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

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Presentation transcript:

Jim Boswell, MBA – VP Physician Services / BMHCC and CEO / BMG Robert 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

 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

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

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

 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

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

 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

 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

- 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