Practice Management
A 24-year-old male patient presents to urgent care with right wrist pain that started while playing golf 2 days ago. The patient recalls swinging the club and hitting the ground rather than the ball, felt a sharp pain in his hand which has been constant since the incident. He has not tried any treatments at home. The provider notes increased pain when the patient flexes his hand, along with a weakened grip compared to the …
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Patrick O’Malley, MD; Albert Botchway, PhD; Laurel Stoimenoff, PT (ret.); and Lindsey E. Fish, MD, on behalf of the College of Urgent Care Medicine Over the past 15 years, there have been significant changes in urgent care (UC) medicine. First and foremost, this is a rapidly expanding field of medicine as urgent care centers now provide more than 200 million visits a year performed in more than 14,000 locations. Additionally, urgent care centers have transitioned …
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Urgent Message: Persistent, non-mechanical back pain should raise suspicion for non-muscular causes, and in this case, such pain in an older man was related to a diagnosis of metastatic prostate cancer with bone involvement. Rimsha Afzal, MA; Gregory M. Thompson, MD Key Words: Vertebral Metastases; Metastatic Prostate Cancer; Urgent Care Diagnosis Abstract Introduction: Back pain is a common presentation in the urgent care center. While the majority of diagnoses are self-resolving and of a musculoskeletal …
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Urgent Message: Forced hyperextension of a flexed digit may strain or rupture the flexor digitorum profundus tendon from the distal phalanx. Prompt diagnosis and treatment of acute injury are key in the prevention of permanent finger dysfunction. Alyssa Marchman, BS; Sarah Brouwer, BS; William Beauchamp, DO Key Words: Flexor Digitorum Profundus, Tendon Avulsion, Jersey Finger Questions for the Clinician at the Bedside: Editor’s Note: While the images presented here are authentic, the patient case scenarios …
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Cannabis Use and Cardiovascular Outcomes in Adults Take Home Point: This study suggests that cannabis use has a strong, statistically significant association with adverse cardiovascular outcomes independent of tobacco use. Citation: Jeffers A, Glantz S, Byers A, et. al. Association of Cannabis Use With Cardiovascular Outcomes Among US Adults. J Am Heart Assoc. 2024 5;13(5):e030178. doi: 10.1161/JAHA.123.030178 Relevance: Animal studies have previously shown endothelial cell dysfunction, a precursor to endovascular disease, occurs with cannabis use. …
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The credit-card-on-file practice requires a patient’s credit card at the time of service, which is used to cover balances after an insurance claim adjudicates. In addition to increasing total collections, charging the card on file also enables an urgent care to capture payments more quickly than time-consuming and costly collection efforts, such as mailing statements. In an Experity analysis of 392,699 comparable Blue Cross Blue Shield urgent care visits in 2024, 80% of patient responsibility …
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Harbor Health, a startup primary-care and specialty group that also offers individual and employer health plans, announced it is acquiring 32 clinics from VillageMD, which is now in the middle of a breakup as part of the $10 billion acquisition of Walgreens by Sycamore Partners. Some of the acquired VillageMD locations include those within Walgreens stores. Harbor Health grew from 3 clinic locations in 2022 to 11 clinics most recently, including 3 that offer extended …
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Community Care of North Carolina (CCNC) this week acquired RMS Healthcare Management’s Med First Primary & Urgent Care, a portfolio company of private equity firm Sverica Capital Management. Founded in 2007, Med First operates a hybrid model for both primary care and urgent care services, and it’s also one of the frontrunners in risk-based accountable care in the North Carolina market. The acquisition by CCNC is unique because Med First represents a private-equity-backed platform operating …
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In a quasi-experimental study involving 2 Denver Health urgent care centers, an antibiotic stewardship program known as the Take 5 Campaign increased the rates of adherence to a recommended 5-day antibiotic prescribing duration, according to a new study published in Open Forum Infectious Diseases. “Antibiotic stewardship in urgent care is critical,” says Lindsey E. Fish, MD, study author and Editor in Chief of JUCM. “While many programs focus on decreasing inappropriate antibiotic prescribing, ensuring the …
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The Food and Drug Administration (FDA) is warning clinicians and parents about the potential health risks of nicotine pouches, especially those that do not have child-resistant packaging. Reports of accidental exposures to nicotine pouches have increased with some cases leading to nicotine poisoning, and according to FDA, children can experience toxic effects after exposure to as little as 1-4 milligrams of nicotine. Symptoms can include confusion, vomiting, and loss of consciousness. In a statement, the …
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