Journal of Urgent Care Medicine

HIPAA Turns 20—Is it Time for it to Move Out?

The Health Insurance Portability and Accountability Act—better (if not more affectionately) known as HIPAA—was signed into effect in 1996, around the time that the World Wide Web was viewed as the wild frontier. In 2016, the internet is now The Establishment, every citizen of the United States has access to health insurance, and electronic data drive everything from who’s “trending” on Instagram to local, regional, and national expectations of the coming flu season. Even firewalls …

Rural Areas Suffer Most When Insurers Drop Out of Public Exchanges

A new study from the Kaiser Family Foundation shows that the dwindling number of insurers participating in public exchanges set up under the Affordable Care Act (ACA, also known as Obamacare) is much harder on people in rural communities than on city dwellers. Larger urban areas are more likely to have at least two insurers to choose from, giving those payers an incentive to offer lower rates. However, insurers often have a monopoly by default …

Growing Urgent Care Outfit Is a Hot Property

Fast Pace Urgent Care has grown fivefold since 2012, making it a valuable asset to its parent company, Shore Capital Partners—and an attractive prospect for Revelstoke Capital Partners, which just bought all 36 of the clinics. Fast Pace had just seven clinics in 2012; most of its growth in the Shore Capital Partners era has been through new construction (it also bought three existing locations along the way). Five more clinics are scheduled to open …

Making Urgent Care Child-Friendly Can ‘Bear’ New Patients—and Profits

News flash: Some kids don’t like to go to the doctor. Which means parents sometimes have to decide between dragging an unwilling child into your clinic and weighing whether their child’s symptoms really do merit immediate attention. Neither outcome is optimal. An urgent care clinic in Bellmore, NY has hit on an inspired way to make the doctor’s office a little less intimidating, though. Northwell Health-GoHealth Urgent Care recently invited families to bring their child …

Probe Deeper if Symptoms Just Don’t Add Up

It was a case that easily could have presented in any urgent care center, and one that shows the importance of probing beyond social and medical history, including a patient’s profession and hobbies if necessary. The patient presented with a 7-year history of breathing difficulty that had recently worsened. The only related detail seemed to be that he had been diagnosed with hypersensitivity pneumonitis (HP, also known as farmer’s lung and hot tub lung) 5 …

Data Are Clear: We Need More Urgent Care Centers!

We’ve all seen the data concerning the “graying” of the population and physician shortages (it’s not good), and within this industry intuited that urgent care will play an important role in providing care when and where it’s needed most. New data now show just how big an opportunity there is for urgent care operators. Looking at estimates of current volumes per urgent care center within the context of population density, demographics, and payer mix, Health …

Think Twice Before Prescribing Opioids in the Urgent Care Center

Urgent care clinicians practice where the rubber meets the road—treating patients who feel so bad they cannot wait to be seen by their primary care physician. The downside is that physicians often don’t know patients well—which means they need to be vigilant for opioid addicts and “patients” who are actually looking to obtain drugs so they can sell them for their own profit. This has given birth to a movement seeking to lower prescribing rates …

New Data Exchange Models Serve Urgent Care’s and Payers’ Interests

Patient population data rooted in urgent care visits could be invaluable to healthcare systems, especially with patients who don’t have a primary care physician. And, of course, urgent care operators want to be included in local provider networks. Current and emerging technologies, as well as growing emphasis on value-based care, make this the perfect time to strike formal partnerships to exchange electronic patient data, providing a path for both parties toward their goals. It’s incumbent …

‘Micro-Hospitals’—Some with Urgent Care Centers—Are on the Rise

St Vincent Health in Indiana is the latest system to join a growing trend in the U.S.: opening small “footprint” hospitals—multispecialty facilities with an emergency room or an urgent care center to lower volume and offer easier access in conjunction with their main campuses. In St Vincent’s case, that amounts to four new 24-hour emergency micro-hospitals and three ambulatory care centers in the Indianapolis area. Each will have seven outpatient beds and eight in-patient beds. …

Acetaminophen Overdose Antidote Recalled

Urgent care clinics that stock the acetaminophen overdose antidote acetylcysteine should check their inventory for three specific lots of the drug distributed by Arbor Pharmaceuticals under the trade name Cetylev. Arbor has recalled lot numbers 005C16, 006C16, and 007C16, with expiration date 02/2018 and with National Drug Code (NDC) 24338-700-10 of the 500 mg effervescent tablets for oral solution because of an inadequate seal of the blister pack. The Food and Drug Administration says the …