Becoming the Employer of Choice for the Emerging Urgent Care Workforce

Urgent message: A tight labor market combined with stagnant real wage growth and shifting worker expectations has placed the onus…
Read More
Becoming the Employer of Choice for the Emerging Urgent Care Workforce

Avoid Wasting Your Employee’s Time

Urgent message: A manager’s words are important to employees, which is why sensitivity is required to avoid small talk being…
Read More
Avoid Wasting Your Employee’s Time

Post Sports Injury Burn Due to Inappropriate Use of Cryotherapy

Urgent message: PRICE (protection, rest, ice, compression and elevation) treatment is often advised to patients as part of sports soft…
Read More
Post Sports Injury Burn Due to Inappropriate Use of Cryotherapy

An Urgent Care Approach to Influenza—Before Onset

Urgent message: The urgent care clinician must have a thorough understanding of different influenza types and strains, disease course, and…
Read More
An Urgent Care Approach to Influenza—Before Onset

An 11-Year-Old Boy with Groin Pain After Playing Soccer

The patient is an 11-year-old boy who presents with groin pain following a soccer game yesterday afternoon. View the image…
Read More
An 11-Year-Old Boy with Groin Pain After Playing Soccer

Urgent Care News

Urgent Care Operator Ochsner Dials Up American Well for App-Based, DTC ‘Anywhere Care’

Ochsner Health System is taking its commitment to providing telehealth in an urgent care environment …
Read More

New DEA Report: Prescription Drugs Are Still to Blame for the Most Overdose Deaths

Urgent care operators and occupational medicine providers alike should be aware that prescription opioids continue …
Read More

Acute Flaccid Myelitis is Rare, but Growing; CDC Wants You to Learn More About It

The Centers for Disease Control and Prevention is devoting more resources to gathering and sharing …
Read More

Could Urgent Care Be the Next Step for CVS, Post Aetna Deal?

The retail clinic market might not be the only one affected by CVS Health’s union …
Read More

Urgent Care Centers: Get on Message for Antibiotic Awareness Week

Antibiotic stewardship has become something of a buzz phrase in many healthcare settings. Don’t forget …
Read More

Web Exclusive Articles

Avoid Wasting Your Employee’s Time

Urgent message: A manager’s words are important to employees, which is why sensitivity is required …
Read More

Point of Care Ultrasound (POCUS) in Urgent Care

Urgent message: Once a rarity in the urgent care setting, point-of-care ultrasound imaging capabilities are …
Read More

Does Your Urgent Care Need a Chaperone Policy?

Urgent message: In today’s world of flying accusations of personal misconduct, having a clearly defined …
Read More

Developing an Emergency Preparedness Plan for Urgent Care

Urgent Message: In order for urgent care to meet the on-demand healthcare needs of the …
Read More

Is it Workaholism if You Love What You Do?

Urgent message: While the term “workaholic” has traditionally carried the stigma of addiction and resulting …
Read More

Clinical Articles

An Urgent Care Approach to Influenza—Before Onset

Urgent message: The urgent care clinician must have a thorough understanding of different influenza types and strains, disease course, and …
Read More

Syphilis in the Urgent Care Center

Urgent message: Seeking information beyond the stated history  can prompt  important information that informs the true diagnosis. This is especially …
Read More

Employing the Parental Papoose Technique in Treating Young Children

Urgent message: Children presenting to the urgent care center are often in a state of distress and agitation—to the extent …
Read More

The Approach to the Hypertensive Patient in the Urgent Care Setting

Urgent message: Previously undiagnosed hypertension is common among ambulatory patients, and urgent care providers are often the first to recognize …
Read More

Practice Management Articles

Becoming the Employer of Choice for the Emerging Urgent Care Workforce

Urgent message: A tight labor market combined with stagnant real wage growth and shifting worker expectations has placed the onus …
Read More

How Urgent Care is the Antidote to Traditional Doctors’ Offices

Urgent message: Changing consumer expectations have led experts to question the future viability of “traditional” doctors’ offices, but urgent care …
Read More

Building Ethical Organizations and Teams

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The …
Read More

Establishing Success Habits for Leaders and Organizations

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The …
Read More

Insights in Images Challenges

An 11-Year-Old Boy with Groin Pain After Playing Soccer

Click Here

A 48-Year-Old Female Who ‘Rolled’ Her Ankle

Click Here

A 58-Year-Old Female With A New Infusion Port And Shoulder Pain

Click Here

A 35-Year-Old Man With Thumb Pain After A Fall

Click Here

A 20-Year-Old Male With Nasal Pain Following An Injury

Click Here

ECG Challenge: A 90-Year-Old Woman With Intermittent Lightheadedness

Click Here

CASE REPORTS

Post Sports Injury Burn Due to Inappropriate Use of Cryotherapy

Urgent message: PRICE (protection, rest, ice, compression and elevation) treatment is often advised to patients as …
Read More

A 32-Year-Old Male with Unsteady Gait

Urgent message: Early diagnosis and management of multiple sclerosis are crucial for long-term prognosis. Urgent care …
Read More

Rhabdomyolysis in a Previously Healthy 33-Year-Old Man

Urgent message: Life-threatening degrees of rhabdomyolysis can be seen in young, healthy patients with stable presentation …
Read More

Leg Pain in a 34-Year-Old Man

Urgent message: The ability to differentiate deep vein thrombosis from other diagnoses such as cellulitis is …
Read More

Cervical Facetitis—An Unusual Cause of Neck Pain

Urgent message: Though neck pain is a common complaint among patients presenting to urgent care centers, …
Read More

HEALTH LAW

The Tax, Legal, and Business Implications of Providing a Company Vehicle, Vehicle Allowance, or Mileage Reimbursement

Urgent message: The nature of a multisite urgent care business entails operations and clinical leadership travelling …
Read More

Animals Used for Medical and Support Assistance in the Urgent Care Setting

Urgent message: Urgent care providers must be prepared to address the increasing presence of dogs and …
Read More

HIPAA-Compliant Disclosure in Workers’ Compensation

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice …
Read More

Which Way to Go: The Pros and Cons of 1099 vs W-2 Income for Urgent Care Physicians

Urgent message: To avoid running afoul of labor and tax laws, urgent care operators should understand …
Read More

Effectively Utilizing 90-Day Probationary Periods for New Employees

Urgent message: A 90-day probationary period suspends the standard employment rules for new employees, enabling them …
Read More

CLINICAL CHALLENGES

A 12-Year-Old Football Player with Sudden Hip Pain

Case The patient is a 12-year-old boy who presents with sudden hip pain that started simultaneously with a “popping feeling” …
Read More

A 45-Year-Old Woman with Suddenly Discolored Skin

Case A 45-year-old woman presents with a complaint of “a brown spot” on her back. Upon examination, you confirm there …
Read More

A 52-Year-Old Man Who Is Lightheaded and Dizzy

Case The patient is a 52-year-old man who presents to your urgent care center with lightheaded dizziness, which he says …
Read More

A 16-Year-Old with Severe Pain and Immobility After a Basketball Mishap

Case The patient is a high school athlete who is brought to your urgent care center with severe pain in …
Read More

A 62-Year-Old Woman with Palpitations

     Case The patient is a 62-year-old woman who presents to your urgent care center with a feeling of …
Read More

OCCUPATIONAL MEDICINE

Latest Drugs Added to Panel Turn Up More Often in Positive DOT Tests

The U.S. Department of Transportation added four semisynthetic opioids to its drug testing panel on the first of this year …
Read More

Attention Occ Med Providers: FMCSA Loosens Up Rules on Diabetic Commercial Drivers

With publication of the Federal Motor Carrier Safety Administration’s (FMCSA) new Qualification of Drivers; Diabetes Standard, drivers who have insulin-treated …
Read More

Boom in ‘Company Doctors’ Could Be a Boon for Urgent Care/Occ Med Providers

The popularity of workplace medical practices has waxed and waned for ages, but with major employers like Amazon and Apple …
Read More

New Quest Diagnostics Data Show Drug Use Among Workers Remains High

It may come as no surprise to urgent care providers who offer occupational medicine services such as drug testing, but …
Read More

Beware Patients Who’ll Go to Great—Great—Lengths to Pass Drug Tests

The opiate crisis and legalization of marijuana in some states has upped the ante for occupational medicine providers charged with …
Read More

Revenue Cycle Management

Big Changes in Medicare Evaluation and Management Reimbursement

The Centers for Medicare and Medicaid Services (CMS) has published the proposed changes for the Calendar Year (CY) 2019 Physician …
Read More

Small Errors Could Cost Big Bucks When Billing for I&D

Q: While reviewing charts where incision and drainage (I&D) procedures were being performed, I came across instances where Current Procedural …
Read More

2019 International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Codes

October 1, 2018 will bring 279 new codes to ICD-10-CM. Combined with 51 deactivated codes (and 143 revised codes), that …
Read More

Clarifying the Coding for Splint and Cast Application by Nonphysicians

Q: I would like clarification on an article I read in The Journal of Urgent Care Medicine (JUCM) online archive …
Read More

New Medicare Cards

Q: The Centers for Medicare and Medicaid Services (CMS) started issuing new Medicare cards to beneficiaries in April of this …
Read More

DEVELOPING DATA

If You Want Your Providers to Get a Flu Shot, Make It a Requirement

The Centers for Disease Control and Prevention has spelled out the best way to ensure providers who work in your …
Read More

Urgent Care Visits Go Up (and Up, and Up) While Costs Remain Low vs the ED

The key question posed by the authors of an article published last month in JAMA Internal Medicine: How have patterns …
Read More

Warning: The Future of Patient Engagement May Require Straying Beyond Your Comfort Zone

Urgent care has faced many challenges since its inception—starting with trying to get healthcare consumers and insurers to understand what …
Read More

Urgent Care Ownership: Corporations on the Rise, Physicians and Hospitals on the Decline

The urgent care industry—always revolutionary compared with other practice settings—is undergoing a revolution of its own. First, entrepreneurial physicians ruled …
Read More

One More Look at Head Injury Presentations in Urgent Care

In this issue, we’ve offered an urgent care perspective on which patients presenting with head injury are most likely to …
Read More

Abstracts in Urgent Care

Abstracts In Urgent Care – November 2018

From ID Week: Outbreak-Related Hep A Infections Are on the Rise Key point: Hepatitis A infection may be evolving from …
Read More

Abstracts In Urgent Care – October 2018

New Data Show ‘Steep and Sustained’ Increase in STD Occurrence—Especially Syphilis Key point: Over the past 5 years, rates of …
Read More

Abstracts in Urgent Care – September 2018

WHO Announces ICD-11, Coming Next Year Key point: New set will reflect current terminologies and classifications, integrate more smoothly with …
Read More

Abstracts in Urgent Care – July 2018

CDC Attributes 200+ Cases of Coagulopathy to Synthetic Cannaboids Key point: “Marijuana alternatives” are widely available—and being blamed for multiple …
Read More

Abstracts in Urgent Care – June 2018

Some Oral Antibiotics Up Risk for Kidney Stones Key point: Oral antibiotics are associated with an increased risk for nephrolithiasis …
Read More

LETTER FROM THE EDITOR-IN-CHIEF

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, …
Read More

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 …
Read More

Slow Medicine: ‘Unprescribing’ America

#TimesUp; #NeverAgain; #Privacy; #OpioidCrisis; #BlackLivesMatter…. The last year has been a dramatic one for turning points in long-festering social issues …
Read More

Chasing Flu: Predictably Unpredictable

I have managed urgent cares for nearly 20 years and can officially say that predicting flu is for fools! Perhaps …
Read More

The Change Gang: Adopting a Disruptive Culture

We’ve all heard it: Why do we have to change? This is the way we’ve always done things! Change is …
Read More

Please log-in/sign-up to download these issues.