Journal of Urgent Care Medicine

Practice Management

 

The Millennial Conundrum: Fostering an Engaged Multigenerational Urgent Care Workforce

By bnapolitano  /  September 1, 2019
Urgent message: Are Millennial employees breathing fresh energy into the urgent care workplace or are they a new breed of…
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The Millennial Conundrum: Fostering an Engaged Multigenerational Urgent Care Workforce

How Urgent Care Managers Can Support Their Employees Through the Grieving Process

By bnapolitano  /  September 9, 2019
Urgent message: Everyone will experience some kind of loss in their lifetime; all too often, however, the workplace is ill-equipped…
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How Urgent Care Managers Can Support Their Employees Through the Grieving Process

A 30-Year-Old Female with Headaches of Increasing Frequency

By bnapolitano  /  September 1, 2019
Urgent message: Cerebral venous sinus thrombosis (CVST) occurs when a blood clot forms in the venous sinuses within the brain,…
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A 30-Year-Old Female with Headaches of Increasing Frequency

An Updated Approach to Toddler Fractures

By bnapolitano  /  September 1, 2019
Urgent message: Toddler’s fractures are a common cause of limp and failure to bear weight in children under 4 years…
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An Updated Approach to Toddler Fractures

A 61-Year-Old Male with ‘Just a Cough’

By bnapolitano  /  September 16, 2019
The patient is a 61-year-old male who presents with a cough. His wife, who is with him, reports that it’s…
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A 61-Year-Old Male with ‘Just a Cough’

Urgent Care News

UCA Webinar: What You Need to Know About Workers’ Comp

Many urgent care operators have found occupational medicine to be a natural fit for their …
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With One Child Dead Already, U.S. Says the 2019–2020 Flu Season Will Be Brutal; Be Prepared

While most Americans may not consider the 2019–2020 flu season even underway yet, federal health …
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Ignore Potential Competitors from the Big Box Sector at Your Peril

Urgent care operators have gotten more competitive with each other in recent years, working tirelessly …
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Not Controversial, Just Hard to Come by: Fair Pay for Urgent Care Services Rendered

It’s safe to say no one reading this would disagree that urgent care centers fulfill …
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Vaping Raises Already-High Risk During Flu Season

With flu season in its early days and news reports revealing the true dangers of …
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Web Exclusive Articles

How Urgent Care Managers Can Support Their Employees Through the Grieving Process

Urgent message: Everyone will experience some kind of loss in their lifetime; all too often, …
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Patients vs Consumers—What’s the Correct Term in Urgent Care?

Urgent message: As the debate rages as to whether today’s healthcare recipient should be regarded …
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Making Your Urgent Care More Child-Friendly

Urgent message: As urgent care centers look to differentiate themselves in saturated and competitive markets, …
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Repair of Split Earlobe Lacerations in the Urgent Care

Urgent message: Patients presenting to the urgent care center with split earlobe injuries can have …
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JUCM Bonus Feature: Top 10 Things to Know in the Wake of an Urgent Care Acquisition

Lou Ellen Horwitz, MA Finally, after months of looking for the right health system partner, …
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Clinical Articles

An Updated Approach to Toddler Fractures

Urgent message: Toddler’s fractures are a common cause of limp and failure to bear weight in children under 4 years …
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Repetitive Motion Injuries: Urgent Diagnosis, Patient-Centered Management

Urgent message: Musculoskeletal disorders result in costly, disabling outcomes for Americans—causing significant economic impact (work-related injuries, early retirement, days away …
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Top 5 Wilderness Medicine Topics for the Urgent Care Provider

Urgent message: “Wilderness” medicine is less exotic than one would think. Patients with complaints that began during or after an …
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Top 5 Common Causes—and Controversial Conducts—of Heel Pain in Urgent Care

Urgent message: Nontraumatic heel pain is a common presenting complaint in urgent care. Knowing how to accurately diagnose and develop …
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Practice Management Articles

The Millennial Conundrum: Fostering an Engaged Multigenerational Urgent Care Workforce

Urgent message: Are Millennial employees breathing fresh energy into the urgent care workplace or are they a new breed of …
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Creating the ‘Ideal’ Urgent Care Experience

Urgent message: For owner-operators truly committed to creating “the ideal urgent care experience”—a thriving operating model that benefits patients, employees, …
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Are Those Teambuilding Activities Really Worth It?

Urgent message: High-profile teambuilding extravaganzas may get your crew pumped up—once or twice a year, and assuming you can shut …
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Practical Considerations for Buying/Selling Your Urgent Care Practice

Urgent message: As urgent care remains a hotbed of merger, acquisition, and transactional activity, owners and operators may see a …
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Insights in Images Challenges

An 80-Year-Old Man with Rhinorrhea, Cough, and Intermittent Dizziness

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A 59-Year-Old Man with a Painful Elbow After a Fall

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A 48-Year-Old Woman with a Facial Lesion

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An 88-Year-Old Woman with Several Weeks of Dizziness

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A 2-Year-Old Girl with Leg Pain After Jumping on a Trampoline

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A 47-Year-Old Female Cancer Patient with Red, Flaccid Bullae on Her Leg

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JUCM CAREER CENTER

Download Past Issues

September 2019 : Your Provider Is Being Sexually Harassed by a Patient. Do You Know What to Do?

VIEW ISSUES ARCHIVE

CASE REPORTS

A 30-Year-Old Female with Headaches of Increasing Frequency

Urgent message: Cerebral venous sinus thrombosis (CVST) occurs when a blood clot forms in the venous …
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Abdominal Pain in the Younger Adult: Let’s Not Forget Acute Diverticulitis

Urgent message: The differential diagnosis of abdominal pain is challenging because many symptoms and signs are …
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A 9-Year-Old Girl with Sudden-Onset Sore Throat After a Meal

Urgent message: Sore throat and throat pain are common complaints in the urgent care setting. While …
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An 11-Year-Old Girl with Back Pain and Chronic Poor Appetite

Urgent message: Patients with recurrent symptoms should have an expanded history—including a genitourinary history in premenarchal …
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A 44-Year-Old Man with Cough of Several Weeks’ Duration

Urgent message: Lung cancer—the leading causes of cancer-related deaths in the United States—may first present with …
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HEALTH LAW

#MeToo in the Urgent Care Center: When the Perpetrator is a Patient

Urgent message: Most urgent care operators are well aware of the need for strong, clear policies …
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The Consequences of a Medical Provider Quitting Without Notice

Urgent message: Patients and communities rely on access to urgent care to augment primary care shortages …
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How Best to Manage an ‘At-Will’ Termination

Urgent message: In most states, employment is at will—meaning that an employer can fire or terminate …
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Do Nurse Practitioners and Physician Assistants Qualify for Overtime in the Urgent Care Setting?

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice …
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What Exactly Are Whistleblower Lawsuits—and How Can You Protect Your Urgent Care Operation?

Urgent message: The increasingly visibility of “whistleblower cases,” in which employees share in any fines from …
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CLINICAL CHALLENGES

An 88-Year-Old Woman with Several Weeks of Dizziness

The patients is an 88-year-old woman with 3 weeks of dizziness but no complaints of chest pain/discomfort, shortness of breath, …
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A 59-Year-Old Man with a Painful Elbow After a Fall

The patient is a 59-year-old man who presents with pain in his elbow. He says he was experimenting with his …
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A 47-Year-Old Female Cancer Patient with Red, Flaccid Bullae on Her Leg

The patients is a 47-year-old woman undergoing chemotherapy for breast cancer with 1 day of  several red, flaccid bullae on …
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An 80-Year-Old Man with Rhinorrhea, Cough, and Intermittent Dizziness

Case The patient is an 80-year-old man with history of hypertension and high cholesterol who presents with rhinorrhea and cough …
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A 48-Year-Old Woman with a Facial Lesion

Case The patients is a 48-year-old woman who presents with a single lesion on her cheek/face. As a healthcare worker …
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OCCUPATIONAL MEDICINE

Want to Drum Up More Occ Med Business? You Need to Educate Prospective Clients!

For urgent care operators who offer occupational medicine services, the value of those services is self-evident. Likewise, businesses that already …
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Urgent Care is Forging Inroads in Occ Med—but There’s Still Plenty of Room for Growth

Occupational medicine can be found in more than half of U.S. workplaces, according to newly published data from the Centers …
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Current Drug Test Data Reflect New Trends in Opioid and Marijuana Use Among Workers

As marijuana use becomes legal in more communities across the country and urgent care providers (among others) get the message …
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National Safety Council Stresses the Importance of Workplace Education on Opioids

As we told you in January, new data from the National Safety Council (NSC) revealed that the odds of dying …
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New York May Call on Telemedicine to Improve Access Under Workers’ Comp

Urgent care operators that offer occupational medicine in New York may want to consider what it would take to start …
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Revenue Cycle Management

Utilizing Credit Card Pre-authorization to Optimize Revenue

With the continued rise of the cost of healthcare and higher out-of-pocket costs to the patient, urgent care centers are …
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Optimize Revenue with Improved Claims Denials Management

No matter how diligent your billing staff is about billing charges out correctly, it is inevitable that you will receive …
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Get Ready for the Next Round of Changes to E/M Guidelines

The American Medical Association has announced it is taking the first steps towards revising the new Evaluation and Management (E/M) …
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Be Aware: The CCI Edits, They Are a Changin’

The Centers for Medicare and Medicaid Services announce an update to claim adjudication rules for National Correct Coding Initiative Procedure-to-Procedure …
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Correct Modifiers Make All the Difference When Coding for X-ray Services

Q: During a recent internal audit of claims where x-rays were being billed, it was brought to my attention that …
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DEVELOPING DATA

Physician Assignment Searches: Urgent Care is on the Rise, Hospitals on the Decline

This is an interesting time to be in the healthcare field. We keep hearing (and are starting to see the …
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Urgent Care Is an Appropriate Setting for Any Age—But What Ages Are Showing Up the Most?

This issue of JUCM, without any plan to do so, demonstrates the age range of patients who realize the value …
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Telemedicine in Urgent Care—Yay, Nay, or Too Soon to Say?

If you read this month’s Urgent Perspectives column (page 1), you were treated to a dynamic conversation between two urgent …
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New Data Show Urgent Care Outpacing Retail and ED Traffic

Urgent care started as something akin to the California Gold Rush; if a physician had the resources, the inclination, and …
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Does Your Website Show Patients How Much Financial Flexibility You Offer?

This month’s Practice Management feature article, Perfecting the Consumer Financial Experience in Your Urgent Care Center, reveals that with increasing …
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Abstracts in Urgent Care

Abstract In Urgent Care-September 2019

Practice of Urgent Care: Rude Patients May Do More than Ruin Your Mood Key point: Individual and team performance of …
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Abstract In Urgent Care-July 2019

Rush for Outpatient Stress Test Recommendation (Finally) Examined Key point: Rapid outpatient stress testing (ie, within 72 hours), which has …
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Abstract In Urgent Care-June 2019

Practice of Urgent Care: The Illusion of Multitasking and the Cost of Interruptions Key point: True multitasking is not possible …
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Abstract In Urgent Care-May 2019

Mitigating Risk Through Shared Decisionmaking Key point: Shared decision-making appears to mitigate the risk to clinicians of patient complaints and …
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Abstracts In Urgent Care – April 2019

Rethinking IV Antibiotics for Cellulitis Key point: Oral antibiotics are noninferior to parenteral antibiotics for uncomplicated cellulitis. Erythema of cellulitis …
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LETTER FROM THE EDITOR-IN-CHIEF

Virtual Urgent Care: Boom or Bust?

Telemedicine remains a hot topic of debate in urgent care circles. In fact, it seems like every urgent care conference …
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I’m Not a Lawyer, But I Play One…

Like many of you, the fear of a medical malpractice claim casts a wide shadow over everything I do. Like …
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Longitudinal Assessment: A Dent in the ABMS Armor?

With the volume of dissent against Maintenance of Certification (MOC) now at a fever pitch, American Board of Medical Specialties …
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Urgent Care and Antibiotics: Advancing Care and Stewardship

Antimicrobial stewardship is defined as a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, …
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Anger Management: Hostile Encounters in Urgent Care

Eliminating disruption, distraction, and dissatisfaction is paramount to delivering efficient and high-quality care these days. More than ever, urgent cares …
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