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We work with many for profit and philanthropic healthcare providers including healthcare systems, hospitals, specialty providers, and FQHC/ community health centers.
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The following selected projects provide examples of our work:
- Assessed the impact of health reform on the AMC, IDN, CBH, ASC environments; developed workshops, board presentations, strategy planning sessions for providers to guide teams on their most relevant marketplace changes, to create market responses.
- For a Major Pacific Northwest Provider System Led an initiative to create funding for a workforce development program to address chronic disease. Created a strategy, business plan; researched the health and economic impact of this new workforce.
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Tele-Dermatology: Feasibility, Business Plan and Funding options. Worked closely with the founder Dr David Wong to determine overall viability, and to create a business and marketing plan for DirectDermatology.com, providers of convenient access to immediate tele-dermatology consultative services .
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CHCF.org – California improvement network. Researched the needs of leaders of this network to develop strategies to support their cost saving initiatives.
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Hospital Board Workshop – New Service Line Development.
Created an agenda on innovation; delivered presentations how to identify and assess new business lines for an integrated healthcare system.
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Developed new Business for Specialty Provider under Health Reform: Investigated and developed a new pharmacy benefits management business opportunity. Created a complex financial model to value the business under different product offerings and market scenarios.
- Hospital Board Retreat - Innovation: Created an agenda on innovation; delivered presentation on applications of innovation to healthcare systems; led break-out groups. Helped shape a prioritized innovation agenda.
- GI Strategy - Forecasting the Technology and Case Mix, Economics:: Forecasted the 2-5 year impact of technologies, changing populations, reimbursement, and operational impact on the case mix, finances, operations, capital, and staff. Considered the impact of the shift of colonoscopy screenings to virtual screenings and other emerging competing technologies.
- Created a toolset for Implementing EHRs at Independent Physician Practices: In conjunction with a team of advisers at CHCF, helped develop the Small Practice eDesign model to help revitalize small medical practices and their patient outcomes. This toolset enables small practices to adopt and meaningfully use EHRs.
- General Medical Service Overload Strategy: Assisted senior management to diagnose sources of overcrowding, options to manage or transfer patients, and ways to ensure patients were directed to appropriate facilities for longer-term solution.
- For the National Association of Community Health Centers: Developed a guide for FQHCs on how to assess the financial, market and legal issues of a retail clinic, and if appropriate how to implement a retail clinic for success.
- Created a set of case studies of FQHCs who implemented retail clinics or variations on this model.
- Consumer Strategy for Outpatient Surgery Center: Conducted workshop on consumer engagement opportunities for an outpatient facility focused on orthopedics, GI, OB/GYN, pain, dermatology. Reviewed retail clinics, medical/wellness spas, communicitions campaigns, role of fund raising, and retail leasing in financial and operational plans.
- Evaluated the impact of establishing retail clinics for a large hospital - including the economic and operational impact on their Emergency Department, their physician group and their marketing program. Worked with the CEO and the Board to co-create the right solution for their patients and community.
- Created a sustainable business model for a diabetic retinopathy screening service, including a financial model to help determine how to reach sustainability based on different operational strategies.
- Developed an economic model to evaluate the financial impact of new types of allied providers on a dental practice.
- Dental Practice Efficiencies: Created a guide to operating an efficient practice, including creating a strategic plan; achieving an appropriate reimbursement and payer mix; smooth patient flow; optimal staffing pattern; business systems; and new technologies. A podcast audio report augments the guide. The Good Practice: Treating Underserved Dental Patients While Staying Afloat, August 2008, California HealthCare Foundation.
- Facilitated a series of strategy workshops on technology planning and selection for a large hospital system.
- Published a series of case studies on how safety net hospitals are using management engineering techniques to improve operations in surgical suites and radiology departments for new patient capacity.
- Provided market assessment and strategy services for a medical center seeking expansion into new cardiac care treatments. Assessed the economics of new technologies, devices, and services. Created revenue and expense forecasts and marketing plans.
- Global Alliance of Vaccines & Immunization: Facilitated sessions with senior team to review plans and budgets for AVI (accelerated vaccine initiatives) to enable rapid introduction of Rotavirus, Pneumococcal, HiB vaccines in the developing world.
- Worked with several large Federally Qualified Health Centers to create new approaches to serving their community including new services and a diversified payer mix.
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UPCOMING PRESENTATIONS
WRG Retail Clinics
(on Retail Clinic Marketing Innovation)
March 29-31, 2011
Las Vegas
HealthCare Association of New York State
"5 Ways the Hospital C-Suite Will Change Given New Business Models and Reform in Healthcare"
May 19, 2011
MEDIA

Becker’s Hospital Review
"4 Ways the Hospital C-Suite will Change Post-Reform
(December 2010)

Becker's Hospital Review
"Hospitals Face Pressure From Employers to End Cost-Shifting, Enter Into Non-Traditional Arrangements to Reduce Costs"
(March 2011)

A Clinic at Walmart?
This guide and toolkit includes a comprehensive review of the Walmart retail healthcare clinic option for hospitals, healthcare systems and other healthcare providers. This independent report includes the facts and financials, and a guide to the lease process that will inform the decision making of a management team.
This guide will be updated quarterly. Free updates are included duringthe first 12 months.
$495 includes the report, tools, updates, and a webinar presentation.

Implementing the EHRs at Independent Physician Practices
The CHCF Small Practice eDesign Model and Toolset
The California HealthCare Foundation (CHCF), in conjunction with a team of advisers, developed the Small Practice eDesign model to help improve small medical practices and their patient outcomes. The model relies on local trusted organizations called "aggregators" to support small practices in the implementation of electronic health record (EHR) and revenue cycle management systems. This toolset is a collection of resources for aggregator organizations working with small practices to adopt and meaningfully use EHRs for data-driven improvement.
These tools include assessments to determine aggregator suitability, small practice interest and readiness for change, as well as, how-to guides, FAQs, technical manuals, checklists, and other documents for EHR and revenue management implementation.
Social Media and Hospital/Healthcare Systems (June 2010)
The Future of Medicine-Implications for HealthCare Delivery Technology Innovations (February 2007)

The Hospital Retail Clinic Toolkit (Mar 2008)
Hospital leaders take major risks by ignoring the retail clinic phenomenon. As the industry's leading expert in this field, Mary Kate Scott offers a timely, complete, and practical guide to help hospital management craft an optimal response to retail clinics, which may include operating their own retail clinics, partnering, or using retail clinic principles in existing hospital operations. The guide includes decision-making tools and financial models that address a hospital's major choices.
Retail Clinics - Friend or Foe of the Hospital ? (Part One
Retail Clinics - Friend or Foe of the Hospital ? (Part Two)

Health Care Without the Doctor: How New Devices and Technologies Aid Clinicians and Consumers
Prepared for the California HealthCare Foundation, this report examines the technologies, regulatory trends, and market forces that are reshaping the way many types of health care are delivered, and the impact these shifts are having on consumers, clinicians, and the system.

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