Edmund M. Henschel
TELEPHONE 262/524-3701 FAX 262/524-3899
To: City of Waukesha Employees
CC: Mayor & City Council
From: City Administrator
Subject: Proposed Shared On-Site Health Clinic
Date: March 11, 2014
On March, 6th, 2014 you received an email from
Mayor Scrima regarding the shared on-site medical clinic
between the City, School District and County. In his memo
the Mayor indicated I would be answering your questions
about the clinic and its impact on our City employees. Let
me attempt to anticipate some of your questions.
Who is developing the clinic and what involvement
have the City had in the study, design and development of
what is being proposed?
The concept of a shared on-site medical clinic
between the City, School District and the County began in
2012. We agreed to partner with the School District and the
County in an evaluation process which consisted of a
feasibility study and a formal request for proposal process
to select a clinic provider. The City, School District and
County have a shared goal of providing quality health care
services for our employees and dependents and also looking
for ways to reduce health care costs, both for employees and
The City has been involved and participated in every stage
of the process beginning with the selection of the
consultant, conducting the feasibility study, creating the
RFP for vendor selection, evaluating the proposals,
interviews of bidders, site visits, and making the final
recommendation on which organization to select to manage the
While this is joint initiative and overall will be managed
jointly, how the clinic integrates with our health plan and
specific programs that may be important to the City, will be
the City’s decision.
Q. The Mayor’s email indicated that the employees
over time will be required to only use this County
government clinic for initial examinations and particular
health services. Is this the City’s intent?
The short answer is no. However, let me first
reinforce this is not the County’s clinic. What is being
proposed is a partnership with the City, School District and
County. An intergovernmental agreement is being developed
which specifies that the clinic oversight will be done by
all of the organizations together.
From the very beginning we have been clear that employees
and their families will not be required to use the
clinic. The clinic will be an alternative or option for you
and your family. It has been very clear in the feasibility
study, in the request for proposal process and at the
presentations to the Council, and in prior communications to
employees that the clinic is an option not a requirement.
Q. Can I continue to see my own doctor? Can I use
both the clinic and see my own doctor?
A. The answer to both is yes. Many employees and
their family members have strong
relationships with physicians in the community
and we expect those to continue. We also
know that we have employees who do not have
primary care physicians. If you are one
of those employees the doctor and staff at the clinic can
serve that role for you. They can
treat your common illnesses, and can refer you to
specialists within our network if needed.
You have the option to use the clinic for none, all, or some
of your medical services. In some situations it may be
more convenient or less expensive for you to use the
clinic. It is your decision.
Q. In the past we had to participate in an annual
biometric blood test and health risk
assessment. Our participation determined what we paid
toward our health insurance premium. Does this change at
all once the clinic is opened?
Our plan will continue the biometric and health risk
assessment process and to tie employee contributions to
health insurance as we have done in the past. We would
anticipate that the clinic provider will conduct the
biometric testing and employees will fill out the health
risk assessment and review the results with someone from the
clinic in a process nearly identical to what has been done
in the past.
Q. Where will the clinic be located?
A. The clinic will be located in the building that
previously was used as the County Public
Health Center. Recently, the Public Health
division moved into the new County Health and
Human Services building. This is free standing
building with a separate parking lot and
entrance from other County buildings. The building is
located west of the County Courthouse on Moreland Blvd.
Q. What hours will the clinic be open? Will it be
convenient to use?
A. At this time it is being proposed that the clinic
be open Monday – Friday from 7:00 a.m. to 7:00 p.m. and on
Saturday from 7:00 a.m. to 12:00 pm. The clinic hours
will be adjusted based on the utilization. We have the
ability to adjust the hours and have it staffed during the
times when it is used the most.
Q. Who will be staffing the clinic, what type of
medical providers will employees be able to see?
A. The plan is for the clinic to be staffed with a
Physician, 2- Physician Assistants, an RN,
2 Medical Assistants and 2.5 Receptionists. In
the second year the plan is to add a Physical
Therapist and a Care Coordinator.
Q. Will I be charged to use the clinic, if so do you
know how much?
A. City employees and their families will be asked
to pay modest co-pay when using the clinic. Final fees have
not been determined, but we anticipate that the fee will be
zero to $5.00. In addition if you use the pharmacy at the
clinic you will be asked to pay modest co-pay for
prescriptions as well. The co-pays that you are charged
will accumulate and apply toward satisfying your deductible
under the health insurance plan.
Q. You mentioned a pharmacy, how will that work for
A. If an employee or family member is in need of a
medication, the clinic may be used to fill some of your
prescriptions. The pharmacy at the clinic will stock
pre-packaged medications based on a review of the most
common, non-narcotic medications our employees and families
use. Examples might be antibiotics and cholesterol
medications. Not all medications will be available at the
Q. Who from the City will be eligible to use the
on-site medical clinic?
A. Employees, spouses and dependents over the age of
2 who are enrolled in the City’s health
plan. Retirees who are in the City health plan
are also eligible.
Q. It has been reported that the clinic will be
managed by a company called Healthstat, who are they?
Healthstat was chosen following an extensive and
thorough review process. As I indicated earlier, the City
participated in every phase of the selection process. The
joint City, School District and County evaluation committee
are recommending that Healthstat operate the clinic.
Healthstat is a leading health and wellness organization
headquartered in Charlotte, North Carolina. They operate
over 350 on-site medical clinics across the country. They
operate clinics that provide care and services to employees
in the public, private, education and non-profit sectors.
In Wisconsin Healthstat provides on-site clinic services to
the City of Kenosha and the West Bend School District.
Q. It is being reported that this clinic will save
the City $1.1 million over a 5 year period. Will employees
benefit from this savings?
A. By controlling healthcare costs, annual health
premiums are controlled which will lead to maintaining or
reducing health premiums to employees. It could also free
up money that can be used to support other employee
Q. What is the City’s process to approve
participation in the joint shared clinic?
A. The Common Council will need to approve an
intergovernmental agreement with the County and School
District and the contract for the provision of services by
I hope this answers some of your questions. If you have
others, please feel free to contact HR Manager Donna Whalen
or I. My goal remains providing excellent healthcare
services as the lowest possible cost for the benefit of
everyone in the City of Waukesha.
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