Journal of Urgent Care Medicine

Next Round of HIPAA Audits Aim to Prevent Data Breaches

Electronic health records have fostered easier access to vital information—clearly a benefit to providers and patients—but they’ve also been the font of data breaches involving the records of nearly 33 million individuals since 2009. Part of the problem lies with dishonest or inept contractors (or “business associates”) that may not have the expertise to construct proper security measures. Now those business associates are going to be targeted for HIPAA audits by the Department of Health …

Update: More Zika Cases in More States

The Centers for Disease Control and Prevention now says there have been 258 cases of Zika virus in the U.S., with 35 states reporting at least one confirmed case—up from 29 states counted just two weeks prior. Florida has seen the most (59), followed by New York (42) and Texas (34). Connecticut and New Mexico reported their first confirmed cases during that time. While most cases are still presumed to be travel-related, it is thought …

CDC Tries to Put the Brakes on Runaway Opioid Use

Up to 20% of patients presenting with noncancer pain walk out of physician offices with a prescription for an opioid. Too many of them become addicts or abuse prescription painkillers, sometimes with deadly results. With its expectation that encounters will be a one-off, urgent care is an especially appealing target for those looking for a quick fix. Now the Centers for Disease Control and Prevention (CDC) wants all prescribers to think long and hard before …

Are Quality Assessments Worth the Cost?

Tracking and reporting quality measures cost four specialties—including primary care, cardiology, orthopedics, and “multispecialty”—$15.4 billion annually, according to a new study published in Health Affairs. One concern voiced by the authors is that standardization of quality measures is sorely lacking so, in effect, such measures may have little meaning to begin with. The data are based on surveys of 250 practices from each of the selected specialties. On average, physicians spend 2.6 hours per week …

CDC Warned Us—Now the Late Season Flu Spike Is Here

The Centers for Disease Control and Prevention’s warnings that the 2015–2016 might end up being late, and not just light, are coming to fruition from coast to coast—with deadly consequences for some. New data highlight the need for urgent care providers to continue pushing flu shots and to be prepared for more patients with flu-like symptoms. Current flu activity has been called “widespread” in 37 states, with physician visits for flu-like symptoms continuing to rise; …

Update: CDC Says New Zika Cases Could Have Been Sexually Transmitted

The Centers for Disease Control and Prevention and certain state health departments are looking into 14 new cases of Zika virus to determine if they could have been transmitted through sexual contact. In each case, a man who had traveled to an area where Zika has been confirmed developed symptoms within two weeks of his female sexual partner becoming ill. While the main health concern is that several of the women are pregnant and Zika …

Despite Deaths, Many Parents Say Flu Vaccine is Less Important Than Others

Eleven children have died from flu or flu-related illness this year, and roughly 20,000 are hospitalized every year in the U.S. thanks to influenza, according to the Centers for Disease Control and Prevention. And yet the C.S. Mott Children’s Hospital National Poll on Children’s Health, 2016 reveals that even 14% of parents who had their children immunized against flu this year believe it is “less important” than other childhood vaccines; perhaps less surprisingly, 59% of …

More Zika Cases = More Worried Parents = More Guidance from the CDC

With travel-related cases of Zika virus infection now confirmed in 20 states and the District of Columbia, it’s likely urgent care centers will see more patients with concerns, founded or unfounded, that they or their children have been infected. Guidance updated by the Centers for Disease Control and Prevention this week says routine care is adequate for most babies with suspected Zika virus infection unless there are signs of microcephaly. If there is evidence of …

Pediatric Emergency Care Finds Most Urgent Care Sites Well Prepared

A new article published in the journal Pediatric Emergency Care adds valuable data that should further distinguish urgent care centers from retail health outlets commonly seen in community drugstores. Lead author Robert Wilkinson, DO and colleagues set out to quantify how prepared urgent care centers are for emergencies involving younger patients per guidelines issued by the American Academy of Pediatrics. They found it is typical for urgent care centers to have what it deems “essential …

Follow-up Text Messages Raise Medication Compliance by 18%

As some insurers explore the wisdom of encouraging web chats and email for physician–patient communication, a new study published in JAMA Internal Medicine supports the idea that text messages may bolster patient compliance with a physician’s directions. This particular metaanalysis considered 16 studies involving nearly 3,000 patients and showed an 18% increase in patient follow-through with appropriate medication use (from 50% to 68%). Increased adherence with medication regimens not only leads to better outcomes, but …

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