"It is essential to understand the important role of convenient care clinics
in healthcare, as the number of individuals seeking care continues to grow.
This is a wonderful asset for any advanced practice clinician seeking employment
in, or considering starting, a convenient care clinic."--Doody's
This is the first comprehensive guide to setting up, operating, and practicing in a convenient care clinic. The book addresses all key medical and operational considerations pertaining to running these local retail health clinics that are rapidly proliferating in pharmacies, supermarkets, airports, and other locations throughout the U.S.
The text describes the philosophy underlying retail care, its history and growth, and the parameters of its services. Pros and cons of different operational models are discussed. The book addresses the top 20 medical conditions likely to be seen in a retail clinic along with signs and symptoms, Written to educate healthcare providers and professionals entering the retail clinic market, it also serves as a text for nursing schools and programs for physician's assistants that wish to add preparation for retail clinics and urgent care facilities to their curriculum.
- Provides the essential information needed to establish, operate, and practice in a convenient care clinic or urgent care clinic
- Designed for courses at the NP-DNP level, PAs, clinic managers, CNOs, graduate nurse/PA educators and students
- Identifies 20 top conditions seen in retail health clinics and provides workup and treatment regimens
- Includes metrics associated with retail medicine
- Discusses philosophy of retail care and parameters of primary services
Table of Contents
Foreword -- Dr. James Smith, Founder of retail medicine
I. Anatomy of a retail clinic
b. Current players
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
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
b. Red flags
c. Differential Diagnosis
iii. Home care
IX. Approach to the patient with a sore throat
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
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
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 MGA, JD, FCCP, FAAN, is founding Executive Director/CEO, Convenient Care Association (CCA), Philadelphia; a national for-profit trade association of 1200+ emerging private-sector based retail clinics that provide basic primary health care to over 17 million people nationally. She also serves as Vice President, Health Care Access and Policy for Public Health Management Corporation (a nonprofit public health institute with 30 years in managing and consulting for other nonprofit organizations), and as CEO, National Nursing Centers Consortium (where she oversees the growth and development of 250+ nurse-managed health centers, serving more than 2.5 million clients). Tine is adjunct faculty, Fels Institute of Government and LaSalle University. She publishes in leading peer-reviewed professional health care and legal journals and is a regular presenter at local, state and national health care conferences. She is co-author of Springer's Community and Nurse-Managed Health Centers: Getting them Started and Keeping them Going, an AJN Book of the Year Award Winner, and Nurse-managed Wellness Centers: Developing and Maintaining Your Center. Ms Hanson-Turton has received several advocacy and leadership awards, including the 2005 Eisenhower Fellowship and the American Express Next Gen Fellowship by the Independent Sector in 2010. She also recently received the Philadelphia Business Journal 40 under 40 Leadership Award and was named one of the 101 emerging Philadelphia connectors by Leadership Philadelphia.