Journal of Urgent Care Medicine

Triage Systems Work Well To Direct Patients to UC Rather Than ED

A narrative review of literature exploring patient triage found that structured, evidence-based systems that differentiate between emergency departments (EDs), urgent care (UC), and primary care can be useful in scaling down the inappropriate use of EDs. Published in Cureus, the editorial concluded that the specificity of triage systems in terms of identifying true ED cases ranges from 85-95%. Additionally, the author found several features of UC visits that were superior to comparable ED metrics. Urgent …

Which States Have The Most ED Visits?

A new Kaiser Family Foundation analysis ranking states according to the number of emergency department (ED) visits found that West Virginia had the highest number of ED visits (596 per 1,000), while Nevada had the fewest (226 per 1,000) in 2023. The organization analyzed the most recent available community hospital data from the 1999-2023 American Hospital Association Annual Survey and compared it to population reports from the Census Bureau. Below are the top 10 states …

Urgent Care Claims Up 1,725% Between 2007 and 2016 (and No, That’s Not a Typo)

Insurance claims for urgent care visits grew by 1,725% between 2007 and 2016—more than seven times the growth rate of claims for emergency room visits, according to new data from FAIR Health. The FH Medical Price Index and FH Healthcare Indicators reports also reveal that the median price for an urgent care visit is lower than the cost of new-patient visits to office-based physicians ($242 vs $294, respectively). Fair Health based its data on over …

Hospitals Wave Red Flags as UnitedHealthcare ED Policy Takes Effect

UnitedHealthcare (UHC) just launched a new protocol for evaluating emergency room claims that it says will encourage accurate coding by providers and ultimately bring down healthcare costs. Some hospitals view it as just another way to deny claims, however—and one that could actually end up costing patients more money, at that. Under the policy that took effect on March 1, UHC reviews and maintains the right to adjust or deny claims for ED visits coded …

Mercy Stresses the Urgent Care Option as ED Volume Swells

Like many facilities across the country, Mercy Hospital in Fort Smith, AR wrestles with overcrowding in the emergency room, especially during flu season. In addition to higher patient volume, resources are further stretched due to staff calling in sick in greater numbers. The administration is dealing with the crisis by employing all available resources, including making the most of the flexibility of the urgent care model. Mercy has dedicated one location specifically to patients presenting …

Can Hospitals Find Salvation by Offering Primary Care in the ED?

Hospitals and health systems have been taking a hard look at how they can maintain financial stability in recent years. As you’ve read here, many are venturing into urgent care, both on and off campus. Now, some are taking another step toward becoming everyday community health providers by offering, essentially, primary care in their emergency rooms. An article in Modern Healthcare details how one of them, Carolinas Healthcare System, realized the same old way of …

Follow-up: AMA Cries Foul over New Anthem ED Policy

We’ve told you recently about plans some insurers have to stick patients with the bill for emergency room visits that are retrospectively determined to have been nonemergent in nature. In essence, if patients go to the ED with an illness or injury that could have been handled in a lower-acuity setting (such as an urgent care center), as determined by the insurer, the patient’s claim will be denied. Now the American Medical Association is demanding …

Consider What Else Might Be Going on with Sunburn Patients

Patients who seek care for sunburn in emergency rooms and urgent care centers often have complicating concerns—some of which have little directly to do with the sunburn, according to a new report published in JAMA Dermatology. Psychiatric illness (9.3% of cases), alcohol use (6.4%), and homelessness (6.4%) were among the more common, according to researchers from Brigham & Women’s Hospital, Massachusetts General Hospital, and associated urgent care clinics. More closely linked with sunburn were blistering …

Most Kids in Anaphylaxis Have No Treatment Before Presenting to Urgent Care or ED

Barely more than a third of children brought to an urgent care center or emergency room with anaphylaxis have received epinephrine before arriving, according to a new study published in the Annals of Allergy, Asthma, and Immunology. According to the report, which reflects the cases of 408 children with an average age of 7.25 years, just 36% of the patients had received epinephrine before reporting to an urgent care center or ED. The odds were …

Data Confirm that Urgent Care Can Keep Cancer Patients Out of the ED

The University of Colorado Cancer Center in Aurora, CO has quantified just how much urgent care can contribute to the overall health of patients with cancer—and it’s considerable. The Clinical Assessment and Rapid Evaluation (CARE) Clinic within the cancer center helped keep 21% of cancer patients out of the emergency room, generating over $176,000 in revenue over a period of 7 months. There’s no telling how many potentially serious complications were prevented by saving immunocompromised …

« Previous

Login to JUCM