Onsite Clinics
When optimized, onsite clinics represent a powerful lever that self-insured organizations can use to improve health and decrease costs for their populations, creating an opportunity to unleash market forces. Given the extensive quality problems in healthcare, healthcare purchasers who carefully assess both the utilization and the quality of care provided through such clinics will benefit their members most from this solution.
Onsite clinics are poised to harness market forces when:
Clinic is led by both an operational manager and a clinical leader·
Clinic team is committed to providing patients with care that is based on accurate diagnoses and is supported by evidence, and delivering this care in a way that develops patients’ knowledge, skills, and confidence to pursue such care
Clinic team meets regularly with customer to review opportunities gain more value through the clinic
Reimbursement is based on a PMPM or an annual fee rather than fee for service arrangement.
An optimized onsite clinic will be able to demonstrate their ability to reliably:
Give patients plans written in patient-friendly language that communicate:
what is wrong
agreed-upon next steps
explanation of why it is important for next steps to be pursued
Provide high quality care virtual care resulting in patients pursuing evidence-based care recommendations based on accurate diagnoses
Identify members of the population who would benefit from outreach (ie patients with unresolved problems and yet no follow-up scheduled)
Assess the extent to which patients with uncontrolled conditions (e.g. diabetes, hypertension, hyperlipidemia, obesity) improve and the extent to which patients with contolled conditions remain in that state
Use electronic specialty consultation services when appropriate
Identify, measure, and reduce low-value and unsafe practice patterns
Identify and address problematic practice patterns through effective medical director oversight, including chart review and population analytics
Learn from incidents