Journal Of Urgent Care Medicine

Practice ManagementRural Urgent Care Growth Continues, But Challenges Remain

ClinicalUrgent Care Assessment of Patients with Possible Diverticulitis

Case ReportsAbdominal Pseudohernia and Urinary Retention Due to Spinal Nerve Root Compression From Disc Herniation: A Case Report

Orthopedic Case ReportUrgent Care Diagnosis and Management of Midshaft Ulnar (Nightstick) Fractures

Original ResearchSystematic Rapid Review: Efficacy of Hematoma Blocks for Pediatric Forearm Fractures

Practice ManagementRural Urgent Care Growth Continues, But Challenges Remain

ClinicalUrgent Care Assessment of Patients with Possible Diverticulitis

Case ReportsAbdominal Pseudohernia and Urinary Retention Due to Spinal Nerve Root Compression From Disc Herniation: A Case Report

Orthopedic Case ReportUrgent Care Diagnosis and Management of Midshaft Ulnar (Nightstick) Fractures

Original ResearchSystematic Rapid Review: Efficacy of Hematoma Blocks for Pediatric Forearm Fractures

Urgent Care News

Private Equity Courting Walgreens For Acquisition

Earlier this week, several media outlets reported that Walgreens is in negotiation discussions for a …
Read More

New HPV Strategy Includes Self-Collection Screening Tests

A new draft recommendation from the US Preventive Services Task Force (USPSTF) suggests that testing …
Read More

AI Tool Correctly Detects Epileptic Syndrome in Infants By Watching Videos

An artificial intelligence (AI) model accurately detected infantile epileptic spasm syndrome through the assessment of …
Read More

Amazon Adds Hinge Health to its Digital Care Offerings

Amazon has added digital musculoskeletal care company Hinge Health to its care platform. According to …
Read More

Substantial Update to First Aid Guidelines Reflects New Literature

New first aid guidelines from the American Heart Association (AHA) and the American Red Cross …
Read More

Original Research Articles

Systematic Rapid Review: Efficacy of Hematoma Blocks for Pediatric Forearm Fractures

Shomel Gauznabi, MBChB, FRNZCGP, FRACGP, FRNZCUC, MD; Ivan Koay, MBChB, MRCS, FRNZCUC, MD Urgent Message: …
Read More

Development of a Positive Urinalysis Criteria Using a Machine Learning Approach

Urgent Message: There are no consensus definitions for what defines a “positive” urinalysis in the …
Read More

Development and Implementation of a Headache and Migraine Pathway in Pediatric Urgent Care: A Quality Improvement Initiative

Urgent Message: There are an estimated 250,000 visits annually associated with pediatric headaches in the …
Read More

Major Adverse Cardiovascular Events in Patients with Chest Pain And Moderate Heart Risk Scores Who Were Referred For An Expedited Outpatient Cardiology Evaluation: A Multi-Center Descriptive Study

Urgent Message: Patients with a moderate-risk HEART score referred from an urgent care center for …
Read More

Fast Track Improves Patient Flow and Wait Times in the Pediatric Urgent Care: A Quality Improvement Project

Urgent Message: Fast trackmodels aim to improve patient throughput metrics for low-acuity patients. In this …
Read More

Clinical Articles

Urgent Care Assessment of Patients with Possible Diverticulitis

Urgent Message: Diverticulitis is a prevalent condition characterized by localized inflammation most commonly of the sigmoid colon. It is often …
Read More

Dyspnea in the Urgent Care: Differentiating Benign From ‘Can’t Miss’

Urgent Message: Patients commonly present with respiratory symptoms in the urgent care setting and not infrequently complain of some degree …
Read More

A Review of Genital Mycoplasma and Ureaplasma Infections for the Urgent Care Clinician

Urgent Message: Mycoplasma species, most notably Mycoplasma genitalium are an increasingly recognized etiology of persistent urethral discomfort and non-gonococcal urethritis …
Read More

How Useful Is Ultrasound in Acute Female Pelvic Pain?

Andrew Alaya, MD, MSc Urgent Message: For time-sensitive diagnoses related to acute pelvic pain, ultrasound is generally the recommended initial …
Read More

Practice Management Articles

Rural Urgent Care Growth Continues, But Challenges Remain

Urgent Message: Rural urgent care is the industry’s fastest growing segment, influenced by rural primary care shortages, hospital closures and …
Read More

How Should an Urgent Care Handle Requests for Medical Records by Subpoena?

Urgent Message: Urgent care centers need documented, consistent, and reportable processes for receiving, tracking, responding to, and collecting payment on …
Read More

ASD Services Fit With Existing UC Business Models

Urgent Message: Rapid growth in the autism spectrum disorder services (ASD) sector may present an expansion opportunity for urgent care …
Read More

Guardrails for Nonsufficient Funds and Credit Card on File Fees

Urgent Message: Urgent care operators must navigate emerging federal, state, and payer regulations when developing financial policies that require payment …
Read More

Insights in Images Challenges

CASE REPORTS

Abdominal Pseudohernia and Urinary Retention Due to Spinal Nerve Root Compression From Disc Herniation: A Case Report

Urgent Message: Abdominal pseudohernia is a rare diagnosis with variable presentation. Urgent care clinicians who are …
Read More

Urinary Retention Caused by a Urethral Stone Diagnosed with Point-of-Care Ultrasound: A Case Report

Urgent Message: Urethral obstruction can occur due to impacted urinary calculi. This etiology should be considered …
Read More

Puffy Hand Syndrome: A Case Report

Urgent Message: Incorporating questions regarding the use of intravenous drugs may help ensure the diagnosis of …
Read More

Could This Young Patient Really Have a STEMI? A Case Report of a Spontaneous Coronary Artery Dissection

Urgent Message: It is important to quickly obtain an electrocardiogram in patients presenting with chest pain …
Read More

Recognition and Management of Achenbach Syndrome (Paroxysmal Finger Hematoma)

Urgent Message: By understanding the symptoms of paroxysmal finger hematoma, clinicians can reduce patient anxiety and …
Read More

HEALTH LAW

Changing an Employee from Full-Time to Part-Time Status

Urgent message: Whether due to reduced staffing needs or employee preference, some employees in urgent care …
Read More

Are Urgent Care Providers Liable if They Don’t Test Patients for COVID?

Click Here to download the PDF. Urgent message: As the severity of newer strains of SARS-CoV-2 …
Read More

Who Can Take X-Rays in an Urgent Care Center?

Urgent message: Given that x-ray is a differentiating feature of “urgent care” and the current challenges …
Read More

What Qualifies Someone to Take X-Rays in the Urgent Care Center? It All Depends on Where You’re Located

X-rays are high on the list of services patients expect urgent care centers to provide when …
Read More

Avoiding Defamation Lawsuits in Urgent Care

Urgent message: People are unlikely to trust their healthcare to a provider with a sullied reputation, …
Read More

JUCM CAREER CENTER

Download Past Issues

December 2024: Market Dynamics Sway Urgent Care Growth in Rural Areas

CLINICAL CHALLENGES

55-Year-Old With Wrist Pain

A 55-year-old woman presents to urgent care complaining of pain when she moves her right wrist. She reports the pain …
Read More

35-Year-Old With ESRD

A 35-year-old male with a history of end-stage-renal-disease (ESRD) presents to urgent care complaining of back pain. The patient missed …
Read More

15-Year-Old With Fever

A 15-year-old girl presents to urgent care with complaints of fever, arthralgia, abdominal pain, and a widespread rash that developed …
Read More

30-Year-Old With Back Pain

A 30-year-old woman presents to urgent care with pain in her lower back and pelvis. She denies any injury or …
Read More

59-Year-Old With History Of Hypertension

A 59-year-old male with a past medical history of hypertension presents with dyspnea and pleuritic chest pain in urgent care, …
Read More

OCCUPATIONAL MEDICINE

Does Concentra’s New Acquisition Foreshadow a New Era for UC and Occ Med?

On the surface, it seems like the kind of event that has become commonplace in urgent care: A large, national …
Read More

Update: The COVID-19 Vaccine Mandate for Many Businesses Is Off—Again

Just when you thought you had clarity on the Occupational Safety and Health Administration’s mandate to vaccinate workers at businesses …
Read More

That Vaccine Mandate for Private Businesses That Was Called Off? It’s on Again—and the Clock Is Ticking

The Occupational Health and Safety Administration’s plan to require employers with 100 or more workers to institute a COVID-19 vaccine …
Read More

Your Occ Med Clients Need Your Support with the New COVID-19 ETS—Immediately

The Occupational Safety and Health Administration just issued an Emergency Temporary Standard intended to protect workers from getting infected with …
Read More

More People Are Trudging Off to Work on Site. Do You Know Who’s at Greatest Risk for COVID-19?

While some employers are content to maintain remote or hybrid work situations for their workers, either because of strong stances …
Read More

Revenue Cycle Management

How ‘Data Reviewed’ Works When Coding E/M

Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Three elements determine the level for evaluation and management coding (E/M). “Amount and/or …
Read More

Look Ahead For RCM Success

We are deep into the fourth quarter of 2024, and you are probably preparing for the holidays and wrapping up …
Read More

ICD-10-CM: What’s New for 2025

Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC We are heading into fall, and fall starts with updates to the ICD-10-CM …
Read More

When An Urgent Care Contracts as Primary Care

Over the past 2 decades, urgent care has been on the forefront of consumerism. Increasingly, healthcare consumers are realizing how …
Read More

What Did We Learn From the Change Healthcare Outage?

Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Nearly all of us in the healthcare ecosystem were impacted by the cyberattack on …
Read More

DEVELOPING DATA

Laceration Repairs Decline in Urgent Care

The percentage of urgent care visits involving a laceration procedure increased slightly from 0.75% in 2023 to 0.76% year-to-date in …
Read More

Size and Ownership of U.S. Urgent Care Centers

As of September, 2024, there are a total of 14,245 urgent care centers in the United States, according to National …
Read More

Few Misused Rx Drugs Prescribed in Urgent Care

According to the United States Department of Justice, the most common prescription drugs that are misused fall into 1 of …
Read More

NPS Predicts Success in UC

The net promoter score (NPS) is a customer experience metric devised by business researcher Fred Reichheld, MBA, which measures how …
Read More

Patient Arrival Times In Urgent Care

The table above shows the percentage of patients within an average day who arrived during each hour of operations, based …
Read More

Abstracts in Urgent Care

Abstracts in Urgent Care – December 2024

ECG Interpretation: Humans Vs Machines Take Home Point: In this study, cardiologists and emergency physicians (EP) had greater accuracy for …
Read More

Abstracts in Urgent Care – November 2024

Sophistication of ECG for Detection of Acute Coronary Syndromes Take Home Point: Cardiac electrical biomarker (CEB), a finding detectable on …
Read More

Abstracts in Urgent Care – October 2024

Public Perceptions of Artificial Intelligence Use in Healthcare Take Home Point: Patient and healthcare workers surveyed were generally accepting of …
Read More

Abstracts in Urgent Care – September 2024

Can Large Language Models Help in Assessing Acuity of Patients Presenting to ED? Take Home Point: Integration of large language …
Read More

Abstracts in Urgent Care – July/August 2024

Use of NEXUS II Clinical Decision Tool for Blunt Head Injuries in Elderly Patients Take Home Point: Older patients with …
Read More