Alicia Ledlie was a co-manager at a Wal-Mart store in Long Island, N.Y., when she attended a conference at the company’s Arkansas headquarters and heard about a possible new venture: in-store health clinics. Because of her knowledge of her Long Island customers, she immediately understood the potential for the idea to succeed. “I knew that many people who shopped in our store had to go to the emergency room every time they got sick, because they had no insurance,” Ledlie said. She applied to join the new team and was hired in 2006. Though she had no health-care industry experience, she quickly took on a leading role. Little more than two years later, Ledlie is running the in-store program, and she has overseen the implementation of more than 79 in-store health clinics in 12 states.
It was Ledlie’s idea to include drug-testing services for Wal-Mart job applicants in the clinics’ scope of services. Ledlie knew that all new hires had to have a drug test within 24 hours of receiving a job offer. “Working in the stores, I’d seen how this requirement created a challenge for recruits who relied on public transportation,” she says. “Adding this service to the clinics’ roster was a quick win. Store managers