Convenient Care Clinics

Joshua Riff, MD, MBA, is the Chief Medical Director for Target Corporation, where he oversees the safety and quality of over 1650 pharmacies and 44 clinics. He pioneered the use of evidence-based medicine and electronic medical records in the Retail Clinic environment using templates and order sets to drive standardization of care. Dr. Riff has given over 200 speeches and lectures with topics ranging from Retail Clinics, to Health Wellbeing, to Work-Life Balance. He serves on various boards and committees including The Institute of Medicine, Lifetime Fitness Medical Advisory Board, Institute for Clinical Systems Improvement, and the Retail Clinician Advisory Board. He practices emergency medicine at United hospital in St Paul, MN. Sandra Ryan, MSN, CPNP, FAANP, the first chief NP officer in the convenient care industry, is a founding officer at Take Care Health Systems, She currently leads 1,300 NPs and PAs who practice at Take Care Clinics, walk-in clinics at 360 Walgreens drugstores in 19 states. Ms. Ryan has also played an integral role in the development and implementation of integrated technology, quality assurance programs and evidence-based guidelines to create a consistent patient-focused experience for those who seek treatment at Take Care Clinics. In addition, Ryan serves as Chair of the Clinical Advisory Board of the Convenient Care Association (CCA), where she was instrumental in developing the CCA's Quality and Safety Standards and implementing a third-party certification process for these standards. To address the educational needs of NPs inconvenient care, Ms. Ryan orchestrated the first Retail Clinician Education Congress, fostering camaraderie and support within the NP community for this emerging model of health care. She has over 25 years of nursing and leadership experience in various clinical, management, and leadership settings. She is a highly decorated Air Force Officer and is a nationally certified NP. Ms. Ryan is a recipient of the Nancy Sharp Cutting Edge Award, given by the American College of Nurse Practitioners, and the CARE Leadership Award for contributions to NP practice in the Convenient Care industry. She is a 2011 Robert Wood Johnson Executive Nurse Fellow and a Fellow of the Philadelphia College of Physicians. Tine Hansen-Turton is known to be an effective change agent, systems-thinker and policy advocate. She has over 15 years of experience in providing executive management and for the past decade she has led the National Nursing Centers Consortium (NNCC), a national movement of nurse-managed health and wellness centers serving over 2.5 million people. Tine also serves as Vice President for Public Health Management Corporation (PHMC), a nonprofit public health institute, where she oversees several trade associations and non-profit organizations. Tine is an adjunct faculty member at La Salle University School of Nursing. She writes and publishes for many peer-review professional healthcare and legal journals and is a regular presenter at local, state and national health care conferences. Tine is Co-Author of ""Community and Nurse-Managed Health Centers: Getting them Started and Keeping them Going,"" published by Springer Publications, and an American Journal of Nursing Book of the Year Award winner. She is also co-author of ""Conversations with Leaders,"" published by Sigma Theta Tau International. Tine is a recent Eisenhower Fellow, received the Philadelphia Business Journal 40 under 40 Leadership Award and has been named a Next Generation Connector. She received her BA from Slippery Rock University, her Master's in Government Administration from University of Pennsylvania Fels Institute and her Juris Doctor from Temple University Beasley School of Law

Foreword -- Dr. James Smith, Founder of retail medicine




Introduction




Author Reflection




I. Anatomy of a retail clinic




a. Description




b. Current players




c. Formats




II. History of retail clinics




III. Building and Supplying a retail clinic




IV. Understanding the consumer mind set: patient satisfaction




V. The dollars and cents of running a clinic




VI. Triage and out of scope care




VII. Quality




a. Studies of quality




b. Quality metrics to look at




c. Quality initiatives




VIII. Approach to the patient in the retail clinic with a cough




a. Approach




b. Red flags




c. Differential Diagnosis




d. Treatment




i. Rx




ii. OTC




iii. Home care




IX. Approach to the patient with a sore throat




X. Rashes




a. Common rashes and treatment




b. Rashes you cannot miss




XI. Ear Pain




XII. Dysuria and urinary complaints




XIII. Eye discharge and the painful eye




XIV. Approach to the patient with a fever




XV. Vital signs: What to do with abnormalities




XVI. Specific populations




a. Elderly




b. Pediatrics




c. Disabled




XVII. Vaccinations in the retail clinic




XVIII. The role of the collaborative physician




XIX. Partnering with the Primary care physician and the medical home




XX. Virtual strategies and expansion of scope




XXI. The future of retail care and healthcare reform