open since January, 2007– 400 – 550 sq. ft. in size
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Operation
– Open 7 Days Per Week• 10 – 12 Hours Per Day
– One Nurse Practitioner– < 30 Minutes– $50 - $60
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Capital Costs / Break-even
– $600,000 per clinic• $100,000 + buildout• $20,000 equipment / supplies• $480,000 operating expenses
– 20 visits/day = breakeven• Achieved in 18 – 24 months
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Why Do Patients Go to CCC’s?
– No Appointment– Extended Hours– Choice of Day and Time
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The typical symptoms treated today…Common Adult Symptoms Treated
(Personal Visit Only)
Cholesterol testing (10%)
Allergies (11%)
Blood pressure testing (21%)Cold symptoms (20%)
Cough (14%)
Fever (9%)Headache (8%)
Immunization (15%)
Sinus infection (13%)Sore throat (14%)
Acid reflux (7%)
Annual checkup (7%)
Flu symptoms (15%)
Physical exam (7%)
Allergies (10%)
Annual Check-up (12%)
Cough (21%)
Cold/flu (38%)
Fever (11%)
Immunization (13%)
Sore throat (24%)
Common Pediatric Symptoms Treated (Personal Visit Only)
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Prescriptions
– Mostly Antibiotics– Nurse Practitioner makes no recommendation
regarding where to fill prescriptions
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What are Convenient Care Clinics NOT?
• CCCs are NOT full-service medical facilities. They provide a limited range of services.
• CCCs are NOT resources for ongoing primary care. They provide episodic care only, and patients who need follow-up care are referred to primary care providers.
Nationally, approximately 30% of CCC patients say they do not have a primary care provider that they usually go to for healthcare. In these cases, clinic staff connect patients with local primary care providers and encourage patients to develop a relationship with a healthcare home.
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Physician Oversight
– Varies by State– Collaborative Agreements– Chart Review– Onsite– Ratio
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Summary• Convenient Care is an emerging segment of the U.S. health
care industry whose rapid growth is being fueled by growing problems with access and affordability.
• Projections suggest that there will be 700-800 Convenient Care Clinics in the United States by the end of 2007.
• The CCC Business model is Affordable, Accessible, Efficient, Basic care.
• CCCs provide an entry point into the healthcare system for patients who lack a healthcare home or who have difficulty accessing traditional healthcare providers.
• CCCs are NOT full-service medical facilities, and they are NOT resources for ongoing primary care.
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