In September, my wife and I had the opportunity to travel to Washington, D.C. She
needed something from the drugstore, so I stopped by a CVS Health near our hotel to
pick up what she wanted. While there, I took notice of the in-store CVS/minuteclinic,
which I had not seen before in any of their Lubbock locations. CVS/minuteclinic is
the first walk-in clinic of its type, and the leading retail medical clinic provider
in the nation.
These clinics are of interest to me because they support a theory I recently talked
about with a class of M.D./MBA, and Pharm.D./MBA candidates. We studied a book that
addresses this ultra-convenient clinic model in a book written by Harvard professor,
Clayton Christensen concerning what he dubs, ‘disruptive innovation’ in health care.
John Converse Townsend of Forbes Magazine illustrates, “Disruptive innovation simply
describes how industries transform to provide increasingly affordable and conveniently
accessible products and services to consumers.”
Dr. Christensen believes that retail clinics represent an important new model of delivery
because of their simplicity, convenience, accessibility and affordability, and he
may be right. CVS/minuteclinics claim they have cared for more than 20 million patients
with an impressive 95% customer satisfaction rating. For the purposes of comparison
however, it is important to take into consideration the limited scope of services
provided, along with the unique nature of their model.
Back to Washington, DC, my attention was drawn to the fact that the clinic was very
busy, and people were moving in and out quickly. It had a “menu-style” posting of
services provided, along with the charge for each service. It was abundantly clear
that the whole experience was meant to be patient-centric, including the extended
hours.
In 2015, CVS/minuteclinics in Washington, D.C. and Maryland will integrate their electronic
health records (EHR) with 10 area hospitals and 4,000 area doctors. When someone receives
care at a CVS/minuteclinic, it will be entered in the patient’s EHR for his or her
doctor to see, and vice versa. The objective is to create an arrangement where information
is readily available, resulting in improved care.
At Texas Tech Physicians, we have been brainstorming about ways to have data from
local retail clinics recorded in our EHR for clinical and quality purposes for services
such as flu shots. This would reduce the time in clinic by decreasing the number of
questions being asked of the patient and is helpful in meeting quality metrics. It
makes me wonder if there is an opportunity for Texas Tech University Health Sciences
Center to provide this valuable service to the citizens of this region by uniting
providers across our vast service area with the providers of Texas Tech Physicians.