Practice Management
Dental365, a chain of dental urgent care clinics affiliated with CityMD in and around New York City, has gone on a holiday shopping spree and plans to open five recently acquired locations early in 2018. Like traditional, physician-based urgent care, Dental365’s model is based on greater convenience on a walk-in basis, with many locations open 7 days a week, often with evening hours. The company says it sees an average of 1,400 new patients monthly …
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If CVS’s $69 billion deal to buy Aetna goes through, one of the first things the company is expected to do is broadly expand its retail health clinic business—ultimately saving the company more than $1 billion annually, according to a report from Reuters. The presumed savings would flow out of efforts to improve access to preventative care through the CVS clinics. CVS has roughly 9,700 drugstores (though only a thousand or so have clinics), while …
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The parents of a Pittsburgh-area boy knew exactly what was wrong, but had no idea how serious the consequences could be. Somehow the 5-year-old dislodged a small, lithium disc battery from a fidget spinner and promptly swallowed it. The parents rushed him into the car with the intent of taking him to the emergency room, but as he became more agitated they opted for the closest urgent center. Ultimately, he needed immediate surgery to remove …
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Urgent message: Less than one out of a hundred cases of children ingesting foreign bodies requires surgical intervention. Identifying which children that could apply to, which need endoscopic removal, and those who can wait for spontaneous passage is an essential role for the urgent care provider. Herlene Chatha, MD and Hansel Otero, MD The case: An otherwise healthy 2-year-old boy is brought to your urgent care center by his parents, who are concerned that he …
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Urgent message: U.S. healthcare has been a monolith of inefficiency, limited access, and untenable costs for decades, due mainly to a lack of healthy competition. Today’s healthcare landscape, however, spurred by converging market forces, is rapidly evolving into a competitive marketplace, with urgent care being one of the key catalysts for this welcomed and long overdue change. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice …
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A study by West Virginia University has shown that urgent care not only has great potential to improve the chance for positive health outcomes in rural areas, but also holds great promise for operators who are willing to make the investment in the country. Joshua Hall, associate professor of economics and director of the Center for Free Enterprise at WVU’s College of Business and Economics, led a team of researchers who considered the entry of …
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A New York urgent care center, several of its staff members, and a company that manufactures practice devices for medical education are all being sued by a woman who claims she became serious ill by being given a nonsterile solution that was actually intended only for training purposes. The suit alleges that in December 2014 staff administered IV fluids from a practice IV bag made by Wallcur LLC instead of the proper sterile solution that …
Read MoreCase A 42-year-old woman presents with pain in her right shoulder that suddenly began after she caught herself with her raised right arm as she fell. She reports that she had been standing on a step stool and reaching for an object, and then fell forward. She has severe pain in the right shoulder, and it worsens with movement even through a minimal range of motion. She has associated numbness over the lateral portion of …
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Trying to relocate nonemergent patients from overcrowded emergency rooms to clinics and urgent care centers by ambulance led to out-of-control costs in the San Diego area. In addition, it’s been shown that some 30% of people who call 911 for an ambulance didn’t even need emergent care to begin with. So, health officials hit on the idea of calling a taxi or an Uber to take patients where they need to be. The question is, …
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Urgent care providers were not named among those most likely to be sued in Medscape’s recent Malpractice Report 2017, but a look at the research is likely to offer some insights that could help them lower their risk for landing in court. “Failure to diagnose/delayed diagnosis” was the reason for 31% of the lawsuits against physicians in the survey—the most prevalent among all causes mentioned. “Complications from treatment/surgery” was the second-most common answer (27%). Procedural …
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