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Add the convenience of an onsite clinic to your workplace. We'll manage the entire process from planning to launch with end-to-end clinic management.

and watch your employee's wellness program engagement soar while your health care spend drops significantly

Many employers invest in components of healthcare management – health risk assessments, disease management, wellness programming, case management, coaching, and so on – only to be disappointed with the results. 

Span the care continuum with a worksite health and wellness clinic developed and management by MHI Wellness.

In a recent study with one rural manufacturing employer...

baseline emergency department (ED) utilization prior to opening their worksite health and wellness clinic was 74.7/100 employees.

At roughly 700 employees for all three shifts, they were experiencing about 523 visits to the emergency room, many of which were admitted for observation. When you multiply this by the average cost of an adult ED visit ($2900) the annual average spend on emergency visits was approximately $1,516,700.   At the end of the first year, utilization was reduced to 42.4/100 for an approximate ED savings of $656,000. Utilization was further reduced to 32.3/100 in year two, for additional savings of $861,000 compared with baseline.  

The Emergency Department (ED) is often considered the ‘front door’ to a hospital and is a major center of operations. Rural EDs disproportionately account for patient volumes, expenses, revenues, risk and quality when compared to larger urban and suburban hospitals. At the same time, observation admissions for this employer (at an average cost of $10,000 per admission) were also reduced by about 70%.  While this is significant, one should also take into consideration that the costs for admissions are significantly higher in the rural setting. 

We have what it takes to pull it all together for you.

Together with our sister subsidiaries that focus on clinical management and physician and allied health employment contracting, MHI Wellness uses a wealth of experience, physician workflow design knowledge, worksite health, wellness and occupational medicine coupled with clinic management know-how to design the most efficient, onsite health and wellness exam room possible. Our designs are intended to be fluid yet fit into a 10x15 workspace and to accept the emergence of electronic medical records (EMR) and other technologies as they unfold.

Call us to perform a claims assessment on your ED and Observation Admissions utilization. From that information, we'll perform a high level feasibility study to provide you a back of the envelope estimate of how much your organization would benefit from a worksite health and wellness center, and estimate ROI.

TO LEARN MORE, PLEASE CALL US TODAY: 800-727-4160

Current Research ...

How costly is that ED Visit?

  • In 2010, rural Emergency Departments admitted, on average, approximately 5% of their visits to their hospital’s general acute/inpatient unit. 
  • The CDC cites an average of 12.5% of all Emergency Department visits at urban facilities are admitted to their inpatient units.
  • Rural Emergency Departments witnessed a 13% decrease in the average number of inpatient admissions from 2007-2010. In contrast, Emergency Department admissions to observation units increased 21%. When inpatient and observation admissions are combined there is a fairly constant 8.7% of all ED visits annually being admitted to the hospital compared to the CDC-reported 12.5% national Emergency Department inpatient admission rate.
  • The average transfer rate of 4% for Critical Access Hospital Emergency Departments is significantly higher than the 1.8% transfer rate reported in the CDC study.
  • In 2010 iVantage1 found that 21% of CAH Emergency Department utilization was for non-urgent visits as codified by the Agency for Healthcare Research (AHRQ) Patient Severity Index.2 An additional 32% of visits were for semi-urgent visits. 
  • More than 50% of all Emergency Department visits to CAHs were categorized as low acuity cases. This translates to the rural Emergency Department acting an expensive primary care “safety net” location.

1. iVantage: 2011 National Rural Emergency Department Study, http://www.ivantagehealth.com/2011-national-rural-emergency-department-study-2/; DOI: 4/4/2012.

2. Gilboy N, Tanabe P, Travers DA, Rosenau AM, Eitel DR. Emergency Severity Index, Version 4: Implementation Handbook. AHRQ Publication No. 12-0014, December 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/esi/

Meet our Advisors

Primary Care, Public Health, Managed Care, Epidemiology

 

 

Emergency Medicine, Health Informatics

 

 

Health Administration, Workers Comp Case Mgmt, Clinic Operations, Medical Staffing

 

 

Pharmacy Management, Clinic Ops, Occupational Medicine, Ergonomics

 

 Public Health, Executive Health, Travel Medicine, Medical Evacuation, Wellness

 

  Occupational and Physical Rehab, Health Management

With MHI Wellness, You've Got Options

Full Clinic Setup

  • Construction and design oversight
  • Licenses, permits, certifications
  • Exam room package
    • Exam table
    • Cabinetry / Sinks
    • Professional equipment
    • EKG and clinic supplies
    • Biometrics testing
    • Telemedicine equipment
  • Physician consultation area
  • Physician and allied health staffing
  • Credentials vetting to industry standards
  • Professional liability insurance
  • Health information technology
  • Scheduling / Electronic medical records
  • HIPAA /HITECH compliance
  • Patient communications
  • End-to-end management

Optional alternatives:

  • Limited Clinic Set Up

  • Telehealth / Remote Support Setup

  • Co-op Cluster Clinic  (Shared services)

  • Executive Health Suite

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