All posts by JUCM

The Journal of Urgent Care Medicine supports the evolution of urgent care medicine by creating content that addresses both the clinical practice of urgent care medicine and the practice management challenges of keeping pace with an ever-changing healthcare marketplace. As the Official Publication of the Urgent Care Association of America and the Urgent Care College of Physicians, JUCM seeks to provide a forum for the exchange of ideas and to expand on the core competencies of urgent care medicine as they apply to physicians, physician assistants, and nurse practitioners.

We’ve seen pediatric urgent care take root. Orthopedic-oriented urgent care centers continue to flourish. Now the Orthopaedic Institute for Children (OIC) expects a combination of the two will offer patients the best of both worlds, and is set to start construction in Los Angeles on a new pediatric orthopedic urgent care center that will more than double the size of the current ortho trauma wing. In addition to projecting the facility will help OIC keep more patients in-house, the groundbreaking itself is expected to be a family-friendly community event. FormerRead More
Efforts to stem runaway abuse of opioids—and the resultant increases in addiction and deaths—are firing on all cylinders from the White House to the state house. On a more local level, failing to get on board with current regulations can land you in hot water with the DEA. The Urgent Care Association of America has asked Ronald Chapman, II, an attorney well versed on the subject, to provide a brief primer on DEA compliance with topics that include elements of a valid prescription, limits on refills, postdating prescriptions, storage ofRead More
Availability of telemedicine offered by larger employers in the U.S. is close to reaching a saturation point, as 96% of large employers are expected to offer it in their array of health benefits in states where it’s allowed next year. In stark contrast is the fact that only 8% of workers at one out of five of those companies’ workers are taking advantage of it, according to the Large Employers’ 2018 Health Care Strategy and Plan Design Survey—meaning there is plenty of room for growth, and for cementing relationships withRead More
We’ve all seen painful reminders (or experienced them ourselves) of just how helpless natural disasters can leave us. We’ve also been touched and inspired by the bravery and selflessness of first responders—firefighters, police, EMS, and search & rescue personnel—who come to the aid of people in need regardless of their own circumstances. West Virginia University Occupational Medicine is saying thank you by offering a free physical exam for a day at select locations to all first responders.  The offer includes vision screening, wellness labs, chest x-ray, audiogram, respirator fit testing,Read More
When EHR vendor eClinicalWorks agreed to a $155 million settlement over charges that it falsified claims for federal incentive payments, it probably thought the damage would be mainly financial. Months later, though, it’s paying a steeper price in more precious currency: customer opinions. A new report from KLAS Research reveals that 66% of eClinicalWorks customers say their opinion of the company is lower than it was when the settlement was announced in May (with 26% saying their opinion of eClinicalWorks “significantly worsened”). Perhaps even more disturbing for the company, aroundRead More
Residents who call 911 for immediate medical care could find themselves getting a lift from a rideshare to a local urgent care center instead of riding in an ambulance, sirens wailing, to the emergency room thanks to a pilot program Las Vegas Fire launched in Las Vegas. With more than two thirds of its roughly 600,000 annual calls being for medical assistance, the fire department was looking for ways to cut costs but not the level of support it supplies to people in need. Moving away from the knee-jerk reactionRead More
U.S. emergency rooms saw more patients than ever in 2014, but that doesn’t necessarily mean urgent care isn’t getting its message out. New data from the Centers for Disease Control and Prevention reveal that over 141 million people ran to the ED that year (compared with 130 million the previous year), but some top reasons tended to be complaints for which it would not be appropriate to visit an urgent care center—chest pain chief among them. In addition, mental health problems and opiate overdoses reporting to the ED are onRead More
Physicians, including urgent care providers, may be taking more than their share of the blame for the ongoing opioid crisis in the U.S., according to a report by The New York Times and ProPublica. While some public officials and media outlets have accused doctors of, essentially, enabling opioid addiction by prescribing narcotic pain medications too liberally, data show that prices set by insurers may be steering doctors and patients alike away from less-addictive alternatives. Opioid are just plain cheaper and easier to get in many cases, making it all thatRead More
A 35-year-old male presents to urgent care complaining of pain over the metacarpal of the little finger after punching a wall in his home for reasons he chose not to explain. On exam, pain is evident with palpation at the base of the metacarpal. You note there is a deformity over the 5th metacarpal bone. The neurovascular status is intact. View the images taken and consider your next steps, along with possible diagnoses.Read More
Research has proven that workers who feel free to give constructive feedback about their jobs and their employers stay longer. The challenge, according to a new article published in the Harvard Business Review and reviewed online by Advisory Board, is getting them to feel comfortable enough to provide that feedback. Many workers feel any comments perceived as negative will be used against them, while others assume management doesn’t really want to hear it so any time they spent trying to get their point across will be wasted. If you reallyRead More