Journal of Urgent Care Medicine

Practice Management

 

Smoothing Ebb-and-Flow for Greater Staff Efficiency and Shorter Wait Times in Urgent Care

By StuWilli  /  February 1, 2020
Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The…
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Smoothing Ebb-and-Flow for Greater Staff Efficiency and Shorter Wait Times in Urgent Care

A Capitol Idea: The Highly Competitive Washington, DC Market Holds Insights For Urgent Care Success

By Ashley Blachford  /  February 10, 2020
Urgent message: While the Washington, DC metro area has the population density, affluence and economic stability to make it attractive…
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A Capitol Idea: The Highly Competitive Washington, DC Market Holds Insights For Urgent Care Success

A Blistering Rash in an Otherwise Healthy 9-Year-Old Boy

By StuWilli  /  February 1, 2020
Urgent message: Impetigo is one of the most common skin infections in children, and can have a variable presentation. As…
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A Blistering Rash in an Otherwise Healthy 9-Year-Old Boy

Urgent Identification and Management of Postsplenectomy Sepsis

By StuWilli  /  February 1, 2020
Urgent message: Asplenic individuals have a rate of severe infections 2-3 times higher than the general population. Postsplenectomy sepsis should…
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Urgent Identification and Management of Postsplenectomy Sepsis

A 2-Year-Old with Foot Pain After Jumping Off a Bed

By bnapolitano  /  December 16, 2019
The patient is a 2-year-old boy who presents with a painful, swollen foot after jumping off a bed. You observe…
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A 2-Year-Old with Foot Pain After Jumping Off a Bed

Urgent Care News

Fears Over COVID-19 Are Driving More Patients to Get Flu Shots

As we’ve pointed out—and as has been emphasized in mainstream media reports in recent weeks—far …
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Concentra Continues Gobbling Up Local and Regional Urgent Care Networks

Already one of the largest U.S. companies to offer both urgent care and occupational medicine …
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Parents Are Moving Away from Pediatricians—Toward Urgent Care—When the Kids Are Sick

While acknowledging that traditional primary care settings, including pediatric practices, remain “the foundation of pediatric …
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Massachusetts Hospitals Push for More State Control of Urgent Care

We told you recently that legislators in Massachusetts have again picked up efforts to impose …
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Giving Pharmacists Prescribing Authority Could Be Risky—for Patients and for Urgent Care

As efforts to grant pharmacists authority to prescribe certain medications pick up in some states, …
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Web Exclusive Articles

A Capitol Idea: The Highly Competitive Washington, DC Market Holds Insights For Urgent Care Success

Urgent message: While the Washington, DC metro area has the population density, affluence and economic …
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Laceration Repair: Why Quality Instruments Are Important for Patients, Clinicians, Hospitals, and Urgent Care

Urgent message: Laceration repair is one of the first skills urgent care clinicians are expected …
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If Your Business Doesn’t Work on Paper, It Won’t Work in Reality!

Alan A. Ayers, MBA, MAcc is Chief Executive Officer at Velocity Urgent Care and is …
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Expanding Your Urgent Care Product Line with Massage Therapy, Aesthetics, and Body Sculpting

Expanding Your Urgent Care Product Line with Massage Therapy, Aesthetics, and Body Sculpting Urgent message: …
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The Dangers of Mistaking Metrics for Strategy

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is …
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Clinical Articles

Urgent Identification and Management of Postsplenectomy Sepsis

Urgent message: Asplenic individuals have a rate of severe infections 2-3 times higher than the general population. Postsplenectomy sepsis should …
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Evaluation and Diagnosis of Trigger Finger with Current Management Strategies

Urgent message: Appropriate treatment of “trigger finger” in the urgent care setting starts with differentiating that diagnoses from other disorders …
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Reducing Morbidity and Mortality Due to MRSA in the Urgent Care Setting

Urgent message: Staphylococcus aureus is a common pathogen in the community—one that can lead to a range of infections, including …
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A 51-Year-Old Woman with Multiple Dermatological Symptoms and Muscle Weakness

The patient is a 51-year-old woman who presented to urgent care complaining of a rash, pruritus, myalgias, and muscle weakness …
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Practice Management Articles

Smoothing Ebb-and-Flow for Greater Staff Efficiency and Shorter Wait Times in Urgent Care

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The …
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What to Do If A Competing Urgent Care Opens in Your Community

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The …
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Rural and Tertiary Markets: The Next Urgent Care Frontier

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The …
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Urgent Care Looks to Find its Identity through Gen Z and Millennials

Urgent message: Younger consumers’ healthcare preferences are significantly different than that of older consumers. Urgent care providers have a prime …
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Insights in Images Challenges

A 6-Year-Old Boy with Foot Pain After Tripping a Day Earlier

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A 42-Year-Old Female with Pain After a Child Fell on Her Hand

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A 69-Year-Old Man with a 2-Month History of Shortness of Breath and Mild Chest Pain

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An 18-Year-Old Male with Shortness of Breath and ‘Tightness’ in His Chest

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A 70-Year-Old Man with Hand Numbness and Pain

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An 8-Year-Old Girl with Persistent Sore Throat and Fever

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JUCM CAREER CENTER

Download Past Issues

 


February 2020 : Fever, Chills Body Aches… Is it Flu – or Potentially Deadly Sepsis?

VIEW ISSUES ARCHIVE

CASE REPORTS

A Blistering Rash in an Otherwise Healthy 9-Year-Old Boy

Urgent message: Impetigo is one of the most common skin infections in children, and can have …
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Kaposi Sarcoma Presenting in the Urgent Care Setting as a Single Mass Lesion of the Foot

Urgent message: Kaposi sarcoma is considered an AIDS-defining illness with variable locations of presentation. Proper diagnosis …
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Atypical Chest Pain in a Fibromyalgia Patient Presenting to Urgent Care

Tracey Q. Davidoff, MD, FACP, FCUCM Urgent message: Underlying medical and psychiatric conditions can cloud judgment …
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An 11-Year-Old Girl with Red, Itchy Rash

Urgent message: Urticaria from cold exposure should be considered to prevent future anaphylaxis and angioedema with …
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An Unusual Etiology of Chronic Subdural Hematoma: Case Report and Review of the Literature

Urgent message: Absence of an obvious cause of symptoms should not mislead the clinician away from …
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HEALTH LAW

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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Legal Considerations for Expedited Partner Therapy in Urgent Care

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice …
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Can Urgent Care Patients be Treated Anonymously?

Urgent message: Due to the perceived “acute nature” of the urgent care setting, many patients falsely …
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What Use Restrictions Can Landlords Impose on Urgent Care Facilities?

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice …
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Employer Liability for Flu Infection

Urgent message: While urgent care centers benefit from exaggerated seasonal demand when a flu epidemic strikes, …
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CLINICAL CHALLENGES

A 6-Year-Old Boy with Foot Pain After Tripping a Day Earlier

The patient is a 6-year-old boy who cried out in pain after jumping off the fourth step of the stairs …
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A 70-Year-Old Man with Hand Numbness and Pain

The patient is a 70-year-old male who presents to urgent care with numbness, pain, and difficulty opening his hands. His …
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A 69-Year-Old Man with a 2-Month History of Shortness of Breath and Mild Chest Pain

The patients is a 69-year-old man with shortness of breath and mild chest pain of 2 months duration. He has …
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A 42-Year-Old Female with Pain After a Child Fell on Her Hand

The patient is a 42-year-old woman who presents to urgent care after a child weighing approximately 70 pounds fell on …
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An 18-Year-Old Male with Shortness of Breath and ‘Tightness’ in His Chest

The patient is an 18-year-old male who presents to urgent care complaining of 1-day history of intermittent shortness of breath, …
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OCCUPATIONAL MEDICINE

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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Flu Season Carries Potential Benefits—and Risks—for Occupational Medicine Providers

If you offer occupational medicine services, it’s likely a heavily promoted flu clinic is an annual event. (And if not, …
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Keep Valued Occ Med Clients by Helping Them Measure the Value of Your Services

You’ve done the hard part—selling your occupational medicine services and delivering on your promise of providing excellent care—but now you …
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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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Revenue Cycle Management

Ringing in 2020 with CPT Changes

It’s that time of year again. The American Medical Association has implemented the 2020 Current Procedural Terminology (CPT) code set …
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Already Looking Forward to 2021—and (Hopefully) Smoother Sailing with E/M Coding

On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) confirmed with the final rule for 2020 that …
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Three Tips to Optimizing Patient Collections

Over the last decade, perhaps the most staggering shift in consumer-based healthcare has been the increase in patient responsibility. Due …
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Keeping Up with CMS Policies on Medicare Cards and Flu Vaccine Reimbursements

New Medicare Card Transition Period Ends December 31, 2019 As a result of the Medicare Access and CHIP Reauthorization Act …
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Be Ready for the ICD-10-CM 2020 Updates

October 1, 2019 introduces 273 new diagnosis codes, 21 deactivated codes, and 35 code description revisions to the International Classification …
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DEVELOPING DATA

Most Urgent Care Centers Give Immunization a Shot—of One Type or Another

If you haven’t noticed, it’s flu season. In fact, it’s been flu season longer than usual for this point compared …
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Flu Season is Nearly Synonymous with Rapid Test Season—Are You Ready?

Flu Season is Nearly Synonymous with Rapid Test Season—Are You Ready? Patients come to urgent care because they know they …
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Conjunctivitis: When the Eyes Have It, How Many Patients Turn to Urgent Care?

“Care must be taken to differentiate bacterial infections from viral diseases and allergic conditions.”1 Things don’t get much plainer than …
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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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Abstracts in Urgent Care

Abstracts in Urgent Care Medicine

Topical TXA vs Merocel in anterior epistaxis Cool Running Water Reduces Need For Skin Graft In Pediatric Burns  Efficacy Oral …
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Abstracts in Urgent Care – January 2020

The FDA on Cannabidiol Improving Diagnosis of Cluster Headache Making Tympanostomy Tube Placement Office-Friendly Nothing to Fear from NDMA? Counseling …
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Abstracts in Urgent Care-December

More Advice on Inquiring About—and Assessing—Vaping and EVALI Key points: Citation: Siegel DA, Jatlaoui TC, Koumans EH, et al. Update: …
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Abstracts in Urgent Care-November

What’s New in Flu Vaccine Information New First-In-Class Pleuromutilin Antibiotic for CAP Abdominal Pain in Patients with IUDs—Watch Out for …
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Abstracts in Urgent Care-October 2019

Report Pulmonary Illness Possibly Involving Vaping to State, Local Health Departments Key point: The CDC is working with state health …
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LETTER FROM THE EDITOR-IN-CHIEF

Keep Your Differential Broad, Especially During Flu Season

I’m phenomenally bad at gambling for a multitude of reasons. I bet small when I should bet large. I bet …
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A New Year, and a New Era for JUCM

35,000. As I assume the role of editor-in-chief of the journal, this is the number that revolves through my head …
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For Auld Lange Syne, Many Great Years

The year was 2006: Saddam Hussein was executed for crimes against humanity. The Wii gaming console debuted. Pluto lost its …
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The MIPS Mess

It should not be terribly surprising to anyone that the massive government effort to incentivize quality has run into some …
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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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