Practice Management
Urgent message: The ability to evaluate children presenting with a limp—and to recognize red flags that help distinguish those to treat from those requiring immediate referral—should be within the purview of the urgent care clinician. Raymond W. Liu, MD, Hadeel Abaza, MD, and Allison Gilmore, MD A limping child without a clear traumatic history or diagnosis is a common presentation to an urgent care center. The broad differential diagnosis can be daunting, with causes that …
Read MoreYou thought you were alone on an island trying to navigate through the trials of urgent care. You thought you were the only one faced with the clinical and financial challenges. Hopefully, you have discovered the Urgent Care Association (UCA), attended one of the conferences, and shared in the delight of collaborating with colleagues who share your questions, your challenges, and your desire to make a difference one patient at a time. Hopefully, you recognize …
Read MoreModes of Administration of Antibiotics for Symptomatic Severe Urinary Tract Infections Key point: There is no evidence suggesting that oral antibiotic therapy is less effective for treatment of severe UTI than parenteral or initial parenteral therapy. Citation: Pohl A. Modes of administration of antibiotics for symptomatic severe urinary tract infections. Cochrane Database of Systematic Reviews. 2007, Issue 4. Urinary tract infection, worldwide, is a major source of disease in children and adults. Although standard management …
Read MoreAs an emerging distinct practice environment, urgent care is in the early stages of building a data set specific to its norms and practices. In Developing Data, JUCM will offer results not only from UCA’s annual benchmarking surveys, but also from research conducted elsewhere to present an expansive view of the healthcare mar- ketplace in which urgent care seeks to strengthen its presence. In this issue: How is patient satisfaction affected by the length of …
Read MoreDAVID STERN, MD (Practice Velocity) Q.I was curious about your response to a case listed in Coding Q&A in the November issue of JUCM. The case described a patient who returned for reopening of a wound due to infection. The physician then cleansed and re-sutured the wound. Although I agree about the postoperative care in general, I wonder if modifier -79 would be appropriate in these circumstances. According to instructions by the AMA, this modifier …
Read MoreThe patient is a 14-year-old who took a fall two hours prior to presenting to the urgent care clinic. The left ankle is swollen and unable to bear weight, but the patient is otherwise healthy. View the x-ray taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read More“Let sales people sell” should be more than a cliché; it should be a way of life. Unfortunately, though, many occupational health sales professionals spend a disproportionate amount of time engaged in client maintenance and customer service at the expense of direct sales. This is not to say that customer service and patient service are unimportant, however; in truth, maintaining good relationships both with customers and patients is crucial to the success of every occupational …
Read MoreJOHN SHUFELDT, MD, JD, MBA, FACEP Are you from the era where Spare the Rod, Spoil the Employee was the title of the disciplinary section in the employee manual? Most urgent care centers in the United States discontinued the practice of caning employees after Michael Fay received his licks for vandalizing cars in Singapore in 1994. Now-a-days, you may want to consider following a few simple rules when it comes to employee remediation (as opposed …
Read MoreWhat, you may be asking, does urgent care have to do with chocolate? One thing we all know, whether you are running an association or unlocking your urgent care center doors every morning, is that as each day dawns (in the wise words of Forrest Gump), you never know what you are going to get. Will this be a record-setting patient visit day or an inexplicable lull? Will a couple hundred people show up for …
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