Opportunities in Delivery of Preventive Services in Retail Settings

  • Yaneer Bar-Yam
  • Dion Harmon
  • Keith Nesbitt
  • May Lim
  • Suzanne Smith
  • Bradley A. Perkins
Chapter

Abstract

Improving the US healthcare system requires not only providing care to the uninsured but also addressing a set of linked organizational and motivational issues, including enhancing the role of wellness and prevention. It is widely acknowledged that system organization is key to healthcare improvement [1]. Previous studies [2, 3] have pointed to separating wellness and prevention services from acute care as a central component of healthcare transformation. Even while chronic and preventable diseases have become the dominant cause of loss of life, incentives and perceptions limit the delivery of services that could prevent them [2]. A complex systems analysis implies that the optimal organizational structure depends critically on the scale of repetition and complexity of tasks to be performed. Applied to health care, the separation of acute care from selected preventive services should enable improved matching of organizational structure to function [3–5].

Notes

Acknowledgements

This work was supported in part by the Centers for Disease Control and Prevention.

References

  1. 1.
    Institute of Medicine (IOM), Committee on Quality of Health Care in America. Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press; 2001.Google Scholar
  2. 2.
    Lambrew J. Who has the cure?: Hamilton Project ideas on health care. Washington, DC: Brookings Institution Press; 2008. p. 227.Google Scholar
  3. 3.
    Bar-Yam Y. Improving the effectiveness of health care and public health: A multi-scale complex systems analysis. Am J Public Health. 2006;96:459–66.PubMedCrossRefGoogle Scholar
  4. 4.
    Bar-Yam Y. Making things work. Cambridge, MA: Knowledge Press; 2005.Google Scholar
  5. 5.
    Bar-Yam Y. Multiscale variety in complex systems. Complexity. 2004;9:37–45.CrossRefGoogle Scholar
  6. 6.
    Centers for Disease Control and Prevention. Smallpox: 30th anniversary of global eradication [Internet]. Atlanta, GA: 2008 [cited 2008 May 29]. Available fromhttp://www.cdc.gov/Features/SmallpoxEradication.
  7. 7.
    Agency for Healthcare Research and Quality. U.S. Preventive Services Task Force guide to clinical preventive services. U.S. Department of Health and Human Services. Report number: 07-05100, 2007.Google Scholar
  8. 8.
    Maciosek M, Coffield A, Edwards N, Flottemesch T, Goodman M, Solberg L. Priorities among effective clinical preventive services: Results of a systematic review and analysis. Am J Prev Med. 2006;31:52–61.PubMedCrossRefGoogle Scholar
  9. 9.
    American Medical Association. Promoting healthy lifestyles [Internet]. 2008 [cited 2008 May 30]. Available from:http://www.ama-assn.org/ama/pub/physician-resources/public-health/promoting-healthy-lifestyles.page.
  10. 10.
    National Commission on Prevention Priorities. Preventive care: a national profile on use, disparities, and health benefits. Washington, DC: Partnership for Prevention; 2007.Google Scholar
  11. 11.
    Agency for Healthcare Research and Quality. Guide to clinical preventive services. 2nd ed. Rockville, MD: U.S. Department of Health and Human Services; 1996.Google Scholar
  12. 12.
    Scott MK. Health care in the express lane: the emergence of retail clinics [Internet]. Oakland (CA): California Healthcare Foundation; 2006 [cited 2008 May 25]. Available from:http://www.chcf.org/topics/view.cfm?itemID=123218.
  13. 13.
    Bohmer R. The rise of in-store clinics—threat or opportunity? N Engl J Med. 2007;356:765–8.PubMedCrossRefGoogle Scholar
  14. 14.
    Marcus MB. Medical clinics in retail settings are booming [Internet]. USA Today. 2011 Aug 28 [cited 2012 Mar 8]. Available from:http://yourlife.usatoday.com/health/healthcare/story/2011-08-28/Medical-clinics-in-retail-settings-are-booming/50168796/1.
  15. 15.
    Deloitte Center for Health Solutions. Survey of health care consumers. Washington, DC: Deloitte Development LLC; 2008.Google Scholar
  16. 16.
    American Medical Association. AMA calls for investigation of store-based health clinics [Internet]. 2007 [cited 2008 May 29]. Available from:http://www.medicalnewstoday.com/articles/75308.php.
  17. 17.
    CDC Advisory Committee on Immunization Practices. Immunization schedules [Internet]. Atlanta (GA): Centers for Disease Control and Prevention. 2008 [cited 2008 May 28]. Available from:http://www.cdc.gov/vaccines/recs/schedules.
  18. 18.
    Centers for Medicare & Medicaid Services. Medicare preventive services quick reference information [Internet]. 2008 [cited 2008 May 28]. Available from:http://www.cms.hhs.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdf.
  19. 19.
    Centers for Medicare & Medicaid Services. Physician fee schedule relative value files [Internet]. 2007 [cited 2008 May 31]. Available from:http://www.cms.hhs.gov/PhysicianFeeSched/.
  20. 20.
    St. Andrews J. A study of the Relative Value Unit as a practice management tool for provider productivity [Internet]. Miami (FL): Army Medical Department; 2003 [cited 2008 May 28]. Available from:http://www.dtic.mil/cgi-bin/GetTRDocLocation=U2&doc=GetTRDoc.pdf&AD=ADA421282.
  21. 21.
    Centers for Medicare & Medicaid Services. Clinical laboratory fee schedule [Internet]. 2007 [cited 2008 May 31]. Available from:http://www.cms.hhs.gov/ClinicalLabFeeSched/.
  22. 22.
    Centers for Medicare & Medicaid Services. Medicare Part B drug average sales price [Internet]. 2007 [cited 2008 May 31]. Available from:http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/.
  23. 23.
    Verispan VONA. Top 200 drugs in 2006 [Internet]. 2006 [cited 2008 May 29]. Available from:http://drugtopics.modernmedicine.com/drugtopics/data/articlestandard//drugtopics/092007/407652/article.pdf.
  24. 24.
    Henderson B. The experience curve reviewed, parts I through IV. Perspectives. 1973;124:25.Google Scholar
  25. 25.
    Yelle LE. The learning curve: historical review and comprehensive survey. Decis Sci. 1979;10:302–28.CrossRefGoogle Scholar
  26. 26.
    Newell A, Rosenbloom PS. Mechanisms of skill acquisition and the law of practice. In: Anderson JR, editor. Cognitive skills and their acquisition. Hillsdale, NJ: Lawrence Erlbaum Associates; 1981. p. 1–51.Google Scholar
  27. 27.
    Mishel L, Bernstein J, Allegretto S. The state of working in America 2006/2007. Ithaca, NY: ILR Press; 2007.Google Scholar
  28. 28.
    Solberg LJ, Maciosek MV, Edwards NM, Khanchandani HS, Butani AL, Rickey DA, Goodman MJ. Tobacco use screening and counseling: technical report prepared for the National Commission on Prevention Priorities. Minneapolis, MN: HealthPartners Research Foundation; 2006.Google Scholar
  29. 29.
    Partnership for Prevention. Rankings of preventive services for the U.S. population [Internet]. 2008 [cited 2008 May 29]. Available from:http://www.prevent.org/National-Commission-on-Prevention-Priorities/Rankings-of-Preventive-Services-for-the-US-Population.aspx.
  30. 30.
    See e.g. Baptist Memorial Health Care and Goldsmith’s open Tennessee’s first retail-based mammography center [Internet]. 2008 [cited 2008 May 28]. Available from:http://www.bmhcc.org/media/news/archivecontent.asp?category=2000&article=News_Item.2004-11-12.7860892798.
  31. 31.
    Centers for Disease Control and Prevention. Cigarette smoking among adults – US 2004. Morb Mortal Wkly Rep. 2005;54:44.Google Scholar
  32. 32.
    U.S. Department of Health & Human Services. Screen for tobacco use status [Internet]. 2007 [cited 2008 May 29]. Available from:http://www.surgeongeneral.gov/tobacco/screen.htm.
  33. 33.
    Centers for Disease Control and Prevention. Annual smoking-attributable mortality, years of potential life lost, and productivity losses—U.S., 1997-2001. Morb Mortal Wkly Rep. 2005;54:625–8.Google Scholar
  34. 34.
    Centers for Disease Control and Prevention. Cigarette smoking attributable morbidity—U.S., 2000. Morb and Mortal Wkly Rep. 2003;52:842–4.Google Scholar
  35. 35.
    Maciosek MV, Solberg LJ, Coffield AB, Edwards NM, Khanchandani HS, Butani AL, McGree DA, Goodman MJ. Colorectal cancer screening. Technical report prepared for the National Commission on Prevention Priorities, Partnership for Prevention [Internet]. 2006 [cited 2008 May 29]. Available from:http://www.prevent.org/data/files/initiatives/colorectalcancerscreening.pdf.
  36. 36.
    Yarnall K, Pollak K, Ostbye T, Krause K, Michener J. Primary care: Is there enough time for prevention? Am J Public Health. 2003;93:635–41.PubMedCrossRefGoogle Scholar
  37. 37.
    Model T Facts [Internet]. Detroit, MI: Ford Motor Company; 2008 [cited 2008 May 27]. Available from:http://media.ford.com/article_display.cfm?article_id=858.
  38. 38.
    Assembly line [Internet]. Wikipedia. 2001 [cited 2008 May 27]. Available from:http://en.wikipedia.org/wiki/Assembly_line.
  39. 39.
    Pharmaceutical Care Management Association. Consumer access to pharmacies in the United States [Internet]. 2007 [cited 2008 May 28]. Available from:http://pcma-upgrade.webdrivenhq.com/assets/2008-03-25_Research_SKA%20Research%20Consumer%20Access%20to%20Pharmacies%202007%205_1_07.pdf.
  40. 40.
    Dept. of Health & Human Services. National health expenditure accounts, 2006 highlights [Internet]. 2008 [cited 2008 May 28]. Available fromwww.cms.hhs.gov/NationalHealthExpendData/downloads/highlights.pdf.

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Yaneer Bar-Yam
    • 1
  • Dion Harmon
    • 1
    • 2
  • Keith Nesbitt
    • 1
    • 3
  • May Lim
    • 1
    • 4
  • Suzanne Smith
    • 1
    • 5
  • Bradley A. Perkins
    • 6
    • 7
  1. 1.New England Complex Systems InstituteCambridgeUSA
  2. 2.Two Sigma Investments, LLCNew YorkUSA
  3. 3.School of Design, Communication & Information TechnologyUniversity of NewcastleCallaghanAustralia
  4. 4.University of the PhilippinesQuezon CityPhilippines
  5. 5.Speech Technology and Applied Research Corp.BedfordUSA
  6. 6.Centers for Disease Control and PreventionAtlantaUSA
  7. 7.Vanguard Health SystemsNashvilleUSA

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