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Retail Health Informatics
What does the future hold for early adopters of health care technology? October 27, 2014
The Future of Early Adopters
• Fran Spivak, MS, RN, CPHIMS – Director Health Informatics – Healthcare Clinic – Walgreens
• Sue Brown, MSN, FNP-BC, CPHIMS – Director Clinical Informatics – MinuteClinic – CVS Health
Learning Objectives
1. Describe the history of retail health clinics
2. Discuss retail clinics’ early adoption of health care technology
3. Forecast the future trajectory of informatics in retail health clinics
Retail Clinics: History
• First Retail Clinics opened in 2000
– Minneapolis grocery store host
– Cash-only limited-service clinics
Retail Clinics: Philosophy
• Affordable, accessible, convenient care
– Transparent pricing – In-network with major
insurers – Daily, evening, and
weekend hours without an appointment
– Neighborhood retail outlets
Retail Clinics: Philosophy
• High-quality care for children and adults
– Qualified Nurse Practitioners
– Evidence-based standards of care
– Peer/collaborating physician review
– National accreditation for Quality and Safety
Retail Clinics: Current State
• 14 independent retail clinics
• 42 states
• 1,700 clinics
• 21 million visits
Retail Clinics: Future State
• 3,000 by 2016
– Effectively doubling
Retail Clinics as Early Adopters
• Electronic medical records
• Patient kiosks
• Patient portals
• Mobile technology
Trajectory of Informatics in Retail Health • Interoperability
• Population Health Management
• E-Health
– Telehealth
– Mobile Health
• Emerging Role of Pharmacist
Interoperability
• ONC: 10-Year Vision to Achieve an Interoperable Health IT Infrastructure
ONC: 10-Year Interoperability Vision • Leverage health IT to increase health care quality,
lower health care costs and improve population health
• Support health - not limited to care delivery • Build incrementally from current technology • Establish best minimum possible • Create opportunities for innovation • Empower individuals
10-Year Interoperability Vision
Population Health Management
• Chronic Disease Management
• Integrated Clinical Workforce
• Analytics
• Patient Engagement
eHealth - Telehealth
• “Use of medical information exchanged from one side to another via electronic communication to improve a patient’s clinical health status.”
American Telemedicine Association
E-Health: Mobile Health
• Mobile Applications
• Internet of Things
Emerging Role of the Pharmacist
• Collaboration, Integration and Improved Outcomes
• Opportunities to Play a Strategic Role
– Medication Management – Disease Management – Primary Care Follow-up
• HIEs
Emerging Opportunities for Nurse Informaticist
• EMR development and implementation
• Data Analytics • Interoperability • E-health
– Mobile – Telehealth
• Population Health
Contact
• Sue Brown
• Fran Spivak