Practice Management
At least 35 people have been sickened in a histoplasmosis outbreak in Tennessee in the past 3 months with 1 potentially related death, according to state health officials and a local news report. The Tennessee Department of Health has not found a clear source of exposure but warns the Histoplasma fungus is commonly found in soil throughout the state, making it difficult to prevent exposure. People with weakened immune systems are at a higher risk …
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Advanced practice professionals (APPs) in the University of Michigan Health−Sparrow network have voted in favor of unionizing. The network includes at least 5 urgent care centers, according to its website. The new union local covers 213 nurse practitioners (NPs), physician assistants (PAs), and certified nurse midwives employed by the health system. A representative told the local Lansing State Journal that having a union means being able to negotiate for the best patient care practices. Overall, …
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Just as high flu activity has patients and providers on edge, the American Society of Health-System Pharmacists(ASHP) is noting a drug shortage of some types of oseltamivir oral capsules and powders. Likewise, GoodRx data through January 20, 2026, shows a peak of oseltamivir fills in the last week of December 2025, followed by a more recent drop, possibly indicating that the medications could be in short supply and/or indicating fewer prescriptions overall. Federal agencies state …
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Urgent Message: The urgent care industry is pivoting from a phase of rapid footprint expansion to one of sustainable sophistication, driven by the integration of AI, the diversification of high-value services (like behavioral health), and a rigorous focus on operational and financial resilience to meet modern consumer expectations. Alan A. Ayers, MBA, MAcc is President of Urgent Care Consultants and is Senior Editor of The Journal of Urgent Care Medicine For the past decade, the …
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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 …
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Adult outpatients with unspecified community-acquired pneumonia (CAP) rarely receive diagnostic testing for blastomycosis, coccidioidomycosis, or histoplasmosis, however repeat visits seem to drive this testing, according to a retrospective study of commercial insurance claims published in JAMA Network Open. Among 573,994 CAP patients seen from 2017–2023, only 5% underwent diagnostic testing for blastomycosis, coccidioidomycosis, or histoplasmosis, and those tests typically occurred after a median of 3 patient visits. Of those tested, 3% received a fungal disease …
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The United States now spends $15,474 per person on healthcare for a total of $5.3 trillion in spending overall in 2024, according new federal data reported by Health Affairs. For 2 years in a row, health spending increases have topped 7% (7.4% in 2023; 7.2% in 2024). Increased demand for care and higher intensity of services are the main drivers of growth, according to the analysis. Year Total Expenditures (trillions) Expenditures Per Capita 2018 $3.6 …
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Urgent Message: Quality improvement projects can increase the percentage of charts closed within 1 hour of patient discharge at pediatric urgent and express care locations to ensure timely documentation. Key Words: Electronic Health Records, Documentation, Pediatrics, Ambulatory Care, Patient Safety, Quality Improvement Kileen Fernandez, MS, APRN-CPNP-PC; Lisa Ziemnik, MD, FAAP; Beth Williams, MBA, BSIE; Abiodun Omoloja, MD, MBA, CPE, FASN, FAMIA; Jennifer Morris, MS, APRN-CNP-PC, RNC-NIC; Maddie Mock, BSME; Thomas Geglein, BSN, RN, MBA; Kimberly …
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Urgent Message: Urgent care teams can take practical steps to safeguard quality for Clinical Laboratory Improvement Amendments (CLIA)-waived testing by following detailed Instructions for Use information. Key Words: Clinical Laboratory Improvement Amendments; CLIA-Waived Testing; Certificate of Waiver Cathy Bohrer, MT(ASCP) Laboratory tests commonly used in urgent care are only reliable when their Instructions for Use (IFU)—including any limitations—are followed. For urgent care leaders, this isn’t just about compliance with federal regulations. Patient outcomes, safety, and …
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A 53-year-old woman visits urgent care for dark patchy spots on her neck and face that have been spreading over the past 3 months. The lesions are not painful or itchy, she denies exposure to allergens or irritants, and has no systemic symptoms. The patient states that sun exposure darkens the spots further and she has not tried any treatments to date. On examination she appears well with normal signs; hyperpigmented gray macular patches are …
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