Questions that will help you assess clinic performance when answered.
What percentage of population is using onsite clinic provider as their primary care provider?
What percentage of the population has had some interaction with the clinic?
Why is this important?
The onsite clinic cannot impact employees they don’t see. They will have more opportunity to impact patients when employees are using the clinic as their primary care provider. Next year’s high-cost claimants may come from employees who have not been seen at the clinic and that are at high clinical risk that is not being addressed.
Referral Management
Questions that will help you assess clinic performance when answered.
What percentage of referrals to specialists were preceded by an e-consult?
What percentage of referrals to specialists were kept?
Why is this important?
If e-consults are not being used, or being underutilized, you and your employees will be spending more time and money on face-to-face referrals to specialist than needed.
If referrals are not well managed, the process often fails patients, and they end up not getting needed care.
Optimizing time and relationship with patients
Questions that will help you assess clinic performance when answered.
Do patients have the knowledge, skills, and confidence they need to pursue recommended care?
Why is this important?
Many studies have shown that patients are often confused about what their PCP has communicated to them. When patients are supported, and have the knowledge, skills, and confidence they need to pursue needed care, cost and outcomes will improve.
Disciplined focus on health improvement
Questions that will help you assess clinic performance when answered.
Are patients with diabetes, hypertension, hyperlipidemia, and overweight improving?
Why is this important?
Improving patients control of their condition decreases their clinical and financial risk.
Effective use of data to assess and improve impact
Questions that will help you assess clinic performance when answered.
Can the clinic demonstrate that it is managing the clinical and financial risk of the population?
Why is this important?
The extent to which the clinic can demonstrate its ability to manage clinical and financial risk of the population will impact how underwriters determine stop-loss premiums.
