StuWilli, Author at Journal of Urgent Care Medicine

Nearly Three Quarters of Clinicians Use Telehealth

Less than 3 years ago, barely more than half of healthcare providers used telemedicine and related services. Today, however, that proportion sits ag 71%, according to two new HIMSS Analytics studies that analyzed inpatient and outpatient telemedicine. The data indicate that “hub-and-spoke” models, in which the flow of care draws patients from lower acuity outpatient settings to larger, more comprehensive facilities, are the most popular, accounting for 59.6% of provider use. (These are more common …

Pamela Sullivan Takes Office as President of UCA Board of Directors

Pamela Sullivan, MD, MBA, FACP, PT was officially introduced as the newly elected president of the Urgent Care Association’s Board of Directors during the 2017 Urgent Care Convention & Expo, held this week in National Harbor, MD. Sullivan takes over from Steve Sellars, MBA, who served as president for the 2016–2017 term. In accepting the position, she stressed the necessity to help patients understand “their evolving healthcare options, while innovating new business models and processes …

Better Safe than Sorry: The Six Rs of Safe Injections

Urgent Message: While giving injections in urgent care may seem like a rote task, the significant safety risks of errors require that providers and staff pay special attention to the “Six Rs” when giving each and every injection. Unlike other service industries, when you ask people why they go into healthcare, the answer is typically “to help people.” Given your genuine and innate drive to improve the health and wellbeing of your patients, how awful …

Beware Deceptively ‘Simple’ Diagnoses

A pair of recent news stores add up to a cautionary tale for clinicians inclined to assume ailments commonly identified in the urgent care setting pose no serious threats. One case resulted in the partial amputation of a child’s leg, while the other cost a child her life. In Akron, OH a 6-year-old girl’s strep throat was followed by a flu diagnosis. When her left leg began to swell and she begged her parents not …

Greenway Health Suffers Direct Hit in Ransomware Attack, Affecting EHR Platform

Greenway Health has acknowledged that some of its customers lost full use of the company’s Intergy electronic health records platform due to a recent ransomware attack. The company says it expects minimal loss of data, and that there is no evidence to suggest that any patient data has been misused at this time. Greenway has vowed to support affected practices, and maintains that no further problems are expected, either on Intergy or its other platforms.

Be Careful When Asking About the ‘S’ Word in Interviewing Candidates

Different markets have different standards of living—and compensation. So, it’s important to get a sense early on whether what you’re willing to pay aligns well with qualified job seekers. That’s going to be a lot tougher if an emerging trend continues to grow, however. Some cities and states are forbidding interviewers from asking candidates about their current, or most recent, salary. Legislation to that effect was just passed in Philadelphia, though the city will delay …

May 2017

Elbow Pain and Swelling After a Fall

Case A 28-year-old woman presents to urgent care with elbow pain and swelling following a mechanical fall. She reports the pain is worse with range of motion. There is no shoulder or wrist pain, and no paresthesias. Exam confirms pain with palpation and decreased range of motion. The radial pulse is 2+; sensation distal to the elbow is grossly intact. The patient is afebrile, has a pulse of 104, respirations 20, and BP 124/80. View …

Abstracts in Urgent Care – May 2017

Consider Vitamin D Supplementation for Patients Prone to URIs Key point: Vitamin D supplementation was both safe and protective against acute respiratory tract infection. Citation: Martineau AR, Jolliffe DA, Hooper RL, et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ. 2017;356:i6583. An ounce of prevention would definitely be a good idea when it comes to upper respiratory infection. With the currently limited treatments for …

An 18 Month-Old-Boy with Vomiting

In Bouncebacks, we provide the documentation of an actual patient encounter, discuss patient safety and risk-management principles, and then reveal the patient’s bounceback diagnosis. This case is from the book Bouncebacks!, available at www.anadem.com and www.amazon.com. History of Present Illness John is a healthy 18-month-old boy. One morning shortly after Christmas, he awoke with cough and congestion. After breakfast, he had an episode of vomiting. Though his symptoms remained mild over the next 3 days, …

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