Journal of Urgent Care Medicine

Practice Management

 

Dealing with the Emotional Impact of a Merger or Acquisition

By bnapolitano  /  January 1, 2019
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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Dealing with the Emotional Impact of a Merger or Acquisition

Want to Be a Better Urgent Care Manager? Get to Bed!

By bnapolitano  /  January 7, 2019
Urgent message: While many rising managers believe there is virtue to “burning the midnight oil,” in reality they may be…
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Want to Be a Better Urgent Care Manager? Get to Bed!

Cat Scratch Disease Presenting as Parinaud’s Oculoglandular Syndrome

By bnapolitano  /  January 1, 2019
Urgent message: Cat scratch disease caused by the bacteria Bartonella henselae typically presents as isolated lymphadenopathy in the region draining…
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Cat Scratch Disease Presenting as Parinaud’s Oculoglandular Syndrome

Unexpected Viral Illness in an Urgent Care Setting: The Re-Emergence of Mumps, Measles, and Varicella

By bnapolitano  /  January 1, 2019
 Urgent message: Urgent care providers often see acute public health emergencies due to easy patient accessibility. It is important to…
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Unexpected Viral Illness in an Urgent Care Setting: The Re-Emergence of Mumps, Measles, and Varicella

A 63-Year-Old Woman with a 4-Day History of Coughing

By bnapolitano  /  December 18, 2018
The patient is a 63-year-old woman who presents to the urgent care center with 4 days of dry cough. PMH:…
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A 63-Year-Old Woman with a 4-Day History of Coughing

Urgent Care News

The Data Are in: ED Visits Go Up When Urgent Care Centers Are Closed

Urgent care insiders and advocates have known it intuitively for a long time, but now …
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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 …
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Update: CMS Wraps Up New Medicare Card Program Ahead of Schedule

The Centers for Medicare and Medicaid Services has completed mailing new cards to the 61 …
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Update: Multiple States Report High Flu Activity as Season Hits Peak Months

Public health officials in numerous states, most notably California, Massachusetts, and New Jersey are reporting …
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End of 2018 Saw More Health Systems Pour Money into Urgent Care Offerings

Feeling the pressure to improve outcomes while simultaneously cutting costs, an ever-growing number of hospitals …
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Web Exclusive Articles

Want to Be a Better Urgent Care Manager? Get to Bed!

Urgent message: While many rising managers believe there is virtue to “burning the midnight oil,” …
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Think You Can Spot Strong Leadership? Think Again!

Urgent message: While developing “leaders” seek to emulate the behaviors of other strong leaders, such …
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How to Deal with a Liar

Urgent message: It’s human nature that some of the patients, employees, and vendors urgent care …
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Avoid Wasting Your Employee’s Time

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

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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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 …
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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 …
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Practice Management Articles

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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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 …
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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 …
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Insights in Images Challenges

An 11-Year-Old Boy With Forearm And Wrist Pain After A Fall

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A 73-Year-Old Woman With A 12-Day History Of Palpitations

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A 27-Year-Old Man With A Lesion On One Hand

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A 9-Year-Old Girl Who Choked On A Chicken Nugget

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A 57-YEAR-OLD MAN WITH 3 DAYS OF LIGHTHEADEDNESS

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A 50-Year-Old Farmer With Flu-Like Symptoms

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JUCM CAREER CENTER

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January 2019 : Be Prepared for patients with re-emerging viruses
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CASE REPORTS

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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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 …
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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 …
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HEALTH LAW

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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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 …
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HIPAA-Compliant Disclosure in Workers’ Compensation

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

An 11-Year-Old Boy with Forearm and Wrist Pain After a Fall

The patient is an 11-year-old boy who presents complaining of pain in his left and right forearm and wrist after …
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A 27-Year-Old Man with a Lesion on One Hand

A 27-year-old man presents complaining of a single skin lesion on his hand. He reports that it first appeared as …
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A 57-Year-Old Man with 3 Days of Lightheadedness

The patient is a 57-year-old man who complains of lightheadedness for the last 3 days. He has a history of …
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A 50-Year-Old Farmer with Flu-Like Symptoms

The patient, age 50, is a farmer who presents with flu-like symptoms—fever, chills, productive cough, myalgia, and pleuritic chest pain …
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A 9-Year-Old Girl Who Choked on a Chicken Nugget

Case The patient is a 9-year-old girl who is brought in by her parents shortly after choking on a chicken …
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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

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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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 …
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New Medicare Cards

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

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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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 …
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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 …
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Abstracts in Urgent Care

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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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 …
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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 …
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LETTER FROM THE EDITOR-IN-CHIEF

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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Chasing Flu: Predictably Unpredictable

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