Retail Health Clinics: Retail health clinics are not replacements for a continuous, ongoing relationship with a physician medical home. To ensure that patients do not rely on such clinics to fulfill this role, retail health clinics must establish: (a) explicit, written, HIPAA compliant mechanisms of timely sharing health records, including lab results and prescribed medications, with the patient’s primary care physician; (b) protocols for assuring that patients who need follow-up care are directed appropriately; (c) protocols for identifying patients who use retail health clinics frequently so as to encourage them to seek care from their own personal physician. For patients who do not have a medical home, retail health clinics should collaborate with the local county medical society to establish referral mechanisms with local primary care physicians to promote patients’ use of an ongoing medical home; and (d) written materials explaining that clinic services are limited and are not meant to replace comprehensive care provided by a physician. To promote the provision of safe, effective, quality care by retail health clinics, the Texas Medical Association recommends that: (a) Retail health clinics be required to adhere to state public health reporting; requirements in order to assist in disease surveillance efforts; (b) Retail health clinics be required to participate in the state’s immunization registry, Immtrac; (c) Nurse practitioners or physician assistants practicing in retail health clinics practice strictly in accordance with their respective scopes of practice; (d) Clinical algorithms used by retail health clinics must be evidence based and obtained from nationally recognized, published, and peer reviewed sources; (e) Retail health clinics establish written quality improvement and utilization review protocols; (f) Retail health clinics adhere to state and federal requirements regarding operation of in-office laboratories; and (g) Retail health clinics use local physician medical directors who are primary care physicians and actively engaged in the use of evidence-based care management protocols (Amended CSE Rep. 3-A-06; amended CM-MHPC Rep. 1-A-16).
Last Updated On
October 07, 2016