Journal of Urgent Care Medicine

Practice Management

 

End Users and Consolidators: The Next Possible Wave of Transactions in Urgent Care

By bnapolitano  /  March 1, 2019
Urgent message: The idea of a “typical” urgent care operation buyer is evolving along with the industry. While private equity…
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End Users and Consolidators: The Next Possible Wave of Transactions in Urgent Care

Building Engaged, Productive Teams by Saying Thank You

By bnapolitano  /  March 11, 2019
Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of…
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Building Engaged, Productive Teams by Saying Thank You

Infection Masquerading as a Fall in the Elderly

By bnapolitano  /  March 1, 2019
Urgent message: Falls in the elderly may be mechanical or due to an underlying etiology, making the urgent care evaluation…
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Infection Masquerading as a Fall in the Elderly

Initiating PrEP Services in Urgent Care

By bnapolitano  /  March 1, 2019
Urgent message: Urgent care centers may offer opportunities to provide preexposure prophylaxis (PrEP) services for HIV due to large numbers…
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Initiating PrEP Services in Urgent Care

A 53-Year-Old Female with Painful, Swollen Medial Knee a Fall

By bnapolitano  /  March 18, 2019
The patient is a 53-year-old woman who presents with acute pain and swelling in the medial aspect of the knee…
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A 53-Year-Old Female with Painful, Swollen Medial Knee a Fall

Urgent Care News

Post Megadeals, Pharmacy Giants May Be Looking More Closely at Urgent Care

Walgreens’ partnership with MedExpress and CVS Health’s acquisition of Aetna have some analysts wondering if …
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An Educated Patient—and Provider—May Help Improve Opioid Prescribing Practices

As healthcare providers in every setting continue the fight against rampant opioid abuse and addiction—with …
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Could Supporting a Healthy Lifestyle Have the Community Running to Your Clinic?

Parents and urgent care providers probably have any number of things in common, but one …
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More Incentive to Curb Overprescribing: Nearly 20,000 U.S. Deaths Due to Staph Last Year

More than 20,000 deaths in the United Sates were attributed specifically to Staph infections in …
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What’s in a Name? Plenty, UCA Tells the VA

The Department of Veteran Affairs has loosened its regulations about where veterans can seek care …
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Web Exclusive Articles

Building Engaged, Productive Teams by Saying Thank You

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and …
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How to Deal with That Colleague Who Turns into a Jerk Whenever the Boss is Gone

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is …
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Provider Burnout is Real; Show Compassion for Yourself

 Urgent message: The life of an urgent care physician entails having compassion for patients, but …
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The Comfort Elephant in the (Waiting) Room

Urgent message: Helping staff understand the difference between true service animals, vs those that merely …
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Don’t Let Envy Destroy Your Urgent Care Team

 Urgent message: In a world that is ultra-competitive, there is no way to avoid envy …
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Clinical Articles

Initiating PrEP Services in Urgent Care

Urgent message: Urgent care centers may offer opportunities to provide preexposure prophylaxis (PrEP) services for HIV due to large numbers …
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Postoperative Complications in the Urgent Care Setting

Urgent message: Patients who have had recent surgical procedures may present to urgent care centers for reasons ranging from seeking …
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Unexpected Viral Illness in an Urgent Care Setting: The Re-Emergence of Mumps, Measles, and Varicella

 Urgent message: Urgent care providers often see acute public health emergencies due to easy patient accessibility. It is important to …
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Treating Patients Infected with Influenza Virus in the Urgent Care Setting

Urgent message: As patients start to feel the effects of the 2018–2019 influenza season, urgent care centers can expect to …
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Practice Management Articles

End Users and Consolidators: The Next Possible Wave of Transactions in Urgent Care

Urgent message: The idea of a “typical” urgent care operation buyer is evolving along with the industry. While private equity …
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When the ‘Inner Entrepreneur’ Needs to Step Aside

Urgent message: Being an aggressive founder who is willing to take risks is invaluable when it comes to starting and …
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Dealing with the Emotional Impact of a Merger or Acquisition

Urgent message: Urgent care has seen significant merger and acquisition activity in recent years, which is certain to cause worries, frustrations …
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Is PrEP Appropriate for Urgent Care?

Urgent message: Ever since HIV pre-exposure prophylaxis (PrEP) was approved by the FDA in 2012, urgent care centers have been …
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Insights in Images Challenges

An 18-Month-Old With An Itchy Rash And Wheezing

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A 10-Year-Old Girl With Foot Pain After Falling From A Tree

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A 55-Year-Old Man With A 2-Day History Of Respiratory Symptoms, Palpitations, And Dizziness

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A 2-Year-Old With A Nodule On His Face—And Other Concerning Symptoms

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A 47-Year-Old Woman With Hip Pain After Exercise

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A 55-Year-Old Man With 3 Hours Of Epigastric Pain

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JUCM CAREER CENTER

Download Past Issues

March 2019 : Fighting HIV One Patient at a Time in the Urgent care Center
VIEW ISSUES ARCHIVE

CASE REPORTS

Infection Masquerading as a Fall in the Elderly

Urgent message: Falls in the elderly may be mechanical or due to an underlying etiology, making …
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Shortness of Breath in a Postprocedural Pneumothorax

Urgent message: Patient histories can be helpful in guiding the examination and raising red flags for …
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Cat Scratch Disease Presenting as Parinaud’s Oculoglandular Syndrome

Urgent message: Cat scratch disease caused by the bacteria Bartonella henselae typically presents as isolated lymphadenopathy …
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A Pregnant Mother Presenting to Urgent Care with Chickenpox

Urgent message: Failure to correctly diagnose and provide immediate treatment for varicella zoster virus (VZV) infection …
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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 …
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HEALTH LAW

What is the Liability for an Urgent Care Slandering a Competitor on Social Media?

Urgent message: While competition for patients among urgent care operators can be intense, speaking negatively of …
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The Finer Points of Video Surveillance in an Urgent Care Center

Urgent message: The increasing use of video surveillance in urgent care requires an awareness of the …
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Education is Key to Avoiding Increasingly Sophisticated Cyber Crime

Urgent message: As digital communication becomes more integral to our daily lives and job functions, cybercriminals …
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What Happens if You Break a Commercial Lease?

Urgent message: Whether starting a new urgent care center and entering into a lease for the …
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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 …
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CLINICAL CHALLENGES

An 18-Month-Old with an Itchy Rash and Wheezing

Case The patient is an 18-month-old girl brought to your urgent care center by her parents. They report that she …
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A 55-Year-Old Man with a 2-Day History of Respiratory Symptoms, Palpitations, and Dizziness

Case A 55-year-old male presented to urgent care with a chief complaint of coughing, shortness of breath, wheezing, chest palpitations, …
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A 47-Year-Old Woman with Hip Pain After Exercise

Case The patient is a 47-year-old woman who presents with left hip pain that worsens when she is working out …
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A 55-Year-Old Man with 3 Hours of Epigastric Pain

Case A 55-year-old man presents to urgent care with 3 hours of epigastric pain which began gradually and is constant …
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A 2-Year-Old with a Nodule on His Face—and Other Concerning Symptoms

A mother and father bring their 2-year-old son to your urgent care center because of a smooth nodule on his …
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OCCUPATIONAL MEDICINE

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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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 …
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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 …
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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 …
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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 …
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Revenue Cycle Management

UnitedHealthcare Discontinuing S9083 and S9088 in Multiple States and Medicare Telehealth Policies

Beginning April 1, 2019 UnitedHealthcare will revise their policies to discontinue reimbursement for HCPCS code S9083, “Global fee urgent care …
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Navigating the Credentialing Process to Maximize Revenue and Minimize Denials

What is the best way to get my practitioners credentialed with various insurance companies and networks? It is frustrating to …
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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 …
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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 …
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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 …
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DEVELOPING DATA

Proof: Availability of Urgent Care Lowers ED Traffic—and Could Save Up to $1 Billion

It has always seemed self-evident that urgent care centers, offering a lower-cost and usually faster experience that is also on …
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Can Urgent Care and Advanced Practice Providers Fill the Void as PCP Numbers Dwindle?

The much-discussed shortage in primary care physicians isn’t going to get any better over the coming decades. In fact, it’s …
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The Connection Between Age and Choosing a Healthcare Setting

If you’ve worked in more than one setting—say, a traditional primary care office and an urgent care center—you’ve probably noticed …
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Flu Shot Coverage and Effectiveness—a Historical Perspective

Patients who heed your advice to get a flu shot and take common-sense measures to avoid spreading germs—regular, effective handwashing; …
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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 …
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Abstracts in Urgent Care

Abstracts in Urgent Care-March 2019

Practice of Urgent Care: More Patients, More Decisions, More Fatigue Key point: We should be aware, as clinicians, that as …
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Abstracts In Urgent Care – February 2019

Check the Temps: A Timely Throwback Key points: Peripheral temperatures (ie, temporal, tympanic, oral, and axillary) are inaccurate and cannot …
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Abstracts In Urgent Care – January 2019

A Brief Introduction Happy New Year! 2018 is now behind us and it was another great year for urgent care …
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Abstracts In Urgent Care – December 2018

The Year in Abstracts: Top Papers of 2018 for the Urgent Care Clinician Reviewed by Andy S. Barnett, MD  This …
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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 …
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LETTER FROM THE EDITOR-IN-CHIEF

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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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 …
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