Practice Management
A telemedicine ambulance triage system is helping to keep nonemergent cases out of the emergency room in Houston—perhaps indicating one more way urgent care could contribute to improving access to affordable, quality care for patients with non–life-threatening concerns. A briefing on Advisory Board notes that the city’s ED wait times were among the worst in the country 10 years ago, thanks to up to 50% of patients, in effect, seeking primary care in their local …
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New data suggest that efforts to educate patients on when it’s appropriate to go to an urgent care center vs the emergency room need to continue, if not increase. Basically, the survey from CityMD shows too many are not selecting the appropriate setting for immediate care. More than 2,000 Americans 18 and older were asked which setting would be most appropriate for immediate care in eight separate scenarios, from having a child with a 104⁰ …
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The Urgent Care Association (UCA) has petitioned Secretary of Health and Human Services Tom Price, MD to delay implementation of Stage 3 of the Meaningful Use program, as well as “Stage 3-like” measures in the MIPS program, indefinitely. UCA joined with 15 other organizations in crafting a letter that also requested that eligible clinicians not be required to move to EHR technology certified to the 2015 edition. Release of proposed requirements for MIPS and APMs …
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A new Cochrane Database review finds that while there’s a lot of chatter about the success of retail clinics, hard data on their effectiveness has yet to materialize. Chen et al, searched CENTRAL, MEDLINE, Embase, and six other databases, as well as two trial registers, and conducted reference checking and citations searching, looking for any trials and controlled before–after studies. While they acknowledge “retail clinics have become popular alternatives to traditional physician offices and emergency …
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The next decade will see national health expenditures grow 5.6% annually, according to projections from the Centers for Medicare & Medicaid Services (CMS), ensuring that the need for cost-effective, high-quality care will continue to grow as well. If CMS’s Office of the Actuary is correct in its estimate, the jump in healthcare spending will outpace projected growth of the Gross Domestic Product (GDP) by 1.2%. The portion of the GDP consumed by healthcare spending is …
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Guests at Hawai‘i’s Royal Kona Resort don’t have to go too far or enlist Google to find a doctor if they get a toxic dose of the sun or need a jellyfish sting looked at. The hotel offers guests the convenience of seeing a physician from DOCNow Virtual Healthcare Centers right in their own room (or the lobby or even the poolside bar) every day of the year, from 8 am to 9 pm. It …
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A South Carolina hospital group is the latest institution to try to cash in on urgent care’s growing appeal, by franchising four urgent care facilities in the upstate region. Bon Secours St. Francis will brand its “new” properties Bon Secours Express Care, in concert with the one urgent care location it has in Greenville, SC. A new article published in the GSA Business Report, an online journal covering various industries in South Carolina, cites data …
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The Centers for Medicare & Medicaid Services (CMS) says patients reporting to emergency rooms in Maryland are likely to wait over twice as long as the national average—53 minutes vs 22 minutes. Greater Baltimore Medical Center (BMBC), whose ED clocked an average wait time of 60 minutes, suggested patients could get in and out much more efficiently if nonemergent patients sought care in a more appropriate environment, such as BMBC’s primary care offices. This echoes …
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A pilot program in Prince George’s County, Maryland has trained firefighters responding to 911 calls from patients who don’t meet the criteria for true emergent care. In one case cited in a Washington Post article, responders checked on a woman who was in the habit of calling 911 several times a week, with an unnecessary (and costly) trip to the emergency room following most often before the program launched. On that day, though, she had …
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Carena, a virtual urgent care center in Seattle, has gained a healthy following among brick-and-mortar urgent care clinics around the country by “seeing” patients with fairly typical complaints like rashes and symptoms of bladder infections. The company reports that their lines are really jumping now that flu season is in full force. They, and other e-medicine providers, can’t offer flu shots, of course, but they can help patients who don’t have the flu avoid exposure …
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