[NPInfo] Reading this.........................

[Joanne DaCunha]

Seems to me we could learn something from out pharmacists colleagues who work under a similar set up with these types of businesses. They seem to be well compensated. 

-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf Of pattinp at verizon.net
Sent: Wednesday, September 19, 2007 2:40 PM
To: NP Info
Subject: Re: [NPInfo] Reading this.........................

I don't think it is your mood, Dave. I agree with you. These "Convenience Clinics" are being staffed by Midlevels and without us they won't be successful. I doubt many MDs would want to practice this way at the payscale offered by the clinics. Perhaps we do have power by negotiating for stock options, higher pay, better benefits, etc. 
At our state conference RediClinics had a booth and I didn't think the pay and benefits were that exceptional.


Patti Robertson

>From: David Mittman <dmittman at comcast.net>
>Date: 2007/09/18 Tue PM 09:28:18 CDT
>To: NPinfo <NPinfo at nurse.net>
>Subject: [NPInfo] Reading this.........................

>
>I can¹t help but thinking we NPs and PAs are being used by big 
>business to see who can cash in and sell to big business.
>I think we are becoming pawns. Funny, not one group has even contacted 
>the ACC even though we came out pro retail clinic. I don¹t know, but I 
>don¹t get a good feeling?????? Maybe it¹s my mood tonight.
>
>Dave
>
>
>Tuesday, 09/18/07
>Some Kroger stores to get walk-in clinic by 2008 Brentwood company 
>plans 4 in Midstate
>
>By GETAHN WARD
>Staff Writer
>
>The Little Clinic, a Brentwood-based rival to the much larger 
>MinuteClinic, plans to open walk-in clinics inside at least four 
>Nashville-area Kroger stores by year's end.
>The Little Clinic, which moved its headquarters to Middle Tennessee 
>from Louisville, Ky., this spring, wouldn't discuss financial terms of 
>the deal but said it will lease clinic space in Kroger stores in 
>Bellevue, Hermitage, Murfreesboro and Spring Hill.
>It would be the second player in the fast-growing convenience-care 
>clinics niche to enter the Nashville market. MinuteClinic, owned by 
>CVS/Caremark Corp., will have 13 clinics inside CVS drugstores in the 
>Midstate after adding two in Antioch and Murfreesboro on Wednesday.
>John Gryzbowski, The Little Clinic's chief operating officer, said 
>there is room for more retail clinics in the Nashville area, adding 
>that the industry nationwide is still in its infancy.
>"In the markets where there's more competition, there's also much more 
>consumer awareness, and so the growth has probably been faster in those 
>markets than in markets where we're the only player or there's maybe 
>one clinic or provider," Gryzbowski said.
>The openings should help The Little Clinic to achieve its goal of 
>doubling in size by year's end, Gryzbowski said. Starting next year, 
>the company's plans are to open 100 clinics a year, he said.
>The Little Clinic plans to have 10 locations throughout the Midstate in 
>"a short period of time," Gryzbowski said.
>Kroger, the Nashville area's grocery market leader with a 42.49 percent 
>market share according to The Shelby Report/Nielsen Market Share Data, 
>says having the clinics in its stores here would help customers.
>"It's just another way we can offer our customers one-stop shopping," 
>said Melissa Eads, a spokeswoman with the Cincinnati-based company.
>Midstate fits profile
>The Little Clinic operates its 34 clinics in six states, all of them 
>inside supermarkets owned by Kroger or Publix.
>Nashville fits the profile of the kind of markets that The Little 
>Clinic targets for expansion because people here are open to new ideas 
>and ways of doing things, said Karyn Brown, the company's vice president of marketing.
>The Little Clinic targets working mothers between the ages of 30 and 50 
>with two or three children and hectic schedules, Gryzbowski said.
>Larry Van Horn, director of health care programs with Vanderbilt 
>University's Owen Graduate School of Management, said such clinics 
>should find success here because Nashville has a significant number of 
>high-paying jobs and successful and growing companies.
>"The idea is if you've got a lot of people who are highly compensated 
>‹ who have a high value to their time ‹ demand is going to be greater," he said.
>Industry still growing
>Overall, the number of retail clinics nationwide will reach about 700 
>by year's end, compared with 480 in April, according to a report from 
>market research firm Feed-back.com in Jacksonville, Ore.
>The rapid growth is driven by consumer desire for convenience, it said.
>Such clinics typically are staffed by nurse practitioners rather than 
>physicians and offer a variety of simple services from giving flu shots 
>to treating sore throats, colds and bronchitis. Fees average about $60 
>per visit.
>On an average day, the nurse practitioner or clinician who staffs one 
>of the clinics receives 21 visits, said Tine Hansen-Turton, executive 
>director with the Philadelphia-based Convenience Care Association, an 
>industry trade group.
>"It's still a very vibrant market," Hansen-Turton said, adding that the 
>organization is receiving more inquiries from independent doctor 
>practices and large physician groups with an interest in opening 
>convenience care clinics in their communities.
>Feed-back.com's report suggests that patient volume can vary 
>significantly from one site to another and from one day to the next.
>"Choosing a viable location and sustaining high daily patient volume 
>are critical factors for profitable operation of retail clinics," 
>according to the report.
>
>
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