Employer Liability for Flu Infection

Urgent message: While urgent care centers benefit from exaggerated seasonal demand when a flu epidemic strikes, the risk is that the center’s own employees will get infected by contagious patients, incur medical costs, and lose time from work when they’re needed most. Alan A. Ayers, MBA, MAcc is Chief Executive Officer for Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Introduction It’s not uncommon for an urgent care nonclinical employee (eg, an hourly front desk receptionist) to become infected with the flu and …
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#MeToo in the Urgent Care Center: When the Perpetrator is a Patient

Urgent message: Most urgent care operators are well aware of the need for strong, clear policies on sexual harassment among team members. Your responsibility to protect your employees doesn’t end there, though. Situations in which the harasser is a patient present unique challenges—and consequences. Suzanne C. Jones and Roma B. Patel INTRODUCTION The #MeToo movement may have begun with high-profile actresses in Hollywood publicly acknowledging years of inappropriate behavior at the hands of powerful men like movie mogul Harvey Weinstein,1 but it quickly evolved into something much broader. #MeToo has …
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The Consequences of a Medical Provider Quitting Without Notice

Urgent message: Patients and communities rely on access to urgent care to augment primary care shortages and decant over-crowded Emergency Departments. A provider who quits without notice causes scheduling disruptions which could be considered “patient abandonment.” Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine Once a medical provider has accepted a patient into her practice, she is under an ethical and legal obligation to provide services to the patient as long as …
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How Best to Manage an ‘At-Will’ Termination

Urgent message: In most states, employment is at will—meaning that an employer can fire or terminate an employee at any time, for any reason that is not against the law. Even so, the employment at-will doctrine isn’t a license for an employer to fire employees at the drop of a hat. There are still critical considerations for urgent care operators to heed when terminating a provider or staff member. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of The …
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Do Nurse Practitioners and Physician Assistants Qualify for Overtime in the Urgent Care Setting?

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Urgent message: Physician assistants and nurse practitioners perform many of the same tasks as physicians in urgent care settings, but ambiguity as to the nature of their practice means additional consideration must be given in how their pay is structured. The federal Fair Labor Standards Act1 (FLSA) states that all “nonexempt” employees must receive overtime pay not less than 1½ times their regular rate of …
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