evolution in health care delivery- urgent care centers ppp
TRANSCRIPT
HCS/531 Health Care Delivery in America
Jennifer Culotta RN, PhD
March 4, 2013
Learning Team BAlison Cayson
Debbie Fernando
Elizabeth McCarthy
Gina Kelly-Vasquez
Heidi Fawcett
United States health care system always evolving
Many factors influence system and force change.
The recession spurs reemergence of urgent care centers.
MedExpress: A case study.
Prior to 1800
•Insufficient knowledge, qualifications, and skills
•Foundation was the Greek principle of the “four humors”
Late Colonial Period ; early 20th century
•Introduced medical degrees and scientific training
•Physicians began charging for services
•National and private health insurance
Post World War II
•Technology advancement
•Introduction of institutions and programs
•Fee-for-service replaced by managed care
•Readily available health information
•Developing consumers’ role
MedExpress Urgent Care Center
Demographics (Two Centers)•Located in the Suburbs of Nashville, TN
•Southeast
•Northwest
Services
Physician on site
Patient Protection and Affordable Care Act (PPACA)
•Physician Shortages
•Aging population growing
•Higher Pharmaceutical costs
•Decreased Medicare Reimbursements
“Accountable Care Organizations”
•Transparency in Efficiency
•Stricter Rules
•Established clinics revamp practices
•New clinic open targeting a niche
Real Impact • Immediate Care
• Licensed Professionals
Perceived ImpactThink facility can replace PCP• Long Waiting times• Low Quality Care
Positive ImpactQuick serviceHigh Quality Care
Negative Impact• Some may feel rushed• May rely on urgent care centers –should establish PCP
Health Information Technology & Terms: -Computerized Provider Order Entry (CPOE) -Clinical Decision Support System (CDSS) -Electronic Materials Management (EMM) -Automated Dispensing Machines (ADMs) -Radio Frequency Identification (RFID) -Bar Coding -Picture Archiving & Communications System (PACS) -Electronic Health Records (EHRs)
Interoperability
Integrated Electronic Health
Records (EHR)s
Secure, and Privacy Safeguards
Between Systems
Quality Indicators for Easy Access•Walk in Service•Extended Hours•Affordable•Family Physicians
Levels of Service•Doctors Office
•Retail Mini Clinics
•Emergency Rooms
Responding to a changing health care system
Urgent care is becoming more of a demand in the United States
• 3-4% growth rate from 2008
• Speed and convenience
Diverse consumer group
Costs
Access
Involvement of insurance companies
Relationship with primary care
Health care changes continue
•Technology
•Increase aging population
Entire system must adjust
The goal
•High-quality
•Effective care
•Long-term care
•Maintain HIPPA
CDC, (2006). National Hospital Ambulatory Medical Care Survey’s, Emergency Department summary. Retrieved from, http://www.cdc.gov/nchs/data/nhsr/nhsr007.pdf
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Medpac.gov (2004). Information technology in healthcare. Retrieved from http://www.medpac.gov/publications%5Ccongressional_reports%5CJune04_ch7.pdf.
Medexpress, (2013). Why medexpressWhat is urgent care?. Retrieved from, http://www.medexpress.com/why-medexpress/what-is-urgent-care.aspx .
Merritt Hawkins, (2009). Merritt survey study. Retrieved from,http://www.merritthawkins.com/pdf/mha2009waittimesurvey.pdf.
Simmons, R. (2013, Feb 19). MedExpress staff ready for patients. McClatchy - Tribune Business News. Retrieved from http://search.proquest.com/docview/1288879285?accountid=35812.
Urgent care association of America. (2012). Retrieved from http://www.ucaoa.org/index.php.