Sunday, June 16, 2013
TREATMENT TRENDS: SPEED, CONVENIENCE, THE AFFORDABLE CARE ACT BEHIND THE INCREASE OF WALK-IN CLINICS
A handful of latest urgent-care, walk-in medical clinics have opened within the Chattanooga space this year, a part of a nationwide revivification in quick-care quality that's expected to double the amount of retail clinics within the u. s. by 2015.
Retail clinics square measure fit to carve out a robust niche in today's health care surroundings, partly thanks to the surge in new insured those that the reasonable Care Act can produce and partly as a result of Americans square measure more and more centered on convenience and speed.
A study discharged last week by world business firm Accenture predicts that the amount of health clinics can grow by twenty five to thirty p.c annually for successive 2 years and can be able to accomodate ten.8 million patient visits annually by 2015.
In the Chattanooga region, a gaggle of Cleveland, Tenn., people opened 3 new imperative care clinics in March. And within the next 5 years, the group, DX Management, needs to sharply expand their Doctors categorical locations, aforesaid principal Jack Fromm.
"We'd be discomfited if we have a tendency to weren't at twenty or additional within the general region," he said. "We might reach up to urban center and down into North Georgia."
The existing Doctors categorical sites in Hixson, Chattanooga and Cleveland will handle imperative care, X-Rays, lab work, immunizations -- nearly something that is not dangerous, he said. The clinics forever have a doctor on-site and pitch themselves as a quicker, cheaper possibility than the ER throughout nonbusiness hours or weekends.
So far, business has been smart, Fromm said.
"Better than expectations," he said. "And extremely that is a sign that there was a necessity for our sort of service."
That need can solely get stronger once the reasonable Care Act pumps innumerable new insured folks into the market, consistent with Accenture. Retail medical clinics, typically thought of a challenger to medical care suppliers and hospitals, could become a crucial unharness valve to assist ease the extra load of patients.
"Now, the terribly clinics once perceived as rivals could represent a key tool for managing patient volume whereas additional standard health suppliers concentrate on higher acuity and additional advanced treatments," the Accenture report reads.
Doctors categorical are not the sole ones designing a fast growth. CVS/pharmacy's MinuteClinics also are doping up across the country. the corporate has extra two hundred MinuteClinics, that square measure staffed by nurse practitioners and doctor assistants, throughout the last 2 years, and plans to open another one hundred fifty throughout 2013.
A new MinuteClinic in Hixson opened in could and CVS expects to possess one,500 MinuteClinics open by 2017 aforesaid voice brant Burkhardt.
"We face mounting provide and demand problems in medical care and significant changes in our attention system," aforesaid Apostle Sussman, president of MinuteClinic, during a ready statement. "Massachusetts has already enforced a number of the reforms and provides an image of what we would expect. Despite having the best variety of medical care physicians per capita, wait times for medical care doctor appointments still rise. Massachusetts is one amongst our quickest growing MinuteClinic states."
Rae Bond, decision maker of the Chattanooga-Hamilton County Medical Society, aforesaid that additionally to the continued growth of quick-care facilities, she conjointly expects to examine ancient medical care suppliers build changes to handle the inflow.
"I assume you may see each additional of the fast care, however conjointly a movement for medical specialty care and first to expand hours and become even additional accessible," she said. "You'll see additional practices adding some doctor extenders like doctor assistants or nurse practitioners and dealing to be additional versatile in their planning."
It's necessary, she added, that patients do not use places like MinuteClinics or Doctors categorical to switch their medical care doctor.
"There is large price in having a customary medical care home," she said. "Especially for medical specialty, they need your records, they apprehend what your medication allergies square measure -- if you split your medical aid between offices, it's aiming to be plenty harder to stay up with the main points of the care you are receiving. one amongst the hazards of those fast care places is that it will extremely interrupt that continuity of care."
Fromm aforesaid the goal of Doctors categorical is to figure with medical care suppliers.
"Because there's a shortage of physicians, particularly during a medical practice, they are blown away by the work they need to try and do," he said. "So we wish to be an answer. we wish to figure hand-in-hand with medical care physicians."
But so as for this kind of hand-in-hand cooperation to happen, the means medical care suppliers and retail clinics move can have to be compelled to modification dramatically from the previous few years, the Accenture study highlights.
After many years of growth, the amount of latest retail clinics stalled in 2009 and has remained essentially flat till this year, the study found. Clinics saw low patient volumes and most medical care suppliers did not refer patients to retail clinics.
"This was no accident," the study reads. "Until recently hospitals and first care suppliers wide regarded the clinics as a serious threat to their business models and worked onerous to undermine the new clinics' public standing."
Bond aforesaid she sees the potential of fast care facilities, however extra that the standard of care varies from place to put.
"Our massive concern is continuity of care, which you've got the acceptable level of care obtainable to you," she said.
Fromm aforesaid he thinks having a doctor on-site whenever a Doctors categorical location is open sets the clinics except for places like CVS's MinuteClinics and ensures that the standard of care is high.
"We need to be the after-hour answer, the manifestation answer," he said.
"We are often the weekend answer, and we'll communicate all that info back to the first care supplier."
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