Journal of Urgent Care Medicine

Practice Management

 

Urinalysis: A Simple Test with Complicated Interpretation

By Ashley Blachford  /  July 1, 2020
Urgent message: The urinalysis is a ubiquitous test in urgent care settings, though there is nuance and complexity in its…
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Urinalysis: A Simple Test with Complicated Interpretation

That’s Not What Happened! How to Deal with Gaslighting in the Workplace

By Ashley Blachford  /  July 1, 2020
Urgent message: Similar to workplace bullying, sexual harassment, and toxic gossip, gaslighting behaviors result in demoralized workplace cultures, lost business…
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That’s Not What Happened! How to Deal with Gaslighting in the Workplace

What Are the Reporting Obligations of Urgent Care Centers for COVID-19 Patients?

By StuWilli  /  June 29, 2020
Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor for The…
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What Are the Reporting Obligations of Urgent Care Centers for COVID-19 Patients?

Foraged Mushroom Toxicity Presenting to Urgent Care with Acute Kidney Injury

By Ashley Blachford  /  July 1, 2020
Urgent message: Though it occurs relatively rarely, mushroom toxicity can result in irreversible organ damage and, in certain cases, death…
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Foraged Mushroom Toxicity Presenting to Urgent Care with Acute Kidney Injury

A 47-Year-Old Male with Knee Pain and Swelling After a Fall

By Ashley Blachford  /  June 16, 2020
The patient is a 47-year-old male who presents to urgent care with a painful, swollen right knee after crashing into…
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A 47-Year-Old Male with Knee Pain and Swelling After a Fall

Urgent Care News

UCA Webinar: Better Onboarding Fosters Better Teams in Your Urgent Care Center

The process of recruiting, interviewing, and hiring the best talent for your urgent care center …
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If the Patients Can’t Come to Urgent Care, This Operator Brings Urgent Care to the Patients

Too many urgent care centers have suffered financial and personnel losses during the COVID-19 pandemic …
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Brace Yourself: Undiagnosed Cases of COVID-19 May Outnumber Confirmed Cases by 10 to 1

Some states have been accused of “reopening” their economies too soon, with the result being …
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Chest X-Ray Findings Among Urgent Care Patients with COVID-19 Are not Affected by Patient Age or Gender: A Retrospective Cohort Study of 636 Ambulatory Patients

Joshua Russell, MD, MSc, FACEP MD; Ana Echenique, MD, DABR; Steven R. Daugherty, PhD; and …
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ED Utilization Data Reveal Where Urgent Care Could Make an Impact—and Draw Young Patients

A team of researchers who sought to understand what insights could be gleaned from studying …
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Web Exclusive Articles

What Are the Reporting Obligations of Urgent Care Centers for COVID-19 Patients?

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is …
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The Psychology of Why Your Patients Love You or Hate You

Urgent message: Often, it seems that patients and families either love you or hate you …
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What the Families First Coronavirus Act Means for Urgent Care Operators and Employees

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is …
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‘Occupational Exposure’ to COVID-19

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is …
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How Does a Private Equity Buyer View the Future Landscape of Urgent Care?

Urgent message: Private equity remains highly interested in the urgent care sector and will continue …
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Clinical Articles

Urinalysis: A Simple Test with Complicated Interpretation

Urgent message: The urinalysis is a ubiquitous test in urgent care settings, though there is nuance and complexity in its …
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Caring for the Homeless During the COVID-19 Pandemic

Shelter at home. Wash your hands. Use a tissue and properly dispose it. See your primary care if you are …
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Utility of POCUS in Skin and Soft Tissue Infection

Urgent message: Point-of-care ultrasound (POCUS), just starting to become more prevalent in the urgent care setting, facilitates improved diagnostic and …
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Evaluating a Child with Chest Trauma for Pneumothorax in the Urgent Care Setting

Urgent message: The differential diagnosis is broad for patients presenting with chest trauma. Bedside ultrasound can expedite critical diagnoses and …
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Practice Management Articles

That’s Not What Happened! How to Deal with Gaslighting in the Workplace

Urgent message: Similar to workplace bullying, sexual harassment, and toxic gossip, gaslighting behaviors result in demoralized workplace cultures, lost business …
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Is Four Times a Charm for Walmart (or, Could Walmart Be a Threat to Urgent Care)?

Urgent message: It’s important for urgent care to watch and learn from Walmart, which has engaged leading retail and strategic …
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To Appeal to Millennials, You Need a Purpose

Urgent message: A sense of “purpose” is the primary motivator for many employees—even beyond compensation and benefits. That’s why successful …
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Pros and Cons of Urgent Care vs Primary Care Billing for Urgent Care Services

Urgent message: While it makes business sense for the minority of urgent care facilities that do contract with and bill …
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Insights in Images Challenges

A 67-Year-Old Male with Shoulder and Neck Pain

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A 28-Year-Old Male with a Persistent Dry Cough

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A 67-Year-Old Male with Classic Signs of Myocardial Infarction

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A 20-Year-Old Female with an Array of Gastro Symptoms

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A 24-Year-Old Male with Papules in His Mouth

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A 24-Year-Old Female with a New, Unexplained ‘Rash’ on Her Leg

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JUCM CAREER CENTER

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July 2020 : Deceptively Simple: Overlook the Importance- and Nuaces-of the Urinalysis at Your Patient’s Peril
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CASE REPORTS

Foraged Mushroom Toxicity Presenting to Urgent Care with Acute Kidney Injury

Urgent message: Though it occurs relatively rarely, mushroom toxicity can result in irreversible organ damage and, …
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A Pregnant Woman with Upper Right Quadrant Pain

Urgent message: The presentation of a pregnant woman to urgent care is often associated with consternation …
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Management of Lisfranc Dislocation in the Urgent Care Center

Urgent message: Lisfranc dislocations are relatively rare, but should be on the urgent care provider’s radar …
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Guttate Psoriasis: An Uncommon Cause of a Rash

Urgent message: While skin-related complaints are not uncommon in the urgent care setting, with psoriasis being …
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When Is Tachycardia in a Patient with URI Symptoms a Sign of Something More Serious?

Urgent message: Brugada syndrome is a genetic disorder associated with increased incidence of ventricular tachyarrhythmias and …
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HEALTH LAW

What are The Legal Remedies to Stop Cyberstalking of Your Urgent Care Center?

Urgent message: Social media provides a platform in which patients, who perceive they’re relatively anonymous, can …
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When Can an Urgent Care Legally ‘Fire’ a Patient?

Urgent message: In light of increasingly frequent reports of urgent care centers “firing” patients for various …
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Prescribing Pharmacists: Cheaper and More Accessible Than Urgent Care?

Urgent message: As states move forward with legislation enabling pharmacists to prescribe, not just dispense, the …
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Staying in Good Stead with OSHA Starts with Maintaining Proper Records

Urgent message: Urgent care operators have a multitiered relationship with the Occupational Health and Safety Administration: …
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What Urgent Care Operators Need to Know About OSHA

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

A 24-Year-Old Male with Papules in His Mouth

The patient is a 24-year-old male who presents for a pre-employment physical. While undergoing his exam, he mentions being “curious” …
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A 67-Year-Old Male with Classic Signs of Myocardial Infarction

The patient is a 67-year-old male with no medical history who presents with severe chest pain radiating to his left …
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A 67-Year-Old Male with Shoulder and Neck Pain

The patient is a 67-year-old man who presents with pain in his right shoulder and posterior right neck pain that …
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A 20-Year-Old Female with an Array of Gastro Symptoms

The patient is a 20-year-old female who presents to urgent care with 2 days of nausea, vomiting, crampy abdominal pain, …
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A 28-Year-Old Male with a Persistent Dry Cough

A 28-year-old male presents with complaint of a dry cough “forever.” He admits to intermittent chest pain. Exam reveals decreased …
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OCCUPATIONAL MEDICINE

Help Your Occ Med Customers Ensure a Healthy Return for the Workforce

Workplaces across the country are starting to take steps toward normalcy, with restaurants in many states letting patrons back in …
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OSHA Puts the Onus on Your Occ Med Clients to Identify and Record Work-Related COVID-19 Cases

The Occupational Safety and Health Administration has reversed an earlier guidance that suggested there was some discretion in enforcing reporting …
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Some Businesses Are Opening Up—and Need Guidance on Patients with COVID-19 Symptoms

Regardless of where you stand in the debate over the appropriate time to “open up” the country and see businesses …
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Occ Med Providers Will Be Truly ‘Essential Businesses’ When Companies Ramp Back Up

Urgent care operators who offer occupational medicine services will be more valuable than ever once states make the difficult decision …
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Reducing Occ Med Opioid Prescriptions Is Simpler than You Might Think

A new study by Mitchell International and the WCF Mutual Insurance Company showed a strong downward trend in prescriptions for …
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Revenue Cycle Management

Clearing Up the Confusion in COVID-19 Testing

There are so many options available for coronavirus disease 2019 (COVID-19) testing. How do you know what test is best …
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The Myth of ‘Control’ with In-House Billing

We keep our billing in-house so we can control it. I have been in the revenue cycle management (RCM) business …
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The Impact of Public Health Emergency on Revenue Cycle Management

March and April were challenging months for all of us, and the revenue cycle management arena is no exception. A …
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Contracting and Credentialing: A Complex Obstacle to Navigate

The terms contracting and credentialing are often used interchangeably, but the processes involved in each, while interdependent, are very different …
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Taking Pictures, Dog Paddling, and Apple Picking: A Metaphorical Approach to Healthy Revenue Cycle Management Metrics

You have seen all the articles about benchmarking and standard revenue cycle management metrics. The repetition of these basic articles …
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DEVELOPING DATA

Visits to Primary Care Are Down—While Visits to Urgent Care Are on the Rise

Cost, convenience, and quality are features healthcare consumers cherish. The challenge for healthcare consumers is to find a facility that …
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Urgent Care’s Upward Trend of Rapid Testing Continues for Another Year

Convenience has always been the hallmark of the urgent care experience. A patient who wakes up feeling unwell doesn’t want …
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Whether by Strain or Drain, COVID-19 Is Hitting Urgent Care Hard

Paradoxically, some urgent care centers are struggling due to low patient volumes during the COVID-19 crisis; patients who aren’t feeling …
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Image May not Be Everything, but Imaging Comes Pretty Close

It used to be that the ability to administer x-rays on site was enough to distinguish one urgent care center’s …
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Thirty-Three Billion Reasons Patients Should Be Heading to Urgent Care Instead of the ED

Urgent care has flourished because of its defining attribute of providing high-quality, walk-in care more efficiently and less expensively than …
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Abstracts in Urgent Care

Abstracts in Urgent Care – July 2020

Hydroxychloroquine in COVID-19 Herd Immunity for COVID-19 Treating Minor MSK Pain Primary Care Visit Trends in the U.S. POCUS in …
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Abstracts in Urgent Care – June 2020

CPR Guidelines During the COVID-19 Pandemic Characteristics of COVID-19 in the Pediatric Population A Clinical Decision Rule for Predicting True …
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Abstracts in Urgent Care May 2020

General Statistics of COVID-19 Clinical Characteristics of COVID-19 Characteristics of Healthcare Workers Infected with COVID-19 A Simple Algorithm for Treatment …
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Abstracts in Urgent Care April 2020

JUCM 0420 Abstracts  COVID-19: The Long View Quarantine Duration in Suspected COVID-19 Bedside Ultrasound Use with COVID-19 Fluoroquinolones and Arrhythmia …
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Abstracts in Urgent Care

Take a Seat—Your Patients Will Thank You Buddy Taping vs Plaster Casting in Boxer’s Fractures Efficacy of Baclofen in Back …
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LETTER FROM THE EDITOR-IN-CHIEF

Stories Speak Louder Than Statistics

After the vivid video of the wrongful death of George Floyd went viral in late May, millions of people of …
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The Time for Urgent Care Clinicians to Embrace Bedside Ultrasound is Here

Ultrasound captured me from the start. It happened during a night shift on my emergency medicine clerkship at Hurley Hospital …
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This Was Their Finest Hour

1940 was a particularly hopeless year in Great Britain. Having easily conquered France and signed a temporary treaty with the …
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A Small Step for JUCM, a Giant Leap for Urgent Care: JUCM’s latest initiative in publishing original research and leading an academic transformation as Urgent Care “comes of age”

Long before the first flowers of the new year bloom, an even earlier indicator of winter’s end manifests itself: teenagers …
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Urgent Care Is the Best Place for Patients with ‘Hypertensive Urgencies’: Why We Should Stop Sending Patients with Asymptomatically High Blood Pressure to the ED

Most public health campaigns, with a few notable exceptions, have been abject failures. One undeniably successful example, however, has been …
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