Journal of Urgent Care Medicine

Acute Occlusion of the Abdominal Aorta in a Patient with Severe Peripheral Vascular Disease and Untreated Atrial Fibrillation

Urgent message: Acute aortic obstruction should be suspected in all patients with back pain and a history of peripheral vascular disease and atrial fibrillation, as over 50% of these cases are misdiagnosed, resulting in high mortality rates in affected patients. Kristopher Palmer, DO and JM Alderson, DO Introduction Aortic occlusion is a rare but potentially fatal vascular phenomenon that must be considered in all patients with peripheral vascular disease (PVD) complaining of severe pain. Here, …

Why Urgent Care Needs More Controllers, Fewer Empathizers

Urgent message: The rise of self-service technologies means that when patients actually do need to interact with frontline staff to resolve a service issue, their more complicated issues, more stringent demands, and higher expectations require an opinionated and outspoken “controller” personality type to take control of the situation. As urgent care relies on positive of word-of-mouth to drive new and repeat visits, a center not only must deliver an exceptional patient experience, but also resolve …

Approach to the Child with Chest Pain

Urgent message: Chest pain is both more common and, typically, less concerning in children than in adults. If anything, however, this underscores the importance of guarding against a false sense of safety in low-risk causes, and maintaining vigilance for life-threatening etiologies. SABAH F. IQBAL, MD, FAAP and HANSEL OTERO, MD The case: A 12-year-old healthy African-American boy presents to urgent care with 2 days of midsternal chest pain, which is worse when he’s taking big …

New Urgent Care Center Focuses on Dentistry for the Uninsured

Recognizing a need in the community and a chance to get an established patient base, the A.T. Still University-Missouri School of Dentistry and Oral Health (ATSU) is partnering with Affinia Healthcare on an urgent care clinic for uninsured people with dental problems. As with more traditional urgent care operators, the idea of the Centene Charitable Foundation Urgent Dental Care Center is to eliminate waiting periods for patients in need, but also to discourage people from …

Lessons Learned from Launching Telehealth Urgent Care Services

Colorado’s UCHealth had some idea what it was getting into when it launched its urgent care telehealth program last year—but as with all new ventures, things unforeseen and unimagined have provided ample opportunity to learn. Now the company is sharing some of those lessons in the form of 7 Riddles to Solve When Launching a Telehealth Urgent Care Service in an online article from mHealth Intelligence. The company acknowledges they’re not making money on telehealth …

Opportunity for Urgent Care Growth May Be Greatest in Rural Areas

There is a rare opportunity for a “transformative urgent care brand” to lock up market share in rural areas across the U.S., according to McGuireWoods, a public affairs consultancy. In fact, that was one of the nine key takeaways from their 12th annual Healthcare Provider Conference in Charlotte this month. Observing that urgent care operators have largely focused on growth in urban areas, McGuireWoods predicted that the next big opportunity will be in underserved rural …

HCA Targets Central Florida for Urgent Care Growth

HCA Healthcare is investing more resources in its urgent care business in central Florida, with plans to open four new centers, as well as three new freestanding emergency rooms, by the end of 2018. The company says it’s a sound move based on data indicating residents of Orange County and Seminole County don’t have sufficient access to primary care, including walk-in care. CareNow, HCA’s urgent care brand, already operates one location in Winter Springs in …

Cultivating Change in the Workplace

Urgent message: The strength of an urgent care operation ultimately lies in its people; for any change initiative to be successful, your center’s staff has to be prepared and willing to embrace change. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice Management Editor for The Journal of Urgent Care Medicine. In the workplace, as in life, the only real constant is change. And nowhere is …

Urgent Care Specialties Meld as a Ped Orthopedic Center Prepares to Open in California

We’ve seen pediatric urgent care take root. Orthopedic-oriented urgent care centers continue to flourish. Now the Orthopaedic Institute for Children (OIC) expects a combination of the two will offer patients the best of both worlds, and is set to start construction in Los Angeles on a new pediatric orthopedic urgent care center that will more than double the size of the current ortho trauma wing. In addition to projecting the facility will help OIC keep …

Employer-Offered Telehealth Will Continue to Grow in 2018

Availability of telemedicine offered by larger employers in the U.S. is close to reaching a saturation point, as 96% of large employers are expected to offer it in their array of health benefits in states where it’s allowed next year. In stark contrast is the fact that only 8% of workers at one out of five of those companies’ workers are taking advantage of it, according to the Large Employers’ 2018 Health Care Strategy and …

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