Practice Management
One clue that helps forecast the forthcoming respiratory virus season in North America is the trend data from the Southern Hemisphere’s experience. The Centers for Disease Control and Prevention (CDC) found that the 2024 flu season, which is winding down this month, was similar to previous flu seasons in the Southern Hemisphere—a signal that northern countries may not see any particular highs or lows in terms of severity or case numbers. Flu activity in South …
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The Occupational Safety and Health Administration (OSHA) recently investigated a serious case of violations of worker safety standards that led to a 31-year-old factory employee who developed accelerated silicosis ultimately needing a double lung transplant. Other workers at the same home-products manufacturing facility in Chicago also reported unresolved lung disease from breathing silica dust, including severe illness that will require a lung transplant for at least one more employee in the future. Urgent care operators …
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Urgent Message: Urgent care operators must navigate emerging federal, state, and payer regulations when developing financial policies that require payment by credit card and when setting fees for bounced checks and denied credit card charges. Alan A. Ayers, MBA, MAcc Citation: Ayers A. Guardrails for Nonsufficient Funds and Credit Card on File Fees. J Urgent Care Med. 2024; 18 (11): 41-43 Urgent care centers frequently charge a nonsufficient funds (NSF) fee when a patient’s check …
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Over the past 2 decades, urgent care has been on the forefront of consumerism. Increasingly, healthcare consumers are realizing how much they are contributing to the cost of healthcare delivery through taxes and payroll premium deductions, and therefore, they’re more motivated than ever to attain the full value of the benefits they’ve paid for. Urgent care has remained focused on the consumers’ sense of value by appealing directly to patients as clinics market their convenient …
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Before I jump into this column, I want to mention our recent Advocacy victory: getting a mention of Urgent Care into the Centers For Medicare & Medicaid Services publication of the 2025 Medicare Physician Fee Schedule. If you want more details on why this is a big deal, you can listen to the 2 interviews I did with Eric Zimmerman (our lobbyist team leader) on the Urgent Care Leadership Podcast (found anywhere you get your …
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Lyndsie Watkins, PA-C, FCUCM Lyndsie Watkins, PA-C, FCUCM, is lead PA for Northwell Health GoHealth Urgent Care East Region, a director of its fellowship program, and co-director of the GoPrepare emergency preparedness programing. Picture this: It’s a busy day in your urgent care (UC). You’re moving along steadily, seeing patients back-to-back. Unexpectedly, there is a commotion as a woman is brought in from the neighborhood right in front of the building. She appears unconscious, and …
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Urgent message: Frequent cannabis use can lead to a syndrome characterized by severe and cyclical vomiting without other clear triggers. Termed “cannabinoid hyperemesis syndrome,” this disorder is often refractory to conventional antiemetic pharmacotherapy. Citation: Ramos J, Russell J. Emesis Ad Nauseum: A Case Report of Cannabinoid Hyperemesis Syndrome in Urgent Care. J Urgent Care Med. 2024; 18 (11): 13-18 John Ramos, MMS, PA-C, CAQ-EM, Joshua Russell, MD, MSc, ELS, FACEP, FCUCM Abstract Introduction: Cannabinoid hyperemesis …
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Can Large Language Models Help in Assessing Acuity of Patients Presenting to ED? Take Home Point: Integration of large language models (LLMs) in the emergency department (ED) could enhance triage processes. This warrants further investigation particularly in the urgent care (UC) space. Citation: Williams C, Zack T, Miao B, et. al. Use of a Large Language Model to Assess Clinical Acuity of Adults in the Emergency Department. JAMA Netw Open. 2024 May 1;7(5): e248895. doi: …
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Urgent Message: Patients with a moderate-risk HEART score referred from an urgent care center for an expedited outpatient cardiology evaluation were found to have a very low rate of MACE and no occurrence of ischemic cardiac deaths. Citation: Thomson N, Barbarash S, Lebron-Gallagher D, Julson H, Weinstock M. Major Adverse Cardiovascular Events in Patients with Chest Pain And Moderate Heart Risk Scores Who Were Referred For An Expedited Outpatient Cardiology Evaluation: A Multi-Center Descriptive Study. …
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Urgent Message: Clinicians should inquire about the mechanism of injury when a patient presents with ankle pain and consider x-ray that includes the ankle, tibia, and fibula to evaluate for the possibility of Maisonneuve fracture, especially when pain in the inferiolateral knee is also present. Willie O’Neal, MD; Bradley Strauch, MD Citation: O’Neal W, Strauch B. Urgent Care Recognition and Management of Maisonneuve Fractures. J Urgent Care Med. 2024; 18 (11): 21-28 Editor’s Note: While …
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