Practice Management
People who have asthma are often listed among patients at higher risk for severe disease and outcomes during the COVID-19 pandemic. However, a new article on MedPage Today calls that presumption into question. Quoting infectious disease experts and drawing on data from the still-small pool of research that’s been done on COVID-19, the piece notes that 5% of people in China have been diagnosed with asthma—but asthma was found in less than 1% of patients …
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Patients with “underlying conditions” are at increased risk for severe disease and poor outcomes if they have COVID-19. That drum has been beaten long and loud. However, new data published in Diabetes & Metabolic Syndrome: Clinical Research & Reviews illustrate how great the threat is to patients who have diabetes, in particular. Meta-analysis showed that diabetes was associated with composite poor outcomes (risk ratio = 2.38, 95% confidence interval 1.88-3.03), including mortality (RR 2.12, 95% …
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As One Possible COVID-19 Treatment Gets a Closer Look, Another Prompts Safety Concerns While the world hopes for a “magic bullet” that will put COVID-19 down, or at least prevent it, researchers remain committed to exploring all available options. Most recently, the Food and Drug Administration issued an emergency use authorization for the investigational antiviral drug remdesivir for the treatment of suspected or laboratory-confirmed COVID-19 in adults and children hospitalized with severe disease. Acknowledging that …
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Some urgent care operators, especially those in hard-hit areas like New York City, have been in the thick of the fight against COVID-19 from the start. Others experienced dramatic drop-offs in patient visits (and still may be) before developing plans that would allow them to serve their communities in new and different ways; classifying some locations as testing centers and launching telemedicine services allowed them to continue bringing in revenue while providing much-needed care. Now …
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As cases of COVID-19 started to spike in some parts of the country, urgent care’s potential contributions in fighting the pandemic were overlooked or even maligned by media outlets with a poor understanding of the level of care urgent care providers offer on a daily basis. Perhaps worse, some articles accurately portrayed concerning actions by local officials and state governments. As you peruse the examples below, consider proactively reaching out to local newspapers, broadcasters, and …
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Paradoxically, patients who may be at greatest risk for complications due to COVID-19 are opting out of the very care that could keep them from suffering with severe disease, according to research published by Patient Care Online. The concern is especially great among those with chronic conditions such as asthma and type 2 diabetes. The problem, simply, is that they’re scared; 40% said they’re “worried/very worried” about going to a medical facility, including the emergency …
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The Department of Health and Human Services, under the Families First Coronavirus Response Act and the Coronavirus Aid, Relief and the Economic Security (CARES) Act, has launched a portal specifically designed to ensure healthcare providers who have tested or treated uninsured patients for COVID-19 are compensated for those services. Claims are reimbursed “generally at Medicare rates,” according to HHS. Claims related to care provided on or after February 4, 2020 can be submitted through the …
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When it first became apparent there is a wide range in how severely patients are affected by COVID-19, there seemed little rhyme or reason, aside from existing clinical characteristics, as to why one patient fared worse than another—or how a patient’s likelihood of developing severe disease could be predicted. Now a study just published in Critical Care suggests that predicting disease progression can be aided by looking at sputum viral load. The research, out of …
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On the heels of JUCM’s study of chest x-rays in urgent care patients with COVID-19, the Journal of the American Medical Association just published an article that reveals the most common presenting characteristics, comorbidities, and outcomes of infected patients, based on 5,700 hospitalized patients in New York City, Westchester County, and Long Island, NY. The data show that 14% of hospitalized COVID-19 patients wound up in the ICU; 12% received invasive mechanical ventilation; 3% had …
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The U.S. Department of Health and Humans Services chose a handful of chain drugstores, and even grocery stores, to participate in community-based COVID-19 testing programs. No urgent care businesses. Mainstream media reports have carried misleading headlines suggesting that urgent care is “the last place you want to be right now” (one actually said that verbatim). That wrongheaded thinking is contributing to a sharp downturn in patient visits in some locations, unfortunately. The presumption is that …
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