Justin Caldwell
- What are the benefits of doing this? Our hospital says it will cut into our ED business. The development of a hub is a great advantage to coordinating the multisite blended clinic. The emergency department did not have decreased volumes. It realized a decrease in wait times and provided more awareness of what to treat in the ED and the urgent care clinic. We have used the blended clinics to refer patients to primary care providers. Some models have realized the ability to increase volumes on the occupational side.
- Who is the medical director for this model? The role of most clinics in medical direction depends on the market. Some programs use a double medical director for UC and OHS. Joint medical directorship is very helpful.
- How do we market this model? Market to the employers first, then the general community. The responsibilities may fall on the OHS salesperson if the OHS is already established. The UC salesperson is used with the OHS salesperson when blending an established UC with OHS. A community marketer sells both the OHS and UC blended clinics.
- How do we separate the billing for insurance and retail? OHS software handles the WC and the retail business. It May require template building to cover each of the populations. The private insurance may require additional software as not all occ health software covers private insurance. Explore the development of the main EMR and the OHS software system.
- What charging structure works best? A combination model works best. You need to define the charges for each service, one for UC and one for OHS.
- How do we staff to cover all the UC patients under 18 years? Some models used are:
- 0.75 staff/patient/hour plus three clinical staff
- One provider with one MA seeing 25 patients per day
- Ancillary staff for management, sales, and additional mid-levels to cover peak hours of clinic volumes
