BeWell March 1, 2018 Committee on the University of Virginia College at Wise 1
Original Objective: Offer BeWell to Wise Employees Discovery : In order to offer BeWell to employees we need to ensure convenient access to care. It does not exist today. New Objective: Convert existing student health clinic into a full primary care clinic offering medical services to students, employees and their spouses. 2
Current State: Students: Approximately 2099 Employees/ Spouses: Approximately 648 Lack of timely access to primary care due to lack of providers in area. Access to specialty care requires extensive drive time. Behavioral Health resources are very limited. Nurse Practitioner (NP) is part-time basis only, limiting access to care. 20% of student population sought mental/ behavioral counseling last year. Inability to provide medication adjustments when NP is not in the office. 3
Solutions Open a full service primary care clinic for students, employees and spouses. Employ a full-time NP and a full-time nurse that will have oversight from UVA physician via Telemedicine.* Implement Telemedicine capabilities with UVA specialists. *NP has been identified-waiting on credentialing. 4
Impact Local real time access to care for students, employees and spouses. Improved health outcomes with BeWell support. Ability to offer a full service clinic on-site, which may result in improved student recruitment. Allows nursing students the opportunity to complete clinical observations on site. Today they drive 90 minutes each way. Offers the ability for additional internships in Telemedicine via Computer Science Degree Program. 5
IMPLEMENTATION ITEM STATUS Reconfiguration of existing space Proforma Sign-Offs: Student Health - Chris Holstege Legal - Beth Hodsdon and Lynn Flemming UVA’s College at Wise - • Rusty Necessary-Vice Chancellor for Enrollment Management & Student Life • Joe Kiser-Director of College Services • Rachel Carter-Director of the Center for Student Development Health System Leadership - Richard P. Shannon, MD • • Health System Finance Department of Medicine - Mitch Rosner, MD Telemedicine - David Cattell-Gordon Credentialing of NP/Nurse Billing EMR/ Future discussion (paper charts) Required Nurse Practitioner training on student/Parent Notification 6 *see project timeline
Estimated Expenses Account Year 1 Year 2 Year 3 Start-Up Costs $46,200 Salaries/Fringe 236,569 241,300 246,126 Medical Supplies 9,000 12,000 15,000 Drugs/Vaccines 6,500 9,500 12,500 Office Supplies 1,200 1,500 1,800 Billing Fees 14,661 18,326 20,769 Linen Service 1,200 1,500 1,800 Travel 3,000 1,000 1,000 Cell 360 360 360 Misc. Expenses 1,000 1,200 1,500 Total $273,490 $286,686 $300,855 7
Conservative Estimated Revenue Source Year 1 (50%) Year 2 (65%) Year 3 (75%) College $80,436 $80,436 $80,436 Employee/Spouse 48,869 63,530 73,303 Annual Visit Employee/Spouse 6 24,434 31,765 36,652 month Visit (1 additional visit) Employee/Spouse 3 48,869 63,530 73,303 month Visit (2 additional visits) Non-recurring/sick 24,434 24,434 24,434 visits Total Projected 227,043 263,694 288,129 Revenue Estimated Net $(46,447) $(22,992) $(12,727) 8
Current Space: 9
Current Space: 10
Existing Floor Plan: 11
Reconfiguration of Existing Floor Plan Exam Room Telemed Exam Room RN/Lab Area Records Room Admin./ Exam Room Check-In NP Office 12
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