Practice Management
When Cleveland Clinic announced a new policy beginning on June 1 that requires patients to pay their out-of-pocket copays when they arrive for their scheduled appointments, it created controversy for the high-profile nonprofit system. If a patient isn’t able to pay upon check-in for nonemergent appointments, it results in the appointment being cancelled. Urgent care is not included in the new policy, so patients visiting any of the Cleveland Clinic’s 42 centers will not need …
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The World Health Organization (WHO) offered a reminder this week that healthcare organizations and frontline health professionals should prioritize and revisit their hand hygiene practices. As a well-established and low-cost practice, proper hand hygiene safeguards patients and clinicians from infection, WHO says. Protective gloves reduce the risk of infection transmission, but they should not be used as a replacement for basic hand hygiene. Gloves can become contaminated and are frequently misused—such as being worn continuously …
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The Urgent Care Association (UCA) recently launched its new map-based career platform for prospective candidates and urgent care employers. UCA’s Urgent Care Compass features the full slate of 15,000 urgent care centers across the United States, enabling career hunters to apply to the roles that attract them the most in the places they prefer to work. What’s different about the new platform is the intuitive mapping feature that offers visual suggestions for candidates to find …
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The Food and Drug Administration (FDA) has approved dihydroergotamine (DHE) nasal powder 5.2 mg for the acute treatment of migraine in adults with or without aura. The new product is currently the only DHE nasal powder available for this indication, according to a press release from manufacturer Satsuma. Clinical studies demonstrated that the formulation offers rapid absorption, quick attainment of high plasma DHE concentrations, and sustained levels over time. It was generally well tolerated both …
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Urgent Message: Postpartum vaginal bleeding and discharge have a broad range of etiologies ranging from benign and self-limited to life-threatening. As postpartum patients may present to urgent care centers with concerns for bleeding or discharge, it is important for clinicians to have an understanding of the unique differential diagnosis for causes of hemorrhage in this population. Alexa Bailey, BS; Lauren Kostandaras, BS; Hannah Poorman, BS; Michael Weinstock, MD; Catherine Neal, DO. Citation: Bailey A, Kostandaras …
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Urgent Message: Rapid identification of Lisfranc injuries in urgent care is critical, as delays in diagnosis can lead to chronic disability. Most patients with Lisfranc fractures or dislocations should be referred directly to the emergency department. Cross-sectional imaging (ie, computed tomography) and orthopedic consultation are time-sensitive, and urgent operative repair is often indicated. Alexandra Eby, BS; Nicole Meschbach, MD Questions for the Urgent Care Clinician at the Bedside Abstract A Lisfranc injury is a tarsometatarsal …
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A multi-state study analyzed prescribing patterns of influenza antiviral medications in emergency departments (ED) and urgent care (UC) centers and found that many high-risk adults (those with cardiovascular disease, renal disease, weakened immune systems, or individuals older than 70 years) with positive influenza virus test results do not receive antiviral treatment, which the authors believe could help reduce the risk of complications. As published in Clinical Infectious Diseases, researchers found that slightly more than half …
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Alan A. Ayers, MBA, MAcc Urgent Message: While there are seemingly countless applications for artificial intelligence in healthcare, ambient scribes and front desk automation are key solutions that are readily available for adoption by urgent care providers. Citation: Ayers AA. Two AI Trends That Will Change Urgent Care. J Urgent Care Med. 2025; 19(8):xx-xx Artificial intelligence (AI) is rapidly transforming healthcare, and urgent care operators have increasing opportunities to leverage AI in a way that …
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A 55-year-old woman presents to urgent care with complaints of arthralgia and a pustular rash on her hands. She has a past medical history of Crohn disease and has taken infliximab as treatment for the past year. The patient has no recent history of travel or infections and no history of any skin conditions. On dermatological examination, multiple pustules, some becoming confluent to form “lakes of pus,” were seen on the palms and fingers. Bacterial …
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Barbara D. Alexander, MD, MHS; Kimberly E. Hanson, MD, MHS; Adriana E. Rosato, PhD; David B. Nash, MD; Maren S. Fragala, PhD; Steven E. Goldberg, MD, MBA Diagnostic uncertainty and error contribute to inappropriate treatments, which, in turn, can increase morbidity and the costs associated with care.1,2,3,4 Diagnostic errors can also contribute to unnecessary antibiotic prescribing, contributing to antimicrobial resistance (AMR).1,5 Lower respiratory tract infections (LRTI) are among the most common urgent care (UC) and …
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