Journal of Urgent Care Medicine

Understanding the Freestanding Emergency Department Phenomenon

Urgent message: FSEDs have a role to play in our health care system but it’s not to supplant urgent care centers. ALAN A. AYERS, MBA, MAcc, Experity Introduction Freestanding emergency departments (FSEDs) are walk-in medical facilities—structurally separate and distinct from a hospital—that hold themselves out to provide emergency care to the general public. While they claim many similarities to hospital EDs—capabilities to diagnose and stabilize cardiac arrest, stroke symptoms, breathing problems and trauma—there are also …

February 2014

Identifying Risks and Finding Shelter in an Urgent Care Compliance Program

Urgent message: The escalating pressure on the industry to decrease health care costs has resulted in an increase in audit activity from government and private payors for everything from billing and coding to HIPAA and kickbacks. Therefore, it’s more important than ever for urgent care centers to build a culture of compliance. DAMARIS L. MEDINA The health care industry is in the throes of a dynamic regulatory enforcement climate. Federal and state regulators and third-party …

Improving Urgent Care Center Profitability Through Medical Supply Management and Accounting

Urgent message: Many urgent care centers lack an inventory management process and do not accurately account for their utilization of supplies. Improving how a center manages and accounts for supplies can have a direct impact on the bottom line. ALAN A. AYERS, MBA, MAcc Practice Velocity Introduction A quick and easy way to improve your urgent care center’s profitability may be as close as your supply closet. Many urgent care centers lack defined processes for …

Achieving Consistency and Scalability in Urgent Care Service Delivery

Urgent message: Investing time in designing repeatable processes and documentation can pay off in a more efficient, effective, and scalable urgent care operation. ALAN A. AYERS, MBA, MAcc Practice Velocity Introduction Despite management’s best intentions to deliver extraordinary patient experiences, many times employees just don’t know what to do. Front-line staff members are often conflicted between “doing what’s right” for the business, avoiding management scrutiny, exerting extra unrewarded effort, and “doing what’s right” for the …

Market-Driven, Performance- Based Physician Compensation in Urgent Care

Urgent message: Determining compensation for urgent care physicians is a challenge, particularly given the current health care environment. This article provides guidelines for achieving fair compensation based on reliable metrics and objectivity. RICHARD M. CAMERON, MHSA, CMPE and RICK E. WEYMIER, MBA, FACMPE Introduction Physician compensation presents one of the greatest challenges to the success of an urgent care practice because it has an impact on practice culture, physician interelationships, and the ability to attract …

Creating Value By Adding Physical Therapy to Urgent Care – PART II: Tactical Considerations

Urgent message: Part 1 of this article, in the June issue, looked at initial considerations for enhancing urgent care profitability by providing physical therapy services. In Part 2, the authors address tactical considerations, from revenue to staffing models. LAUREL STOIMENOFF, PT and HILARY HELLMAN, SLP Babe Ruth said, “Yesterday’s home runs don’t win today’s games.” Consumers have gravitated to on-demand medical services and the market has responded. Urgent care centers now face competition, not only …

Creating Value By Adding Physical Therapy to Urgent Care – Part 1: Initial Considerations & Rationale

Urgent message: Many urgent care clinics face new competition and the landscape for reimbursement is changing. One tactic for enhancing profitability is to consider the addition of new services. Adding Physical Therapy to your practice can result in more satisfied patients, better clinical outcomes and a stronger bottom line. LAUREL STOIMENOFF, PT and HILARY HELLMAN, SLP Eighty percent of Americans will experience low back pain at some time in their lives. Many of these patients …

Establishing Your Online Presence: Website Basics for Urgent Care Operators

Urgent message: Establishing a practice website takes careful planning and execution but it can enhance traditional marketing efforts by providing a central repository of relevant information for prospective patients. ALAN A. AYERS, MBA, MAcc Practice Velocity When consumers experience a minor illness or injury, numerous questions arise, such as “What do these symptoms mean?” “Can I do something about this myself?” and “What kind of help do I need, where do I get it, and …

Dealing With Employee Termination: Smart Strategies for Optimizing Your Team

Urgent message: Letting employees go is never easy. This article offers tips for protecting your business and yourself if termination is necessary. Among the key recommendations are compiling documentation and seeking legal advice. ALAN A. AYERS, MBA, MAcc Practice Velocity Letting an employee go, whether due to job performance or economic necessity, is never a pleasant situation. Although an urgent care center strives to provide high-quality patient care, it’s also a business. This means that …