Consumerism: the convenient care industry
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The document discusses the convenient care industry and issues facing the US healthcare system. It notes that healthcare affordability and availability is the top concern for many Americans. The convenient care industry aims to make healthcare more accessible and affordable through lower cost delivery models like urgent care clinics. However, the US healthcare system faces challenges of rising costs, access issues, and concerns around quality. The convenient care industry seeks to address these problems.
Consumerism: the convenient care industry
- 1. Consumerism & the Convenient Care Industry Rashid Mureed Email: [email protected]
- 2. “Availability and Affordability of healthcare” is America’s #1 concern 68% of Americans said they worried about health care a “great deal” Healthcare was a greater worry than: Social security(51%) Affordability and availability of energy Crime & violence Possibility of a terrorist attack in the US (45%) March 2006 Gallup Poll Convenient Care Industry 22 February 2020
- 3. 22 February 2020Introduction to Consumerism 3
- 4. Employers Increasing provider costs Skyrocketing costs for ER visits Expense of healthcare far outpacing inflation Lost productivity of employees with common diseases Growing expenditures for operations Consumers / Patient • Limited physician appointment availability • Long wait-times • Inflexible/Inconvenient hours for episodic care • Increasing out-of-pocket expenditures • Large population with limited / no health insurance “Healthcare System is Dysfunctional” Convenient Care Industry 22 February 2020
- 5. Physicians Capacity-constrained Lower reimbursement rates Increasing practice costs Pool of family practitioners is shrinking drastically Nurse Practitioners Underutilized “Healthcare System is Dysfunctional” Convenient Care Industry 22 February 2020
- 6. Take Care Health Systems High-quality, low-cost, highly accessible heath care delivery system Patient-centered, team-based approach Advanced information systems Focus on quality and outcomes Focus on acute, self-limited and well-defined illnesses and diseases Convenient Care Industry 22 February 2020
- 7. Value Proposition – Patient Make healthcare more convenient Provide healthcare services where the consumer lives Reduce the time it takes to access and receive healthcare services Decrease the cost of care Reduce the cost of episodic illnesses by providing services through a lower cost delivery model Enable the consumer to leverage their healthcare cost Provide a great service experience for patients Comfortable environment, compassionate service Price transparency Engage the consumer in managing their healthcare (copy of documentations/History) Convenient Care Industry 22 February 2020
- 8. Convenient Care Clinics (BHU/THQ/DHQ) Access First point of care for those without access to regular provider, those without insurance or those unable to get the care they need in a timely fashion CCCs encourage a “medical home” and serve as an entry point into the health care system Can be “first responders” for vaccines, screenings, and other health care needs Convenient Care Industry 22 February 2020
- 9. An “Innovative” Approach to Patient Care Success will depend on ability to “delight” patients Integration of critical care Advanced technology system Medical consultants: protocol guidance National Medical Advisory Board to ensure: Highest quality of care Feedback and Alignment with medical community Convenient Care Industry 22 February 2020
- 10. Services and Offerings Treatments - “Acute, Self-Limited and Well-Defined” Illness and Injury Strep Throat, Ear infections, Mono, Sinus infection, Pink eye, Poison Ivy, Ringworm, Seasonal Allergies, Urinary Tract Infection, Bite, Cold Sores, Flu Treatment, Acne, Warts, Insect Bites, Skin Rashes, Eczema etc….. Screenings Blood Pressure, Diabetes, Sports Physicals, pregnancy Vaccines Hepatitis, Tetanus, DPT, Flu, Meningitis etc. Convenient Care Industry 22 February 2020
- 11. Top Diagnostic Categories Dengue Fever Tuberculosis Diabetes Cancer Hepatitis Hypertension Intestinal Infections Viral Diseases Convenient Care Industry 22 February 2020
- 12. Market Need Public Health and Safety Issues 110 million ED visits in 2004 79M visits (72%) classified as non-emergent where the patient could have been seen in an urgent-care setting or PCP’s office 15% 72% 13% Emergent Visits Non-Emergent Unknown or No Triage Convenient Care Industry 22 February 2020
- 13. Market Need Financial and Economic Consequences Hospital perspective Lost revenues due to throughput constraints Rising costs and decreasing compensation Staff and patient satisfaction issues Purchaser’s perspective Average cost of an emergency room visit in 2004 was $560 Compared to an average charge of a physician office visit of $121 Median ED visit cost was $299 compared to the median office visit of $63 Convenient Care Industry 22 February 2020
- 14. Existing Solution Framework Hosp-based EDs Improve PCP Access Improve ED Throughput Develop ED Alternatives Improve Core Hospital Ops • Referral arrangements to PCPs • Hiring new PCPs into community • Patient education and communication • Development of Urgent Care centers • Telephone-based nurse triage • Increase ED size • Add observation beds • Fast-track units • Hire more ED staff • Re-engineer O.R. scheduling • Improve bed management • Increase # beds Access Improvements Throughput Improvements Convenient Care Industry 22 February 2020
- 15. Targeted Areas Framework Hosp-based EDs Improve PCP Access Improve ED Throughput Develop ED Alternatives • Referral arrangements to PCPs • Hiring new PCPs into community • Patient education and communication • Development of Urgent Care centers • Telephone-based nurse triage • Increase ED size • Add observation beds • Fast-track units • Hire more ED staff Convenient ED Concept Access Improvements Throughput Improvements • Absorb non-emergent patient visits • Educate patients about medical home • Refer into hospital physician base • Serve as medical home for “frequent- flyers” • Improve patient satisfaction Convenient Care Industry 22 February 2020
- 16. Taking Responsibility for Your Health Care When to Seek Help Recognize when a condition needs professional help See a professional for conditions such as serious accident or injury, adverse drug reactions, unexplained sudden weight loss, and any symptom that is unusual and recurs over time Home health tests for many conditions should not be a substitute for professional diagnosis and care Convenient Care Industry 22 February 2020
- 17. Taking Responsibility for Your Health Care Assessing Health Professionals Identify what type of help you need and where to find it. You should feel comfortable with your provider. Your provider should explain diagnosis and treatment options thoroughly and involve you in any patient care decisions. Be sure to understand coverage options. Check certifications, affiliations, availability, and whether provider shows respect and empathy for patient. Ask questions. Convenient Care Industry 22 February 2020
- 18. Choosing Health Products Prescription Drugs Prescription drug use has risen by 45 percent over the past decade. Average 45 percent people taking at least one prescription drug in a month, while 18 percent taking three or more. Generic drugs—medications contain the same active ingredients as brand-name drugs but are less expensive Distribution/discount centers Over-the-Counter (OTC) Drugs Nonprescription substances used in the course of self diagnosis and self- medication Those most commonly used are analgesics; cold, cough, allergy, and asthma relievers; stimulants; sleeping aids and relaxants; and dieting aids Convenient Care Industry 22 February 2020
- 19. Common Over-the-Counter Drugs, Their Uses, and Potential Side Effects Convenient Care Industry 22 February 2020
- 20. Common Over-the-Counter Drugs, Their Uses, and Potential Side Effects Convenient Care Industry 22 February 2020
- 21. Convenient Care Industry 21 Conventional Western (allopathic) Medicine Conventional Eastern (Homeopathic) Medicine Nurses Nurse practitioners (NPs) Physician’s assistant (PAs) Dentists Primary care practitioners (PCPs) Choices in Medical Care 22 February 2020
- 22. Issues Facing Today’s Health Care System Cost The United States spends more than any other nation; costs are over $3 trillion annually Individuals with preexisting conditions, and those who are self-employed often find themselves unable to find or afford health care. Health care expenditures are projected to grow by 6.2 percent each year, reaching over $4.5 trillion annually by 2020—nearly 20 percent of projected gross domestic product (GDP). Pakistan budget FY 2019 are 13,897 Million which is 2.6% of total GDP. Convenient Care Industry 22 February 2020
- 23. Issues Facing Today’s Health Care System Factors for High Costs Excess administrative costs Duplication of services Aging population Growing rates of obesity and inactivity & other emerging acute diseases Demand for new diagnostic and treatment technologies Inappropriate use of services by consumers 22 February 2020 Convenient Care Industry
- 24. Issues Facing Today’s Health Care System Access Access to health care depends on many factors Supply of providers and facilities Proximity to care Health status Ability to maneuver in the system Insurance coverage & Health cards Convenient Care Industry 22 February 2020
- 25. Issues Facing Today’s Health Care System Quality and Malpractice Mechanisms for safety Education Control licensing system with new regulations Certification/registration Accreditation Un announced inspection system Mistakes do happen, and deaths can occur because of medical errors. Outcome measurements access the quality of heath care at the individual level Convenient Care Industry 22 February 2020
- 26. 22 February 2020Introduction to Regulatory Affairs 26