Practice Management
Urgent Message: The urgent care industry is pivoting from a phase of rapid footprint expansion to one of sustainable sophistication, driven by the integration of AI, the diversification of high-value services (like behavioral health), and a rigorous focus on operational and financial resilience to meet modern consumer expectations. Alan A. Ayers, MBA, MAcc is President of Urgent Care Consultants and is Senior Editor of The Journal of Urgent Care Medicine For the past decade, the …
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A narrative review of literature exploring patient triage found that structured, evidence-based systems that differentiate between emergency departments (EDs), urgent care (UC), and primary care can be useful in scaling down the inappropriate use of EDs. Published in Cureus, the editorial concluded that the specificity of triage systems in terms of identifying true ED cases ranges from 85-95%. Additionally, the author found several features of UC visits that were superior to comparable ED metrics. Urgent …
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Adult outpatients with unspecified community-acquired pneumonia (CAP) rarely receive diagnostic testing for blastomycosis, coccidioidomycosis, or histoplasmosis, however repeat visits seem to drive this testing, according to a retrospective study of commercial insurance claims published in JAMA Network Open. Among 573,994 CAP patients seen from 2017–2023, only 5% underwent diagnostic testing for blastomycosis, coccidioidomycosis, or histoplasmosis, and those tests typically occurred after a median of 3 patient visits. Of those tested, 3% received a fungal disease …
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The United States now spends $15,474 per person on healthcare for a total of $5.3 trillion in spending overall in 2024, according new federal data reported by Health Affairs. For 2 years in a row, health spending increases have topped 7% (7.4% in 2023; 7.2% in 2024). Increased demand for care and higher intensity of services are the main drivers of growth, according to the analysis. Year Total Expenditures (trillions) Expenditures Per Capita 2018 $3.6 …
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A study of general internal medicine physicians from 2 ambulatory practice networks evaluated whether reserving protected time for EHR tasks—such as messaging, prior authorizations, or medication refills—affects physician productivity and hands-on EHR time. Researchers compared 130 general internal medicine physicians (41 in the intervention group and 89 in the control group) from November 2021 to June 2024 and set aside 1 appointment slot per half-day (20-30 minutes) dedicated to asynchronous EHR tasks. As published in …
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A retrospective analysis in JAMA Network Open examined trends in maternal syphilis infections in Mississippi from 2013–2023 and found that during the 10-year period, infections increased from 86 cases per 100,000 births to 1,016 cases per 100,000 births. The overall rise was 1,088%. Among the 1,421 pregnant women with syphilis included in the study, gaps in prenatal care were common: 34% lacked first-trimester care and 4.5% received no prenatal care. Analysis showed a sustained average …
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The Food and Drug Administration (FDA) has approved semaglutide tablets as the first oral GLP-1 medicine for obesity in adults. According to a press release, the once-daily pill is also indicated to reduce the risk of major adverse cardiovascular events including death, heart attack, or stroke in adults with overweight or obesity and cardiovascular disease. Previously only available as an injectable, semaglutide’s oral formulation could expand treatment for patients who are reluctant to use an …
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Urgent Message: Quality improvement projects can increase the percentage of charts closed within 1 hour of patient discharge at pediatric urgent and express care locations to ensure timely documentation. Key Words: Electronic Health Records, Documentation, Pediatrics, Ambulatory Care, Patient Safety, Quality Improvement Kileen Fernandez, MS, APRN-CPNP-PC; Lisa Ziemnik, MD, FAAP; Beth Williams, MBA, BSIE; Abiodun Omoloja, MD, MBA, CPE, FASN, FAMIA; Jennifer Morris, MS, APRN-CNP-PC, RNC-NIC; Maddie Mock, BSME; Thomas Geglein, BSN, RN, MBA; Kimberly …
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Urgent Message: Urgent care teams can take practical steps to safeguard quality for Clinical Laboratory Improvement Amendments (CLIA)-waived testing by following detailed Instructions for Use information. Key Words: Clinical Laboratory Improvement Amendments; CLIA-Waived Testing; Certificate of Waiver Cathy Bohrer, MT(ASCP) Laboratory tests commonly used in urgent care are only reliable when their Instructions for Use (IFU)—including any limitations—are followed. For urgent care leaders, this isn’t just about compliance with federal regulations. Patient outcomes, safety, and …
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A 4-year-old male presents to urgent care with a swollen, painful right elbow. The mother reports that the child had a witnessed fall from the monkey bars 1 hour prior to arrival. He fell onto his outstretched right hand, was in immediate pain that has not subsided, and has refused to let anyone touch his arm. On initial examination, vital signs are stable, and patient is afebrile. Swelling is noted over the right elbow, and …
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