Can PAs and NPs Unionize in Urgent Care Settings?

Can PAs and NPs Unionize in Urgent Care Settings?

Urgent message: Urgent care’s workforce has changed from primarily emergency physicians to physician assistants and nurse practitioners now making up the bulk of providers. Whereas physicians historically have been excluded from joining a union, recent efforts to organize PAs and NPs have garnered media attention. While just over 10% of U.S. employees belonged to a union in 2019, a number of groups in industries that do not traditionally have a union presence have gone on …

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Are Food/Drug Retailers Hiding their Retail Clinic “Failures?”

Are Food/Drug Retailers Hiding their Retail Clinic “Failures?”

Urgent message: Over the past 15 years, the nation’s largest food, drug, and mass retailers have announced clinic initiatives with great fanfare. However, we’ve heard little as these initiatives have quietly retreated and re-trenched, coincidently during the same period that urgent care has boomed. Alan Ayers, MBA, MAcc is Senior Editor, Practice Management of The Journal of Urgent Care Medicine Retail clinics—does anyone care anymore? Given there’s not been an “industry” update tallying the number of …

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What’s the Best Policy for Unlocking an Urgent Care’s Doors when a Provider isn’t Present?

What’s the Best Policy for Unlocking an Urgent Care’s Doors when a Provider isn’t Present?

Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Senior Editor, Practice Management of The Journal of Urgent Care Medicine. Urgent message: Whether an urgent care must have a provider on-site during all operating hours comes down to the operator’s risk tolerance. As a matter of patient safety, many urgent care centers have adopted a policy that if no provider is on-site, they must lock the doors and refuse entry of any …

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Considerations for Urgent Care Operators on Equal Pay Legislation and Enforcement

Considerations for Urgent Care Operators on Equal Pay Legislation and Enforcement

Urgent message:  As we see a shift to an overwhelming female workforce in urgent care, it is essential that urgent care operators understand the conditions of, and develop policies to be compliant with, employment laws requiring equal pay among genders. Alan A. Ayers, MBA, MAcc, is President of Experity Networks and is Practice Management Editor of The Journal of Urgent Care Medicine. INTRODUCTION Many urgent care centers already pay the same hourly rate for all …

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Thinking About Buying or Selling an Urgent Care Center?

Thinking About Buying or Selling an Urgent Care Center?

Urgent message: While market conditions for mergers and acquisitions are currently “hot,” variability in urgent care volume attributable to COVID-19 has led to changes in how deals are evaluated and structured. Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Senior Editor of the Journal of Urgent Care Medicine Nationally, merger-and-acquisition activity has set a record pace across all industries since the start of the pandemic. Corporations, private equity funds, and buyout …

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Who in a Company Can Bind the Company in a Contract?

Who in a Company Can Bind the Company in a Contract?

Urgent message: While legal documents may define who in an urgent care is able to legally obligate the company, such as when ordering a service or signing a contract, there are cases where “unauthorized” individuals can still bind the company—meaning the organization must have clear internal policies on signing authority. Alan A. Ayers, MBA, MAcc Let’s say that a physician employed at an urgent care facility is working on a Saturday when a toilet backs …

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Addressing Fraternization in the Urgent Care Workplace

Addressing Fraternization in the Urgent Care Workplace

Urgent message: Whereas sexual harassment is defined as unwanted and one-sided, many times employees choose to become romantically involved, requiring that urgent care centers have a policy and a plan to address workplace fraternization. Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Practice Management Editor of The Journal of Urgent Care Medicine. In 2019, McDonald’s fired its Chief Executive Steve Easterbrook for engaging in a relationship that violated company policy. The …

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Employee Confidentiality Cannot Extend to Employment Terms—Including on Social Media

Employee Confidentiality Cannot Extend to Employment Terms—Including on Social Media

Urgent message: Nondisclosure agreements that are commonly required of management and providers to protect a company’s business strategies, intellectual property and human capital generally cannot prohibit employees from sharing their own pay, benefits, working conditions, or conditions of employment even on social media. Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Practice Management Editor of The Journal of Urgent Care Medicine Many companies expect and even demand confidentiality of proprietary information. …

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The Nuances of Age Discrimination

The Nuances of Age Discrimination

Urgent message: As the United States learns to support an aging workforce, understanding the nuances of age discrimination can help urgent care practices to be fair and diverse workplaces that avoid potential legal pitfalls. Alan A. Ayers, MBA, MAcc is Senior Editor, Practice Management of The Journal of Urgent Care Medicine and is President of Experity Networks “Lori’s been here since dinosaurs roamed the earth—she’ll know where it’s at.”1 That type of comment may land …

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What Does a Hybrid Workforce Look Like for Urgent Care?

What Does a Hybrid Workforce Look Like for Urgent Care?

Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine and is President of Experity Networks. Urgent message: As COVID-19 has enabled many non-patient-facing employees to work from home, now urgent care operators must grapple with returning some of those employees to the office or otherwise managing a “hybrid” workforce. The COVID-19 pandemic has changed every facet of daily life. Although its impact on the world of medicine is …

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