The following selected projects provide examples of our work:

• 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 udner 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 Indpendent Physician Practices:  In conjunction with a team of advisors at CHCF, helped develop the Small Practice eDesign model to help revitalize small medical practices and their patient outcomes.  This toolset enables small practes 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 variationsn on this model.
  • Consumer Strategy for Outpatient Surgery Center:  Conducted workshp on consumer engagement opportunities for an outpatient facility focused on orthopedics, GI, OB/GYN, pain, dermatology.  Reviewd retail clinics, medical/wellness spas, communciations campaigns, role of fund raising, and retail leasing in financial and operational plans.
  • Evaluated the impact of establishing retail clinics for a large hosptial - 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 pracrtice.
  • 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 departements 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.

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 during the 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 advisors, 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.