BeWell March 1, 2018 Committee on the University of Virginia - - PowerPoint PPT Presentation

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BeWell March 1, 2018 Committee on the University of Virginia - - PowerPoint PPT Presentation

BeWell March 1, 2018 Committee on the University of Virginia College at Wise 1 Original Objective: Offer BeWell to Wise Employees Discovery : In order to offer BeWell to employees we need to ensure convenient access to care. It does not


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BeWell

March 1, 2018 Committee on the University of Virginia College at Wise

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Original Objective: Offer BeWell to Wise Employees Discovery:

In order to offer BeWell to employees we need to ensure convenient access to care. It does not exist today.

New Objective:

Convert existing student health clinic into a full primary care clinic offering medical services to students, employees and their spouses.

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Current State:

  • Students: Approximately 2099
  • Employees/ Spouses: Approximately 648
  • Lack of timely access to primary care due to lack of

providers in area.

  • Access to specialty care requires extensive drive

time.

  • Behavioral Health resources are very limited.
  • Nurse Practitioner (NP) is part-time basis only,

limiting access to care.

  • 20% of student population sought

mental/ behavioral counseling last year. Inability to provide medication adjustments when NP is not in the office.

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  • Open a full service primary care clinic for students, employees and

spouses.

  • Employ a full-time NP and a full-time nurse that will have oversight

from UVA physician via Telemedicine.*

  • Implement Telemedicine capabilities with UVA specialists.

*NP has been identified-waiting on credentialing.

Solutions

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  • Local real time access to care for students, employees and spouses.
  • Improved health outcomes with BeWell support.
  • Ability to offer a full service clinic on-site, which may result in

improved student recruitment.

  • Allows nursing students the opportunity to complete clinical
  • bservations on site. Today they drive 90 minutes each way.
  • Offers the ability for additional internships in Telemedicine via

Computer Science Degree Program.

Impact

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ITEM STATUS

Reconfiguration of existing space Proforma Sign-Offs: Student Health - Chris Holstege Legal - Beth Hodsdon and Lynn Flemming UVA’s College at Wise -

  • Rusty Necessary-Vice Chancellor for

Enrollment Management & Student Life

  • Joe Kiser-Director of College Services
  • Rachel Carter-Director of the Center for

Student Development Health System Leadership -

  • Richard P. Shannon, MD
  • Health System Finance

Department of Medicine - Mitch Rosner, MD Telemedicine - David Cattell-Gordon Credentialing of NP/Nurse Billing EMR/ Future discussion (paper charts) Required Nurse Practitioner training on student/Parent Notification *see project timeline

IMPLEMENTATION

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Estimated Expenses

Account Year 1 Year 2 Year 3

Start-Up Costs $46,200 Salaries/Fringe 236,569 241,300 246,126 Medical Supplies 9,000 12,000 15,000 Drugs/Vaccines 6,500 9,500 12,500 Office Supplies 1,200 1,500 1,800 Billing Fees 14,661 18,326 20,769 Linen Service 1,200 1,500 1,800 Travel 3,000 1,000 1,000 Cell 360 360 360

  • Misc. Expenses

1,000 1,200 1,500 Total $273,490 $286,686 $300,855

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Conservative Estimated Revenue

Source Year 1 (50%) Year 2 (65%) Year 3 (75%) College $80,436 $80,436 $80,436

Employee/Spouse Annual Visit

48,869 63,530 73,303

Employee/Spouse 6 month Visit (1 additional visit)

24,434 31,765 36,652

Employee/Spouse 3 month Visit (2 additional visits)

48,869 63,530 73,303 Non-recurring/sick visits 24,434 24,434 24,434 Total Projected Revenue 227,043 263,694 288,129 Estimated Net $(46,447) $(22,992) $(12,727)

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Current Space:

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Current Space:

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Existing Floor Plan:

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Exam Room Exam Room NP Office Records Room Exam Room

Admin./ Check-In

Telemed

RN/Lab Area

Reconfiguration of Existing Floor Plan