[NPInfo] Retail Clinics.......Chapter Two

[Nila Dickman]

plus you are doing the vitals, cleaning, all the lab call backs, and patient 
teaching somewhere in there, as well as administrators. It is a very long 
day.    Nila D.

>From: Kate Hammill <beachhorsedesolate at yahoo.com>
>Reply-To: NP Info <npinfo at nurse.net>
>To: NP Info <npinfo at nurse.net>
>Subject: Re: [NPInfo] Retail Clinics.......Chapter Two
>Date: Thu, 8 Feb 2007 05:43:17 -0800 (PST)
>
>As someone who works in a retail clinic, I can tell you that you can't see 
>4-6 pts. per hour. Remember, you're doing everything yourself, collecting 
>money, entering insurance, doing rapid strep, mono's etc. This slows you 
>way down--we're told our goal right now is to see 3 pts. per hour. Not to 
>mention an EMR system that, while nice for record keeping, etc. takes more 
>time than penning a quick note...
>   Kate Hammill
>   Pittsburgh, PA
>
>mmhelgert46 at comcast.net wrote:
>   Retail Clinics....Chapter Two
>
>Tracy Klein's article on Medscape addresses many of these issues and more 
>through a series of tough questions and answers....I have always maintained 
>these clinics need providers with a solid background in primary care, 
>family practice and/or Emergency Dept....then.. skin cancer (etc) won't be 
>missed and appropriately referred to a dermatologist in the area. A good 
>business sense and legal savvy would be helpful as well when one considers 
>being employed by a retail clinic corporation. Review of one's contract 
>before signing is equally as important; Carolyn Buppert helped our group 
>work out details and changes in a contract. Her insight is invaluable.
>
>Compensation for these retail clinics is lower then I had expected and with 
>a seasoned provider working alone for 12 hours, $45-$50 per hour is very 
>reasonable (higher compensation needed for weekends and Holidays) (pay 
>scale: $34-$38 is usual)...consider: if one sees 4-6 people per hour at $59 
>per visit (baseline)....leaving $300 for the corporation's coffers (+) (-). 
>The clinic overhead is about $100,000 (or so) (probably higher) per year 
>(salaries, equipment, supplies, rent, etc). I also believe compensation 
>across the board for nurse practitioners and physician assistants in many 
>settings is, in a word, embarrassing. Seasoned providers working for $32.50 
>a hour ( in many clinic settings) when the clinic bills out $600 (+) per 
>hour is intolerable.
>
>I think David Mittman has some very valid and serious concerns providers 
>ought to be troubled about with the proliferation of these retail clinics, 
>how we are being portrayed and the value these concerns should be for all 
>of us.
>
>http://www.medscape.com/viewprogram/5982
>
>Meg (Portland, OR)
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