Coordinating Care With Supermarket Clinics

coordinatingcareSupermarkets are becoming home base for coordinated care as hospitals and physician groups team with in-store clinics to reduce costs and improve health outcomes.

Take, for instance, care offered at The Little Clinics within 18 Cincinnati- and Dayton-area Kroger stores, as part of a new partnership with the affiliated health systems of the University of Cincinnati (UC Health).

“This collaboration allows patients greater access to health care close to home and work,” explained Dr. Ken Patric, chief medical officer for The Little Clinic. “One of our goals is to provide convenient monitoring for those who struggle with chronic care management such as diabetes. Offering a convenient place for routine examinations and supervision of such conditions will enhance compliance and improve outcomes.”

In the past, The Little Clinics’ nurse practitioners and physician’s assistants screened patients at high risk for diabetes through blood sugar testing. Those found to be diabetic were referred to an outside physician who would help stabilize and monitor their condition on an ongoing basis, explained Eileen Myers, vice president of Affiliations and Patient Centered Strategies for The Little Clinic, which is owned by Kroger Co.

Under a series of medical system affiliations in different regions, The Little Clinic’s model has changed.

The Little Clinic’s partnership with UC Health is one of several health affiliations forged by the Kroger-owned clinic.

The Little Clinic’s partnership with UC Health is one of several health affiliations forged by the Kroger-owned clinic.

Now, after a diabetic is referred to a specialist within the affiliation, and their condition is stabilized, they’re referred back to The Little Clinic for ongoing care through routine evaluations and monitoring of things like lipids-fats, Hemoglobin A1c, and glucose levels. General vital signs such as blood pressure and examinations of the feet and eyes for signs of diabetes complications are likewise monitored at The Little Clinic.

“By using The Little Clinic to monitor the more stable patient, the endocrinologist frees up more of his time to see patients in need of a specialist,” Myers explained.

The model not only makes sense for more efficient use of the physician’s time, but contributes to improved patient outcomes by leveraging data synergies and The Little Clinic’s convenient evening and weekend hours and locations, noted Dr. Myles Pensak, chief executive officer of University of Cincinnati Physicians, the faculty practice group of the UC College of Medicine and the physician division of UC Health.

“It’s a seamless concept both for the instigation of therapy, timeliness, efficiency and doing a 360 in terms of after you’re treated, where do you go? You don’t go back to your doctor’s office, you’re going to continue on at The Little Clinic,” he said.

With the patient’s permission, the Little Clinic and UC Health will exchange medical record information for greater  continuity of care.

Whereas in the past, a patient visiting The Little Clinic due to diabetes complications was told they’d need to find a doctor if they didn’t already have one, now an appointment with a UC Health endocrinologist can be scheduled while they wait.

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“The Little Clinic providers will be able to schedule appointments for patient referral,” explained Myers. “For example, if we see someone in the clinic that needs to be seen quickly, with the patient’s permission, our provider will access UC directly to help the patient get set up for the additional care he or she needs. And we will also be able to securely send the medical record electronically to the UC Physician seeing that patient.”

Dr. Pensak is excited by the potential interoperability that could result from Kroger’s other health affiliations. The Little Clinic is engaged in partnerships with University of Louisville Physicians, the University of Colorado Health Partners and The Ohio State University Wexner Medical Center.

“Kroger has already partnered with many other major medical centers,” Dr. Pensak said. “You can just imagine the power of the connectivity, having the synergy of information, possible synergies of protocol; it’s a hugely exciting thing.”

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