Approach to vaccinations and Medical Home communication September 15, 2015
CVS/minuteclinic: Accessible, High Quality, Affordable Largest Retail Clinic Provider 1000+ locations growing 150 per year 2017 will have 60% US have access >5 Million visits annually and growing Walk-in Care, 7 Days Per Week, Evenings/Holidays Joint Commission Certified Evidence-based Guidelines, embedded in EPIC 95% Highly Satisfied with Provider 85% Use Third Party Insurance 50% Report No Physician Patient and PCPs receive summary 2
Support of PCMH Through 60+ Health System Affiliations Primary Care Collaboration EMR integration and exchange of clinical data Chronic care and wellness programs ACO and PCMH development Virtual medical neighborhood 3 3
CVS/minuteclinic Suite of Services: Acute Care Vaccinations Practitioners access and treat for common illnesses and minor injuries Primary care provider panel extender for after-hours care Influenza, Pneumonia Meningitis Tetanus, Diphtheria, Pertussis, combinations HPV Hep A & B Polio MMR Chronic Condition Monitoring Wellness Convenient monitoring services include patient education and counseling Collaboration with Primary Care Medical Home Smoking cessation and weight loss programs Biometric screening Connecting members to primary care Complementary primary care benefits from connectivity and communication with health systems, employers and payers Each MinuteClinic practitioner has a collaborative relationship with a physician who performs chart reviews, hosts training sessions, reviews clinic guidelines and, if needed, is available to discuss any patient-specific concerns the practitioner may have during a visit. The above solutions may vary based on factors such as programs adopted by the plan and the pharmacy utilized by the member. 4
Influenza and Pneumococcal Vaccines at minuteclinic NEW Functionality with Epic: Provide PCP notification of vaccinations Influenza: > 1 M annually Ages 18 months+ Greatest volume in adults, 23% teens, rare less than 5 Multiple vaccines available to meet patient preference and vaccine availability Pneumococcal: Trivalent Afluria Fluzone Fluarix FluLaval Fluzone High Dose PCV13 & PPSV23 > 65 and high risk >19 5 Quadrivalent Fluzone Fluarix FluLaval
Immunization Registries for minuteclinic State Status Additional State in Queue Indiana Active Michigan In testing Florida Active Rhode Island In testing Massachusetts End of Dec South Carolina In scheduling Virginia Not slated Arizona Illinois Not slated Georgia No MinuteClinic locations in Washington or Iowa Texas New York Nevada DC Nebraska 6
CVS/pharmacy 7,800 retail drugstores Walk-in Care, 7 Days Per Week, Evenings/Holidays Pharmacist working to improve vaccine education awareness. Immunizers and Advocates Patient and PCPs receive summary 7
CVS/pharmacy has the vaccines you need to keep your patients healthy. Serious viruses and bacteria still exist and are easily passed from person to person. That s why the Centers for Disease Control and Prevention recommends vaccinations from birth through adulthood. The vaccinations offered at CVS/pharmacy*: Flu Hepatitis A Hepatitis B Herpes Zoster Human Papillomavirus Meningococcal MMR Pneumococcal Td & Tdap Varicella *Vaccinations vary by state based on regulations. Age restrictions apply. Ask your CVS/pharmacy team for details. 8
Immunization Registries for CVS/pharmacy Active with Surescripts (uploaded to registry in 24-48 hrs) Active with Surescripts Additional State pending production Arizona Florida California Arkansas District Of Columbia Utah Delaware Hawaii Indiana Georgia Kentucky Illinois Iowa Michigan Pending Registry Registration Maryland Kansas Minnesota /manual Ohio New Mexico Mississippi South Carolina New York State Missouri Texas- San Antonio Nebraska Oklahoma Virginia Nevada Puerto Rico New York City Pennsylvania Tennessee, Massachusetts Texas Wisconsin Washington State not accepting pharmacies at this time into the registry. 9
Summary State MC CVS Registry Influenza Pneumonia Indiana Registry+PCP Active > 11 > 65 Florida Registry+PCP Active > 18 > 18 Massachusetts Dec/PCP Pending Test > 18 > 18 Virginia PCP Active > 18 > 18 Illinois PCP Active > 10 > 14 Iowa No Clinics Pending >18 >18 Washington No Clinics Not Active >9 >9 10