Cre ating a One -Sto p He althc are Sho p The expansion and augmentation of services at The expansion and augmentation of services at lower shore clinic
One Sto p Sho p Our notion was that a patient should be able to receive all clinical services under the same roof. Primary Care Behavioral Health Care Pharmacy
Why? E nc o urag e pre ve ntio n rathe r than E R use Re duc e he alth disparitie s Re duc e c hro nic c o mo rbid c o nditio ns Re duc e pre mature de ath I mpro ve me dic atio n adhe re nc e
Why? I mpro ve ac c e ss to c are Re duc e transpo rtatio n barrie rs Capitalize o n e stablishe d re latio nships Same day ac c e ss I nte g rate be havio ral and primary c are
One Sto p Sho p
One Sto p Sho p Co llabo ratio n ve rsus I nte g ratio n Co llabo ratio n is a pro c e ss thro ugh whic h re latio nships are de ve lo pe d amo ng he althc are pro fe ssio nals to e ffe c tive ly inte rac t and wo rk to ge the r fo r the mutual go al o f safe and quality patie nt c are .
One Sto p Sho p Co llabo ratio n ve rsus I nte g ratio n I nte gratio n is a pro c e ss o f bringing to ge the r pro vide rs and se rvic e s ac ro ss disc ipline s and se ttings to fo c us o n partic ular c o nditio ns o r c are e piso de s. (Ko vne r & Knic kman, 2011)
One Sto p Sho p
One Sto p Sho p “Co nc e rn has be e n g ro wing that traditio nal c are is o fte n to o frag me nte d, unc o o rdinate d, and ine ffic ie nt, le ading to unde sirable patie nt e xpe rie nc e s, subo ptimal o utc o me s, and unne c e ssarily hig h c o sts” (Sc ho e n e t al, 2006).
One Sto p Sho p “Pro fe ssio nal e xpe rtise and kno wle dg e are o fte n lo c ate d in dispe rse d c e nte rs … and thus disc o nne c te d fro m the lo c al he althc are e nviro nme nt o f patie nts” (Hanne mann, 2011).
Case lo ad Gro wth F Y16 F Y15 F Y14 Primary Care o nly F Y13 Primary Care - F Y12 inte g rate d F Y11 Outpatie nt Me ntal He alth Clinic F Y10 0 200 400 600 800 1000 1200
how? same space, same governance weekly team meetings Mondays difficult cases, QA, admin staff Wednesdays liaison with outreach/PRP warm transfer, augmentation of services opened an on-site pharmacy
what? 48.5% re duc tio n in E R visits fo r no n-urg e nt c are 90% o f patie nts with c hro nic so matic c o nditio ns are c o mpliant with pre ve ntive c are I nc re ase d the amo unt o f patie nts re c e iving a physic al in a ye ar, pro je c te d 360 – ac tual 434 De ve lo pe d and maintain He althy L iving g ro up fo r Dual Diag no se d patie nts within PRP.
One Sto p Sho p
L o we r Sho re Clinic financ e s 2009 -- 2015 5,000,000 4,000,000 3,000,000 2,000,000 1,000,000 - 2009 2010 2011 2012 2013 2014 2015 (1,000,000) F F S re ve nue g ra nts pharmac y o the r to tal re ve nue pro g ra m se rvic e s manag e me nt and g e ne ral to tal e xpe nse varianc e
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