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Operating retail health clinics in regulated MA environment

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David Harlow
David Harlow

- Retail health clinics operate in a heavily regulated environment, especially in Massachusetts where organized medicine opposed them and regulations delayed their development. - The first MinuteClinic opened in Massachusetts in 2008 under regulations establishing "limited service clinics" staffed by nurse practitioners. - Future success of retail clinics faces threats like nurse practitioner shortages and competition from online medical visits, but opportunities exist through alliances with health systems and serving patients with chronic conditions.

Health & MedicineBusiness
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Operating retail health clinics in a heavily-regulated environment Retail Health Clinic Summit May 28-29, 2009 Orlando, FL David Harlow JD MPH THE HARLOW GROUP LLC
Retail clinics in a highly-regulated environment - Massachusetts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Massachusetts environment (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Massachusetts environment (2) ,[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Massachusetts environment (3) ,[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Limited Service Clinic chronology (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Limited Service Clinic chronology (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Massachusetts model (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Massachusetts model (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
MA definition of “Limited Services” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Massachusetts experience to date ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Current state and future outlook: in Massachusetts and beyond ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Threats – NP shortage ,[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Threats – Soft demand ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Threats – This Year’s Model – Health 2.0 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Threats – inadequate volume ,[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Opportunities - Alliances with health care systems (1) ,[object Object],[object Object],THE HARLOW GROUP LLC ,[object Object]
Opportunities - Alliances with health care systems (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Opportunities - Chronic care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Opportunities – Chronic care through alliances with health systems ,[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Bottom line ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Resources ,[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC
Questions / Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE HARLOW GROUP LLC

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Operating retail health clinics in regulated MA environment

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