Journal of Urgent Care Medicine

The Legality of Docking the Pay of Urgent Care Employees

Urgent Message: While legal under circumstances outlined by federal and state law, docking employee pay for violating an employer’s policies may be viewed as demoralizing and unethical versus punitive actions like warnings or suspension. Alan A. Ayers, MBA, MAcc Citation: Ayers AA. The Legality of Docking the Pay of Urgent Care Employees. J Urgent Care Med. 2025; 19(5):41-43 Workers frequently make mistakes on the job. Some are mere oversights that are quickly corrected, while others …

ED Car Crash Underlines Every Center’s Liability to Protect

Medical buildings can be vulnerable to any number of disruptive accidents that might cause harm to patients or prevent the delivery of care, including motor vehicle incidents. For example, 1 person died and 5 others were injured after a vehicle crashed into the emergency department at the St. David’s North Austin Medical Center in Austin, Texas, last week, according to news reports. In the St. David’s case, 3 team members received minor injuries from the …

Changing an Employee from Full-Time to Part-Time Status

Urgent message: Whether due to reduced staffing needs or employee preference, some employees in urgent care are no longer scheduled for full-time hours. Changing from full-time to part-time status, however, may have consequences beyond simply working fewer hours. There are any number of reasons why an urgent care owner or operator might want to change the status of an employee from full-time to part-time. Generally speaking, an employer is permitted to do so for any …

Are Urgent Care Providers Liable if They Don’t Test Patients for COVID?

Download the PDF: Are Urgent Care Providers Liable if They Don’t Test Patients for COVID? Urgent message: As the severity of newer strains of SARS-CoV-2 has decreased, many patients and providers have become less vigilant about COVID-19. Yet COVID-19 remains among the top 10 causes of death in the U.S. Failure to diagnose and, if eligible, treat patients with COVID-19 may result in significant harm. Professional liability is less likely, however, given the current governmental …

Who Can Take X-Rays in an Urgent Care Center?

Urgent message: Given that x-ray is a differentiating feature of “urgent care” and the current challenges in recruiting and retaining licensed RTs, a logical question for urgent care operators is the extent to which x-ray tasks can be delegated. Alan A. Ayers, MBA, MAcc is President of Experity Consulting and is Practice Management Editor of The Journal of Urgent Care Medicine. “The only people who can touch an x-ray machine are those who are certified …

What Qualifies Someone to Take X-Rays in the Urgent Care Center? It All Depends on Where You’re Located

X-rays are high on the list of services patients expect urgent care centers to provide when needed. Currently, however, a dearth of qualified technicians can make guaranteeing that they can do so somewhat challenging. The November issue of JUCM will start an in-depth discussion of how the industry can best approach meeting that challenge for the benefit of the patient and the individual operator. One essential part of that discussion will be answering the question …

A Legal Quandary: A Diagnosis of Cellulitis…That Isn’t

Michael Weinstock, MD; Gabby Gostigian, MD; and Matthew Delaney, MD Urgent message: Failure to consider subtleties and the context in which a patient presents can lead to insufficient differential diagnoses and missed diagnoses that leave the patient at risk for poor outcomes and the provider at risk for litigation. INTRODUCTION Cellulitis from a wound infection in the urgent care is common, and so is our management: wound care and antibiotics. But consider a scenario in …

Avoiding Defamation Lawsuits in Urgent Care

Urgent message: People are unlikely to trust their healthcare to a provider with a sullied reputation, so speaking ill of a provider can cost them in terms of patient revenue or future employment opportunities. Understanding the causes and defenses for defamation can help you protect your reputation and your business. Alan A. Ayers, MBA, MAcc We live in a nation where the First Amendment should protect “free speech,” particularly among public figures. Yet, Google “defamation …

Can PAs and NPs Unionize in Urgent Care Settings?

Urgent message: Urgent care’s workforce has changed from primarily emergency physicians to physician assistants and nurse practitioners now making up the bulk of providers. Whereas physicians historically have been excluded from joining a union, recent efforts to organize PAs and NPs have garnered media attention. While just over 10% of U.S. employees belonged to a union in 2019, a number of groups in industries that do not traditionally have a union presence have gone on …

See You in Court: Practice and Documentation Change from a Mock Trial

Urgent message: “Mock trials” are a valuable tool to help urgent care providers offer better medical care, record more appropriate documentation, and learn about medical proceedings. Michael Weinstock, MD; Kaetha Frost, DO; Heath Jolliff, DO; Amal Mattu, MD; Seth McIntire, DO; Marc Calvert, JD; Mark Kitrick, JD; and Matt Delaney, MD Citation: Weinstock M, Frost K, Jolliff H, Mattu A, McIntire S, Calvert M, Kitrick M, Delaney M. See you in court: practice and documentation …

« Previous