Practice Management
A recent study in JAMA Health Forum analyzing national data on registered nurses (RNs) revealed a recent recovery in the size of the nursing workforce following the substantial drop recorded during the pandemic. Despite a drastic decline of more than 100,000 RNs in 2021, the workforce saw a resurgence in 2022 and 2023. This recovery indicates a promising trajectory with forecasts indicating that by 2035, the workforce will reach 4.56 million nurses, adding an estimated …
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Urgent message: Urgent care operators must be mindful of costs and labor efficiency to navigate the challenges of rising and falling revenue in what’s been a highly seasonal business. Alan A. Ayers, MBA, MAcc, is President of Experity Consulting and is Senior Editor of The Journal of Urgent Care Medicine. For much of 2020 and 2021, the COVID-19 pandemic drove both uncertainty and higher volumes (and thus profits) to urgent care centers. With the 2022-2023 …
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It’s 8 pm and I’m 9 hours into a 10-hour shift when four new patients walk in. Even though I’m feeling drained, I smile warmly as each passes my workstation. I “eyeball” them each as they walk by; my grin persists because they all seem stable and my “TUR” for this shift in the emergency department is now only 45 minutes away. TUR (or “time until relief”) is a metric I continuously track with ruthless …
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Citizens from coast to coast will have a rare opportunity to witness a total solar eclipse on August 21. States directly in its 70-mile-wide path—Oregon, Idaho, Wyoming, Nebraska, Kansas, Missouri, Illinois, Kentucky, Tennessee, Georgia, North Carolina, and South Carolina—are bracing for a massive influx of sky watchers intent on witnessing the phenomenon. Urgent care centers are shoring up their staffing in response. For example, Oregon’s St. Charles Health System is bringing in extra staff from …
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Introduction It should not be surprising that when hospital executives and personnel sit down to discuss issues and problems around population health, accountable care organization (ACO) integration, network development, cost containment, new product lines, hospital readmission rates, care coordination, and related topics they often arrive at hospital-centric and hospital-based solutions to solve them.1 As hospitals and hospital networks look to urgent care centers to address some of these issues through hospital/urgent care affiliations, joint ventures, …
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Urgent message: Medical assistants (MAs) provide flexible, cost-effective clinical support for urgent care centers. With proper training and working under a physician’s supervision, an MA can perform most basic support functions in this setting. Introduction While there’s a lack of verifiable data as to the total number of unsuccessful urgent care endeavors, we can presume at least one common reason urgent care centers shutter their doors and permanently cease operations: they exhaust their working capital. …
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Urgent message: Despite the best staff planning, urgent care centers sometimes need to turn to locum tenens firms to fill the “bench.” Understanding the challenges these firms face is one key to success. ALAN A. AYERS, MBA, MAcc, Experity Regardless of how aesthetically pleasing an urgent care facility, how convenient its hours, how creative its marketing, or how sophisticated its technology, the ultimate “product” is its clinicians and the solutions they provide for patients’ immediate …
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Urgent message: Medical staffing agencies extend an urgent care center’s recruiting and staffing capabilities with solutions to fill all operating hours with qualified providers. Alan A. Ayers, MBA, MAcc Practice Velocity Introduction The United States faces a shortage of primary care and emergency medicine physicians – the provider force feeding urgent care. When an urgent care center has an insufficient number of providers to adequately cover its schedule, the patient experience suffers due to extended …
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