Apr 23, 2007 | Laboratory News, Laboratory Sales and Marketing
Earlier this month, news reports stated that Wal-Mart is forecasting that more than 6,600 in-store medical clinics will open in the next 5 years in Wal-Mart stores. Wal-Mart’s pilot program began with 75 clinics in Wal-Mart stores in 12 states. The company has declared the clinics a success and now plans for a speedy roll-out of additional clinics nationwide.
These clinics will have numerous implications for the medical community. First, according to Alicia Ledlie, senior director for Wal-Mart’s health business development, Wal-Mart is considering providing is in-store clinics with a common electronic medical records (EMR) system so patient care can be tracked from store to store. Dark Daily reported earlier this year in Corporations Take Electronic Health Records into their Own Hands that Wal-Mart is one of five large employers who created the Dossia Founders Group with the goal of providing digital health records (DHRs) for their 2.5 million workers, plus dependents. Assuming that Wal-Mart agrees on a unified electronic health record format for both its employees and the shoppers in its stores, there will soon be millions of people with the same type of electronic health record.
Second, through the pilot program, Wal-Mart has established that the “if you build it, they will come” principle works when it comes to walk-in medical clinics in Wal-Mart stores. By establishing 6,000 in-store clinics across the United States, Wal-Mart could conceivably have a major influence in shifting how people access healthcare services in this country. The convenience of obtaining routine laboratory tests at in-store clinics may prove quite attractive to many Wal-Mart patrons. CLIA-waived tests that produce instant results could make lab testing become like getting your oil changed at the Wal-Mart lube while you shop for your groceries.
Remember: the key to this is providing consumers with a service that they value. In this case, it is getting medical services quickly and at a fair price. It is likely that some smart laboratories will adjust to this age of convenience by accepting this trend and getting whatever piece of the lab testing pie that they can. In fact, for laboratories serving small towns—where Wal-Mart thrives—this may help them to pick up additional specimen volume, since time to result will be a competitive benefit that Wal-Mart wants from any laboratory provider that it uses to supplement on-site testing.
Finally, it should be noted that these changes are a few years down the road. Currently, walk-in medical clinics that operate from retail stores are using a nurse practitioner and only offer medical services for common ailments that can be diagnosed in a few minutes and are treatable with an over-the-counter remedy or a routine prescription. However, once Wal-Mart has 6,000 of these clinics in operation, it will definitely begin expanding the menu of medical services it offers with its in-store, walk-in clinics.
Related Articles:
Wal-Mart sees medical clinic boom in retail stores
Corporations Take Electronic Health Records into their Own Hands
Feb 28, 2007 | Compliance, Legal, and Malpractice, Laboratory News, Laboratory Pathology
Clinical laboratories have traditionally been the primary storehouse for laboratory test data. Not only has this been a strong source of added value to clinicians, but it positions clinical laboratories to be major players in the approaching age of genetic medicine. Now there’s a new threat on the horizon. Several of the nation’s largest corporations are preparing to handle the electronic health records (EHRs) of their employees.
The first news of this nascent trend was a story in The Wall Street Journal on November 29, 2006. The article stated that in the first week of December, Intel Corp, Wal-Mart Stores, Inc., British Petroleum America Inc., Applied Materials, and Pitney Bowes would disclose a plan to provide digital health records to their 2.5 million workers and their dependents.
The plan was announced and the group of employers was identified as the Dossia Founders Group. Collectively, this group is funding the Dossia Network, an independent secure, non-profit infrastructure for gathering and securely storing information for lifelong health records in a multimillion-dollar-data warehouse that will link hospitals, doctors, and pharmacies.
Why, you’re probably asking yourself, would big business want to get involved in the business of electronic health records? As with all things corporate, there is a monetary savings at the root of the corporate goodwill. The companies hope that cutting out the paperwork in health care would reduce administrative costs, duplicative care, and medical errors. In turn, the potential savings would make it easier for employers to continue sponsoring health care insurance for their workers.
Officials say that the Omnimedix Institute of Portland, Ore., will maintain the health records. Omnimedix will gather the information from insurers, pharmacies, doctors and other health care providers. Patients will be able to update the record with items such as their family’s history of illness.
The Dossia Network brings up two long-standing and unanswered questions. First, who owns a patient’s data? These big employers seem to suggest that it’s the patient that owns their own data. When given the opportunity to control their own EHR, many patients will likely opt out of the benefit because of concerns about privacy. Patients fear an EHR with their complete medical history might alert insurers to potential health problems and lead them to deny coverage or increase premiums.
The second question raised by the creation of the Dossia Network is this: Should the US allow corporations to set the standard for the EHR? The fragmented US health system has had little success developing a standard for EHRs, especially a standard that will cross between hospitals and state lines. Now several corporations, with a total of over 2.5 million employees, are preparing to launch their own version of an EHR – with little input from the US health system. Omnimedix is in a rare position of power, where it may be able to define the standard for the EHR that gains wider use in future years.
Lab directors and pathologists should take note of one specific goal of this corporate EHR project-Eliminating duplicate tests as one way to lower the overall cost of healthcare. One interesting consequence of employer-funded EHRs is that their use may provide credible measurements of the actual level of laboratory test over-utilization.
Laboratories wanting to stay abreast of this important trend in EHRs should become familiar with the EHR standard as it is created by Omnimedix and the Dossia Network. They can then prepare the necessary informatics interfaces to allow them to submit electronic results into the individual patient records of these EHR systems.
Related Articles:
Big Employers Plan Electronic Health Records
Five big firms to promote electronic health files
Blog on why physicians should be concerned about the Employers’ EHR program
Cardinal Health Joins Major U.S. Employers in Effort to Make Lifelong Personal Health Records Available to Individuals Nationwide
