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    A second look at retail clinics

    October 4th, 2006

    by Tony Chen

    Previously I joined with others in predicting that the number of retail clinics will be in the thousands in 18 months or so. Consumerism is too strong of a force. Simple, quick, convenient healthcare is way too compelling to pass up. I'm still a believer.

    But, let's not forget that it's still a retail business and is ruled by the laws of retail business models - location, location, location.

    Case in point: Take Care is in the process of closing down all 10 of their clinics in Portland. I might be reading between the lines here, but it seems like they didn't want to pilot there to begin with, but their partners at Rite Aid convinced them. Portland is a good-sized 2nd-tier American city. The only problem is that people are really healthy there and have good access to doctors already.

    One more thing to consider - Target decided to part ways with MinuteClinic even after a great 2.5 year partnership. MinuteClinic was quickly bought up by CVS. Again, read through the link here, I may be reading between the lines too much. It sounds to me that Target's not fully bought into the concept yet - it's still in pilot stage. Did MinuteClinic really want to grow faster than Target was comfortable with?

    So, to recap:
    - money is still POURING into retail clinics
    - hundreds of clinics will be opening within the next 6-12 months
    - it smells like a landgrab situation, with lots of clinic operators partnering with national big-box retailers
    - Like any retail business, location, location, location still applies

    In the 1980s, every hotel trying to just stay in the game had to have a pool (and now in 2006, every decent hotel has to have a spa). Same situation here? Any retailer worth anything will have to have a little health clinic? You live down the street from Target and Wal-Mart. One has one, the other doesn't? Is that enough to change your mind?

    For me, definitely, if I need something there.

    So if the retail clinic is like the hotel pool of the 1980s, what is like the hotel spa? In 2010, once most retailers have a clinic, how will they continue to differentiate their stores? "Today, we are offering a $100 winterization treatment, which includes your flu shot, a 15-minute massage, the new designer scarf, a hot chocolate at our in-store cafe, and a discount on this family package of cold medicines."

    Comments:

    Comment from: Lavinia Weissman [Visitor] · http://www.workecology.com/redesign2
    Hello Tony,

    Actually, futurists have predicted that fewer people will go to a "Rite Aid" first and try an over the counter solution before they go to a clinic. Now we have the "Whole Foods" solution where a cordial person with some education can advise someone on what over the counter treatment might work.

    Portland has a high density of LOHAS consumers (lifestyle of the health and sustainable) that can be assumed based on their wide spread environmental practices and density of organic farming.

    It's an interesting dichitomy to think about and then translate into thinking about consumer need of hospitals.

    I would love to hear from people outside major cities dominated by teaching hospitals to learn more about how they see the role of the community hospital and how the growing size of LOHAS consumers will influence community changes.

    There is a growing system of thought now appearing in Boston with Beth Israel Deaconess Hospital Decision to raise $350m in philanthropy to devise community programs while its competitors at Brigham and Women's (Partners) keep raising money to grow more buildings.

    I don't think we have tackled the ambivalence we have in the US to look at redefining the use of a hospital bed. I believe Dr. Bill Thomas with his efforts supported by the Heinz Foundation and Robert Wood Johnson F oundation is going to push the envelope on this with the building of Green Houses for the baby boomers that keep them active and out of nursing homes. It maybe this growing initiative of cullturea and change will push the hospitals to rethink the shape and substance of their building strategies into community centers of care.

    One group (I believe) in Louisianna already tore down nursing home beds and replaced Green Houses on its propertis. Good food for thought, here.

    I am now playing with more ideas to teach with on how philanthropy can change the face of health care and help leverage today's hospital worker into a facilitator of healthy communities.

    Best to all,
    Lavinia
    Permalink 10/04/06 @ 11:50
    Comment from: Conference [Visitor] · http://conceptsinsuccess.com/ccres/Commercial/4.php
    I would love to hear from people outside major cities dominated by teaching hospitals to learn more about how they see the role of the community hospital and how the growing size of LOHAS consumers will influence community changes.
    Permalink 10/04/06 @ 12:49
    Comment from: Tim Gee [Visitor] · http://www.medicalconnectivity.com
    Tony, I believe consumers are just as resistant to change in health care as those of us on the other side of the table. The retail clinic is starting to feel like the online grocery store of the late 90s.

    Certainly convenience (location) and trust will play key roles. I hope it flies - I would certainly like to take advantage of the convenience when the need exists.
    Permalink 10/05/06 @ 19:23
    Comment from: Dennis E. Go, MD [Visitor]
    I am a paediatrician in private practice in a 45,000 size town. My thought on the retail clinics are that the people that use them may be the worried well. We don't have any in our region yet. I am going to tell my patients that if you call me at night about an illness that was treated at the retail clinic, I may charge you for a phone call. I think it fragments care and, for children, certainly doesn't provide a medical home.
    Permalink 10/06/06 @ 11:23
    Comment from: hospitaltony [Member]
    I've heard that 25-30% of folks that come in don't have a PCP. Most of the retail clinics have some sort of mechanism to work with local systems to feed them in.
    Permalink 10/06/06 @ 12:12
    Comment from: JB [Visitor]
    One thing to think about with this new model is technology. We will have a ubiquitous electronic medical record platform in the (hopefully) not-too-distant future.

    Combine EMR with telemedicine and algorythm-based care models and suddenly the local MD isn't as much the keeper of all knowledge.

    The key is, don't bet on things staying the same as they are now. Consumers will demand lower cost and better access, and as soon as they realize that technology can enable this they'll demand the current system (which has not really changed, ever) be marginalized.

    The model isn't there yet, but it's getting much, much closer.
    Permalink 12/14/06 @ 23:34
    Comment from: Kevin Letz [Visitor] · http://www.cliniciansconsulting.com
    Location is just one aspect of making these clinics successfull. The services they offer is also key along with giving nurse practitioners decision power.
    Permalink 12/16/06 @ 16:43
    Comment from: notmini [Visitor]
    If you want to open a new clinic in a smaller town it's bound to fail fast. People already have their local doctors they trust. New clinics can survive by specializing in addiction treatment or other particularized services.
    Permalink 02/12/08 @ 12:27
    Comment from: MAEMI [Visitor] · http://www.bestfirstaidsite.com/ebook.html
    First visit to your site. Interesting. Thank you.
    Permalink 03/10/08 @ 00:04
    I think that people should go and resolve their problems there. Any clinic is good this time. More doctors means more help for people in need.
    Permalink 04/12/08 @ 19:51
    Comment from: Jim [Visitor] · http://dobilomania.suge-o.com
    Currently, there are over 1,000 CCCs and alcohol rehab clinics located throughout the United States. Most CCCs are open seven days a week – twelve hours a day during the workweek and eight hours a day on the weekend.
    Permalink 04/15/08 @ 15:28
    Comment from: Tom [Visitor] · http://www.addictionrecovery.net
    Addiction recovery and retail clinics could be a futuristic combination of a niche model that we could see down the road.
    Permalink 05/31/08 @ 13:43
    Comment from: Bill [Visitor] · http://www.drugrehabcenter.com
    yeah, but a drug rehab in a mall type thing does not sound very effective.
    Permalink 05/31/08 @ 13:45
    Comment from: Mac [Visitor]
    Drug addicted people never live smoothly. Drug treatment is necessary for them.

    -----------
    Mac

    California Drug Treatment
    Permalink 08/14/08 @ 08:19
    Comment from: Cocaine Rehabs [Visitor] · http://www.addiction-treatments.com/
    If we talk about its chemical forms then there are two main chemicals are present in it those are hydrochloride salt and the freebase. They hydrochloride salt or powdered form of cocaine can dissolves in water and when abused can be taken intravenously.
    Cocaine Intervention Program is well developed to overcome these types of diseases.

    http://www.addiction-treatments.com/
    Permalink 08/30/08 @ 07:58
    Comment from: Drew [Visitor] · http://www.gbgfreedom.com
    Great job...Keep up the good work.
    Permalink 09/23/08 @ 18:27
    Comment from: Drew [Visitor] · http://www.gbgfreedom.com
    Great job...Keep up the good work.
    Permalink 09/23/08 @ 18:28
    Comment from: Mariya [Visitor]
    It's very good. I got lot of information from this site. You are doing great work.

    =========================
    gs
    http://www.alcoholtreatmentclinics.com
    Permalink 10/09/08 @ 05:04
    Comment from: brook [Visitor]
    good awareness blog for drug addicted persons.

    ======
    Brook

    Drug Rehab
    Permalink 11/03/08 @ 00:06
    Comment from: Drug Rehab [Visitor] · http://www.drugrehab.org
    very interesting blog. this will help lots of people with an addiction problem.
    Permalink 11/30/08 @ 23:29
    Comment from: Asutosh Roy [Visitor]
    Reading this particular article has eccentrically awakened all the part and parcel of mind system that Narconon Vista Bay is the testimony for the sufferers to have an assured recovery. The hospitals should be well preached about the retail clinic system with the necessary glimpse of humanity.
    Permalink 12/20/08 @ 08:21
    Comment from: Busby SEO Test [Visitor] · http://www.dstudiobali.com/webdesign/busby-seo-test-page/
    Drug addicted people never live smoothly. Drug treatment is necessary for them.
    Permalink 01/03/09 @ 11:21
    Comment from: sam [Visitor] · http://www.sobercollege.com
    Important news for young adults 17-26 years old that have drugs or alcohol problems.
    Please,visit sobercollege.com

    Permalink 01/07/09 @ 00:00
    Comment from: Busby Test [Visitor] · http://intersindo.com/seo-contest/
    Yes I think in 2010 that will be come true.
    Permalink 01/12/09 @ 22:21
    Comment from: pat testing companies [Visitor] · http://www.londonpattesting.co.uk
    Interesting post - I am sure that some healthcare in the UK will head in this direction.
    Permalink 01/15/09 @ 11:30
    Comment from: e-recruitment [Visitor] · http://www.e-recruitmentbuddy.com
    They don't have these in England how do they work?
    Permalink 01/15/09 @ 11:31
    Comment from: slogan t-shirts for kids [Visitor] · http://www.raspberryblowers.com
    Do you not just want to pay more tax and get a free healthcare system at the point of access!
    Permalink 01/15/09 @ 11:32
    Comment from: Trisha [Visitor] · http://addiction-of.blogspot.com
    Addiction?is it a disease?people asked me i told that that is not a disease but it is a disorder.I am seeing so many of them they drink if there is any mental problems they tell me.But that is not the reason.They don't even accept that they are addicted.Thank you.

    http://abuse-of.blogspot.com
    Permalink 01/23/09 @ 21:46
    Comment from: Mike [Visitor] · http://sailingdinghy.org/
    There are many clinics that are being build in our area. Mike from sailing dinghy
    Permalink 01/24/09 @ 05:46
    Comment from: Adam [Visitor] · http://upvcwindow.org/
    So, to recap: - money is still POURING into retail clinics - hundreds of clinics will be opening within the next 6-12 months - it smells like a landgrab situation, with lots of clinic operators partnering with national big-box retailers - Like any retail business, location, location, location still applies great summary. Adam from caravan awning guide
    Permalink 01/30/09 @ 10:53
    Comment from: Maisha Sarena [Visitor] · http://www.alcoholabuse.com/
    Nice post indeed. And, I would love to see how the alcohol & drug addiction recovery centers along with the retail clinics shape up in future. Interesting times ahead! Cheers!
    Permalink 02/07/09 @ 03:56
    Comment from: Lowongan [Visitor] · http://www.indotcom.net/
    The only problem is that people are really healthy there and have good access to doctors already. that can be good example.
    Permalink 02/11/09 @ 08:43
    Comment from: Marina [Visitor] · http://chickenseoup.com
    This is showing us that health still the most influencing and yet important element of human life. And it's really tradeable. I will do anything to keep me healthy even I should pay for it.
    Permalink 04/02/09 @ 02:41
    Comment from: chemotherapy [Visitor] · http://www.addictionexplained.com/addiction-drugs.html
    Actually the more clinics the better concept no longer applies as clinics face shortage of qualified doctors. What worries me is we'll have less quality health care after all. I'd rather have the government spend that money on educating our young generation to bring up more quality doctors.
    Permalink 04/05/09 @ 23:02
    Comment from: Mike [Visitor]
    "The only problem is that people are really healthy there" - LOL, good point.
    ----------
    camslive
    Permalink 04/08/09 @ 14:12
    Careworks Convenient Healthcare (Careworks) is operated through Geisinger Ventures, the entrepreneurial arm of Geisinger Health System. Careworks retail clinics provide diagnosis and treatment for common medical ailments in well-known retail settings. As one of the early health system entrants in the convenient care movement, Careworks also collaborates with leading health systems to develop retail clinics, providing consulting, development and management services. Careworks is a founding member of the Convenient Care Association.
    ------------
    mukesh11
    Drug Intervention Maryland - Drug Intervention Maryland
    Permalink 04/12/09 @ 16:21
    Drug abuses are the cause of destruction in the world. They catch people in their deadly hands and the time they realize, it's too late. But these substance abuse centers are commendable for their work ============================= Shelly Smith Drug Intervention Mississippi
    Permalink 04/14/09 @ 02:07
    Comment from: chemotherapy [Visitor] · http://www.chemotherapyfacts.com
    Hopefully this project is going to work. It sounds optimistic and with nowadays aging population we definitely need more clinics.
    Permalink 04/17/09 @ 02:23
    Comment from: fitness activities [Visitor] · http://www.fit-2gether.com
    Hi,
    Weight loss refers to the loss of total body mass in an effort to improve fitness, health, and/or appearance.
    fitness activities
    Permalink 05/04/09 @ 01:04
    Comment from: salt lake city dentist [Visitor] · http://www.burgpediatricdentistry.com/
    I think retail clinics have generated much interest, promising convenient, lower-cost service for the treatment of minor conditions than conventional care sites can offer. Using health plan claims data, we describe utilization trends, patient mix, and cost per episode of care for the five conditions most frequently treated at a retail clinic chain in the Minneapolis–St. Paul area, as compared with other care settings. Retail clinic use for these conditions is increasing at about 3 percent per year and offers savings of $50–$55 per episode. However, it accounts for only 6 percent of such episodes, and the impact on overall cost and quality remains undetermined.
    Permalink 05/04/09 @ 03:42
    Comment from: Permanent Hair Removal [Visitor] · http://www.totalbody.com.au/
    Hi,

    Nice article.....Everyone has to maintain their body , its good habit for everyone....
    Permanent Hair Removal
    Permalink 05/04/09 @ 10:15
    Comment from: fitness activities [Visitor] · http://www.fit-2gether.com
    Hi,
    Weight loss occurs when an individual is in a state of negative energy balance. When the human body is spending more energy in work and heat than it is gaining from food or other nutritional supplements, it will use stored reserves of fat or muscle.
    fitness activities
    Permalink 05/06/09 @ 04:58
    Comment from: Jojo [Visitor] · http://www.freeuniquearticles.com
    Combine EMR with telemedicine and algorythm-based care models and suddenly the local MD isn't as much the keeper of all knowledge.



    Free Article Directory
    Permalink 05/06/09 @ 10:08
    Comment from: Harold Vann [Visitor] · http://www.copingwithlife.com
    There are some principles which if present will insure success in any store or in medicine, any clinic.
    A smile, a friendly voice, a listening ear, some compassion and wise counsil are the basics. The question is how can one obtain wisdom?
    The ability to listen to those with more experience in the problem at hand is necessary. We do that with consultants regularly. Next we need to exercise review of old practices and study new information on a regular basis. When there is a standard of care established we need to test ourselves against that standard. We will find the need to improve our practice based on that test on a regular basis. Finally, if our charges are judged to be worth our service we will survive and thrive in the market. Of course, if our market is controlled by our federal government then all bets are off. "Do unto others as you would have them do unto you."
    Permalink 05/09/09 @ 06:18
    Comment from: Laser Hair Removal [Visitor] · http://www.avana.com/hair-removal/default.asp
    Hi,
    Glad to stumble your article.
    Patients who use health clinics in retail stores often tend to be people who don’t have a primary care doctor, researchers reported on Wednesday.

    Several major drug and grocery stores like Walgreen Co, CVS Caremark and Wal-Mart Stores have begun to offer clinics to consumers where they can be treated for a variety of basic ailments.
    Permalink 05/11/09 @ 05:51
    Comment from: Gege [Visitor] · http://www.google.fr
    Nice article, you must to love your body !
    Permalink 05/12/09 @ 19:31
    Comment from: Simulation pret immobilier [Visitor] · http://simulationpretimmobilier.net
    It is very sad that drug addicts have to go through all this. Great post seriously.
    Permalink 05/13/09 @ 02:37
    Comment from: John [Visitor] · http://www.lawnandhousedecor.com
    Location is a key point, but payer mix also has a lot to do with it when you decide on an area to launch a retail clinic.
    Permalink 06/19/09 @ 11:19
    Comment from: Rusli Zainal Sang Visioner [Visitor] · http://ardianfaisal.com/lain-lain/rusli-zainal-sang-visioner/
    Good article. I hope we always healthy :D
    Permalink 06/22/09 @ 00:12
    Comment from: Chris Knight [Visitor] · http://www.serenity.org.uk
    http://www.rehabclinic.org.uk
    Permalink 07/03/09 @ 00:43

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