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They will be competition for a certain type of patients and complaints

and for certain physicians (long waiting time, ultra-short visits...).

> How are Walmart clinics going to be set up? I certainly have feelings

> and thoughts about these. Just curious what the group thinks of

> these. Many in the city use the mall walk in clinics as their

> primary care doctor.

> What systems will Walmart put in place that we should copy?

> What systems should we stay away from?

> Do we see it as competition?

> Brent

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They will be competition for a certain type of patients and complaints

and for certain physicians (long waiting time, ultra-short visits...).

> How are Walmart clinics going to be set up? I certainly have feelings

> and thoughts about these. Just curious what the group thinks of

> these. Many in the city use the mall walk in clinics as their

> primary care doctor.

> What systems will Walmart put in place that we should copy?

> What systems should we stay away from?

> Do we see it as competition?

> Brent

>

>

>

>

>

>

>

>

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I have to admit I am worried about these, although the nearest one to me, is over 30 minutes away. They seem to only be set up to take the easy stuff, the colds, UTI, etc. But I like having some of these each day, I don't want to be left with only difficult issues. On the other hand a second Urgent Care just opened 5 min from me, about 6 mo ago. And I haven't seen any drop in my business. I continue to have good word of mouth. I think if they can get same day access (the day they call or w/in 24 hr) very few will go to these anyway, because we already have the access, and they know us.

-------------- Original message -------------- -----BEGIN PGP SIGNED MESSAGE-----Hash: SHA1They will be competition for a certain type of patients and complaints and for certain physicians (long waiting time, ultra-short visits...).> How are Walmart clinics going to be set up? I certainly have feelings> and thoughts about these. Just curious what the group thinks of> these. Many in the city use the mall walk in clinics as their> primary care doctor.> What systems will Walmart put in place that we should copy?> What systems should we stay away from?> Do we see it as competition?> Brent>>>>>>>>

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At the IHI office practices summit in San Diego I heard a great speaker -

Matt Eyring from Innosight. He talked about disruptive innovation

and described the minute clinics.

They are definitely a threat to us and we'll be hard pressed to counter

their locations, but we have several things that they can't touch.

We have MD

We have continuity

And we can match and beat their access & efficiency.

Some of our patients will use them, but in the wider marketplace we will

not suffer from these sites. Patients in usual and customary

practices will go to them much more readily.

Gordon

At 12:25 PM 4/10/2006, you wrote:

I have to admit I am worried

about these, although the nearest one to me, is over 30 minutes

away. They seem to only be set up to take the easy stuff, the

colds, UTI, etc. But I like having some of these each day, I don't

want to be left with only difficult issues. On the other hand a

second Urgent Care just opened 5 min from me, about 6 mo ago. And I

haven't seen any drop in my business. I continue to have good word

of mouth. I think if they can get same day access (the day they

call or w/in 24 hr) very few will go to these anyway, because we already

have the access, and they know us.

-------------- Original message --------------

-----BEGIN PGP SIGNED MESSAGE-----

Hash: SHA1

They will be competition for a certain type of patients and

complaints

and for certain physicians (long waiting time, ultra-short

visits...).

> How are Walmart clinics going to be set up? I certainly

have feelings

> and thoughts about these. Just curious what the group

thinks of

> these. Many in the city use the mall walk in clinics

as their

> primary care doctor.

> What systems will Walmart put in place that we should copy?

> What systems should we stay away from?

> Do we see it as competition?

> Brent

>

>

>

>

>

>

>

>

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Guest guest

At the IHI office practices summit in San Diego I heard a great speaker -

Matt Eyring from Innosight. He talked about disruptive innovation

and described the minute clinics.

They are definitely a threat to us and we'll be hard pressed to counter

their locations, but we have several things that they can't touch.

We have MD

We have continuity

And we can match and beat their access & efficiency.

Some of our patients will use them, but in the wider marketplace we will

not suffer from these sites. Patients in usual and customary

practices will go to them much more readily.

Gordon

At 12:25 PM 4/10/2006, you wrote:

I have to admit I am worried

about these, although the nearest one to me, is over 30 minutes

away. They seem to only be set up to take the easy stuff, the

colds, UTI, etc. But I like having some of these each day, I don't

want to be left with only difficult issues. On the other hand a

second Urgent Care just opened 5 min from me, about 6 mo ago. And I

haven't seen any drop in my business. I continue to have good word

of mouth. I think if they can get same day access (the day they

call or w/in 24 hr) very few will go to these anyway, because we already

have the access, and they know us.

-------------- Original message --------------

-----BEGIN PGP SIGNED MESSAGE-----

Hash: SHA1

They will be competition for a certain type of patients and

complaints

and for certain physicians (long waiting time, ultra-short

visits...).

> How are Walmart clinics going to be set up? I certainly

have feelings

> and thoughts about these. Just curious what the group

thinks of

> these. Many in the city use the mall walk in clinics

as their

> primary care doctor.

> What systems will Walmart put in place that we should copy?

> What systems should we stay away from?

> Do we see it as competition?

> Brent

>

>

>

>

>

>

>

>

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How in the world are we going to beat access efficiency. They will

be open late, have immediate access to pharmacy and have large

pocket book behind them. I am too tired to be open 8-8 6 or 7 days a

week.

In many areas the MD is being downgraded. You can practice in my

state independently as a Nurse Practioner. Why would you go to

medical school with the costs if you can set up a shingle? No they

are not equivalent however the public in the future may be duped.

The nurses lobby have quite the power at governmental levels.

Continuity, maybe, depends on the patient.

Brent

> >

> > > How are Walmart clinics going to be set up? I certainly have

feelings

> > > and thoughts about these. Just curious what the group thinks

of

> > > these. Many in the city use the mall walk in clinics as their

> > > primary care doctor.

> > > What systems will Walmart put in place that we should copy?

> > > What systems should we stay away from?

> > > Do we see it as competition?

> > > Brent

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

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When I was trying to “partner”

with a PA, she wanted to “cherry pick” the acute stuff and see 25 99213s per day and leave me with all the chronic

disease, multiple prescription Medicare follow ups. One of many reasons why

that relationship didn’t last.

Annie

Re:

walmart clinics

I have to admit I am worried

about these, although the nearest one to me, is over 30 minutes away.

They seem to only be set up to take the easy stuff, the colds, UTI, etc.

But I like having some of these each day, I don't want to be left with only

difficult issues. On the other hand a second Urgent Care just opened 5

min from me, about 6 mo ago. And I haven't seen any drop in my

business. I continue to have good word of mouth. I think if they

can get same day access (the day they call or w/in 24 hr) very few will go to

these anyway, because we already have the access, and they know us.

-------------- Original

message --------------

-----BEGIN PGP SIGNED MESSAGE-----

Hash: SHA1

They will be competition for a certain type of

patients and complaints

and for certain physicians (long waiting time,

ultra-short visits...).

> How are Walmart clinics going to be set

up? I certainly have feelings

> and thoughts about these. Just curious

what the group thinks of

> these. Many in the city use the mall

walk in clinics as their

> primary care doctor.

> What systems will Walmart put in place that

we should copy?

> What systems should we stay away from?

> Do we see it as competition?

> Brent

>

>

>

>

>

>

>

>

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From the Physician/ Vet in Drain, Oregon, The vets have had these kinds of competition for some years, now. They tend to catch the patient that didn't come to see my kind of practice. Most of their patients, in my experience, are people who don't want a relationship with a doctor, don't want anyone to know about their history. I imagine they will want to get things like their antibiotics for their colds, or their vicoden for their bad leg, while they are on the way to the gas station, while getting some diapers and extra junk food on the way out the door. In the animal world we find they get the equivalent things: Panalog for their dog's recurrent ear infection or a quick rabies shot so they can cross the border into Canada, while they are getting dog food and chewey toys. These are the " they came, they went...and no one

misses them" kind of encounters. Don't worry. I would be a little worried if I had a ten minute visit type practice two blocks away from a Walmart, though. Joanne

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