Practice Management
More than half of visits to emergency rooms in California’s San Diego County hospitals between 2004 and 2014 were for complaints that were nonemergent, according to the county Health and Human Services Agency there. Overall volume swelled by 40% over that time, despite population growth of just 7% in the nation’s eighth largest city. The problem has gotten so bad that civic leaders staged a media blitz, imploring residents through newspapers and television news to …
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A handful of retail clinics are stealing a page from the urgent care playbook by diversifying services they offer to customers. The Kroger grocery store chain is testing out nutritional counseling in select stores with Little Clinic locations in four states. Urgent care clinics from California to New Jersey have had success employing registered dieticians and nutritionists for years, providing guidance for patients on food plans, food labels, food allergies, and the like. In addition …
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Add Transparency Market Research to the growing list of research organizations that see major growth continuing in the global urgent care market. Using 2013’s figure of $23.5 billion as a baseline, the report projects 30% growth by 2020—making for a market value of $30.5. Urgent Care Centers Market—Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2014–2020 cites the growing ranks of senior citizens and concerns over finding cost-effective care, combined with traditional urgent care …
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Hospital systems have been tracking patient experiences for decades. Now one of them is extending that practice to its own urgent care centers; Sentara Healthcare is thought to be the first organization in the country to post aggregate patient survey ratings for urgent care centers online. National Research Corporation reached out to 40,000 patients within 1 to 3 days of a Sentara urgent care visit over the past year, asking them to rate their experience …
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Use a prescription pad in New York, go to jail—potentially, anyway, as the state becomes only the second state to require electronic prescribing and the first to establish penalties, which include fines, loss of license, and even jail time, for noncompliance. Paper and telephone prescriptions will be exempted for emergency situations, however. Proponents reason that e-prescribing is a big step toward eliminating prescribing errors and long wait times at the pharmacy, and that it reduces …
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The Food and Drug Administration wants to ban most powdered gloves from exam rooms, as well as operating rooms. The ban would apply to powdered surgeon’s gloves, powdered patient examination gloves, and absorbable powder for lubricating a surgeon’s glove. The FDA says the risk that synthetic proteins in the gloves can cause airway inflammation, wound inflammation, and postprocedure adhesions is too great to allow their continued use. If finalized, the ban would force withdrawal of …
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Hospital chains and insurance companies continue to invest in urgent care centers at an ever-increasing pace, while also forging partnerships with independently owned clinics, according to a report from Merchant Medicine. The perception is that as Americans live to an older age—and stay active longer while doing it—they want more convenient care for nonemergent injuries while maintaining a relationship with institutions they’ve come to trust. Current data from the Urgent Care Association (UCA) show that …
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As the difficulty in dealing with a patient goes up, diagnostic accuracy goes down, according to a new report published in BMJ Quality and Safety. The complexity of the ultimate diagnosis and the amount of time spent with the patient appear to have no bearing on the probability of making a correct diagnosis. The article is based on two studies in the Netherlands that showed physicians were more likely to misdiagnose patients who exhibited “disruptive …
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Six years after its inception, government forecasts concerning the cost of the Affordable Care Act (ACA, or “Obamacare”) continue to climb. Now the Congressional Budget Office (CBO) says the bill over the next decade will be approximately 11% higher than predicted just a year ago—that’s an extra $136 billion, for a total of $1.34 trillion over that time. The CBO chalks the greater cost up to higher-than-expected enrollment in the expanded Medicaid program established by …
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Just a week after issuing its previous advisory, the Centers for Disease Control is already refining recommended precautions men and women need to take before engaging in sexual contact or attempting to conceive. Men with potential exposure (ie, travel or residence in an active outbreak area) should not engage in unprotected sex for at least 8 weeks after the exposure ends. Advice to use condoms or abstain from sex also applies to currently pregnant women …
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