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…
Read More
Is PrEP Appropriate for Urgent Care?

How to Deal with a Liar

Urgent message: It’s human nature that some of the patients, employees, and vendors urgent care providers and operators deal with…
Read More
How to Deal with a Liar

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 in pregnant patients can…
Read More
A Pregnant Mother Presenting to Urgent Care with Chickenpox

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…
Read More
Treating Patients Infected with Influenza Virus in the Urgent Care Setting

A 42-Year-Old Woman with Sudden Hip Pain

The patient is a 48-year-old woman who has had hip pain since joining her two sons and husband in a…
Read More
A 42-Year-Old Woman with Sudden Hip Pain

Urgent Care News

FastMed–NextCare Merger Would Bring 251 Locations Under One Umbrella

FastMed Urgent Care and NextCare Holdings, Inc. have announced plans to join forces in a …
Read More

Disease-Carrying Asian Tick Species Makes Its Way to Eight U.S. States

The appearance of a tick native to eastern Asia and Korea in the U.S. has …
Read More

Watch for Red Flags That Your Top People Could Be Eying the Exit

There are usually signs when a valued employee is thinking of jumping ship—but that’s not …
Read More

Don’t Forget the Human Touch (Literally)

Providers have very little time with patients (many of whom they’ve never met before, in …
Read More

More on Lies Common in the Healthcare Setting

Just weeks ago, we brought you an exclusive article on How to Deal with a …
Read More

Web Exclusive Articles

How to Deal with a Liar

Urgent message: It’s human nature that some of the patients, employees, and vendors urgent care …
Read More

Avoid Wasting Your Employee’s Time

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

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 …
Read More

Does Your Urgent Care Need a Chaperone Policy?

Urgent message: In today’s world of flying accusations of personal misconduct, having a clearly defined …
Read More

Developing an Emergency Preparedness Plan for Urgent Care

Urgent Message: In order for urgent care to meet the on-demand healthcare needs of the …
Read More

Clinical Articles

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 …
Read More

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 …
Read More

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 …
Read More

Employing the Parental Papoose Technique in Treating Young Children

Urgent message: Children presenting to the urgent care center are often in a state of distress and agitation—to the extent …
Read More

Practice Management Articles

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 …
Read More

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 …
Read More

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 …
Read More

Building Ethical Organizations and Teams

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The …
Read More

Insights in Images Challenges

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

Click Here

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

Click Here

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

Click Here

An 11-Year-Old Boy with Groin Pain After Playing Soccer

Click Here

A 48-Year-Old Female Who ‘Rolled’ Her Ankle

Click Here

A 58-Year-Old Female With A New Infusion Port And Shoulder Pain

Click Here

CASE REPORTS

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 …
Read More

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 …
Read More

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 …
Read More

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 …
Read More

Leg Pain in a 34-Year-Old Man

Urgent message: The ability to differentiate deep vein thrombosis from other diagnoses such as cellulitis is …
Read More

HEALTH LAW

What Happens if You Break a Commercial Lease?

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

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 …
Read More

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 …
Read More

HIPAA-Compliant Disclosure in Workers’ Compensation

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

Which Way to Go: The Pros and Cons of 1099 vs W-2 Income for Urgent Care Physicians

Urgent message: To avoid running afoul of labor and tax laws, urgent care operators should understand …
Read More

CLINICAL CHALLENGES

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 …
Read More

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 …
Read More

A 73-Year-Old Woman with a 12-Day History of Palpitations

Case The patient is a 73-year-old woman who presents to the urgent care center with palpitations she says she first …
Read More

A 12-Year-Old Football Player with Sudden Hip Pain

Case The patient is a 12-year-old boy who presents with sudden hip pain that started simultaneously with a “popping feeling” …
Read More

A 45-Year-Old Woman with Suddenly Discolored Skin

Case A 45-year-old woman presents with a complaint of “a brown spot” on her back. Upon examination, you confirm there …
Read More

OCCUPATIONAL MEDICINE

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 …
Read More

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 …
Read More

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 …
Read More

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 …
Read More

Beware Patients Who’ll Go to Great—Great—Lengths to Pass Drug Tests

The opiate crisis and legalization of marijuana in some states has upped the ante for occupational medicine providers charged with …
Read More

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 …
Read More

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 …
Read More

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 …
Read More

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 …
Read More

New Medicare Cards

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

DEVELOPING DATA

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; …
Read More

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 …
Read More

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 …
Read More

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 …
Read More

Urgent Care Ownership: Corporations on the Rise, Physicians and Hospitals on the Decline

The urgent care industry—always revolutionary compared with other practice settings—is undergoing a revolution of its own. First, entrepreneurial physicians ruled …
Read More

Abstracts in Urgent Care

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 …
Read More

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 …
Read More

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 …
Read More

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 …
Read More

Abstracts in Urgent Care – July 2018

CDC Attributes 200+ Cases of Coagulopathy to Synthetic Cannaboids Key point: “Marijuana alternatives” are widely available—and being blamed for multiple …
Read More

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 …
Read More

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, …
Read More

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 …
Read More

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 …
Read More

Chasing Flu: Predictably Unpredictable

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

Please log-in/sign-up to download these issues.