Practice Management
Michigan companies can’t fill jobs because too many people can’t pass a drug test, screams a headline reposted to Crain’s Detroit Business from Bridge Magazine. It’s not just idle chatter, either; the article under that headline quotes data from Quest Diagnostics’ Drug Testing Index, as well as workplace experts and state officials in Michigan. The problem may be especially acute in Traverse City, MI, but for reasons that would be applicable to any number of …
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The unabated epidemic of opioid and synthetic opioid addiction has moved President Trump to declare it a national public health emergency. It’s also moving occupational health providers, including some urgent care operators, to look at updating the drug screens they give as part of their pre-employment examinations. Tennessee Occupational Health, for one, reports that as much as 80% of positive drug tests they see show evidence of opiates. As recently as 5 years, ago, marijuana …
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A new predictive model from the University of Chicago indicates we should prepare for a flu season that’s “worse than average.” One important indicator in the model is the severity of flu in Australia, where the seasons are ahead of those in the U.S.; Australians just suffered through their worst flu season on record. The data underscore the importance of getting immunized early in the season—as in, now—especially for those at highest risk, such as …
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Neither company has confirmed it, but The Wall Street Journal reports that CVS Health has offered to buy Aetna in a deal that could have vast implications in the retail health and insurance marketplaces. The combined company would have much stronger bargaining power when negotiating deals with health systems, payers, and pharmaceutical companies, than either company does alone. For starters, as the WSJ article points out, CVS’s pharmacy benefit management arm would see “a huge …
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Urgent message: Opioid abuse, addiction, and resultant deaths have drawn the attention of both the medical community and legislative bodies from the local health department to the White House. Urgent care is a frequent destination for addicts trying to secure drugs illicitly—but it also has the potential to be the first stop on the road to recovery. Jason M. Ramos and Robert S. Crausman, MD, MMS Case Presentation Manny is a middle-aged white male who …
Read MoreUrgent care insiders know our industry continues to grow and evolve, and understand that convenience, cost, and quality of care are what keeps patients coming back. Data from outside the industry diving a bit deeper into the “why” of patient volume has been a bit scarce, however. A Harris Poll commissioned by Mercy Health System of Southeastern Pennsylvania takes a step toward remedying that shortage, however. Not surprisingly, a strong majority (66%) of the 1,700 …
Read MoreCase A 48-year-old woman presents with several red lesions that are extremely pruritic. They are scattered haphazardly on the back of her leg. A few of the lesions are still smooth nodules, but others are now excoriations; she just can’t stop scratching them no matter how hard she tries. She estimates they appeared nearly a month ago. She reports a history of atopic dermatitis, but “this doesn’t feel like the same thing.” View the photo …
Read MoreQ: Do you have information on the 2017-2018 influenza vaccine codes? A: The American Medical Association (AMA) recently published a list of new and revised vaccine codes on their website (https://www.ama-assn.org/sites/default/files/media-browser/public/cpt/vaccine-long-desc-july-2017.pdf). These codes will be published in the 2018 Current Procedural Terminology (CPT) manual. The two new influenza vaccines on the list are: 90682, “Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use” 90756, …
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The patient is a 26-year-old man who presents after 3 days of palpitations. He denies any chest pain, shortness of breath, diaphoresis, fever, or dizziness. He does use home oxygen (2 L/min), but denies any new shortness of breath. Upon exam, you find: General: Alert and oriented X 3 Lungs: Clear to auscultation bilaterally Cardiovascular: Regular and tachycardic without murmur, rub, or gallop Abdomen: Soft and nontender without rigidity, rebound, or guarding Extremities: No pain …
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