Practice Management
Different markets have different standards of living—and compensation. So, it’s important to get a sense early on whether what you’re willing to pay aligns well with qualified job seekers. That’s going to be a lot tougher if an emerging trend continues to grow, however. Some cities and states are forbidding interviewers from asking candidates about their current, or most recent, salary. Legislation to that effect was just passed in Philadelphia, though the city will delay …
Read MoreThere’s little evidence that emerging payment models (eg, concierge medicine, cash-only practices, and accountable care organizations [ACOs]) are gaining any serious traction in urgent care—but that doesn’t mean they’re not making headway elsewhere. ACOs, in particular, are growing in usage among physicians, according to the Medscape Physician Compensation Report 2017. Usage of cash-only and concierge models is also growing, albeit much more modestly, as the graph below shows. Data source: Medscape Physician Compensation Report 2017. …
Read More
Urgent message: Upper respiratory infections (URIs) are the most common presenting complaint in urgent care. Regardless of etiology or provider specialty, antibiotics are prescribed 60% of the time for the treatment of URIs, contributing to drug-resistant respiratory organisms. Employing a multimodal intervention, the authors we were able to appreciate a modest, statistically significant decrease in the rate of antibiotic prescribing among urgent care providers. Introduction Antimicrobial resistance is arguably one of the greatest risks to …
Read More
Urgent care has taken root, among other reasons, based on its capability to treat patients who otherwise would be sitting (and waiting) in local hospital emergency rooms with nonemergent illness and injury. This benefits not only our industry and the patients who need urgent care, but also those patients who will find a less-crowded ED than they might find in a world without urgent care. And some of them—particularly those covered by Medicare and Medicaid, …
Read More
There may be a certain amount of prestige to be aligned with major teaching hospitals in Boston, New York, Chicago, and Los Angeles, but physicians on the outskirts of medium-size cities are fetching higher pay these days, according to data just released by Doximity, a social network for clinicians. Researchers found salaries to be highest in rural, low-cost areas within medium-sized metropolitan areas. Doctors and advanced practice providers in the Charlotte, NC metro area are …
Read More
Urgent message: Urgent care centers need engaged and effective operations leadership, which entails clearly defining managerial roles, individual skillsets and personality characteristics and also having a process for attracting, interviewing, and qualifying managerial candidates. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Experity and is Practice Management Editor of The Journal of Urgent Care Medicine. Jim Clifton, the highly respected CEO of global performance and research leader Gallup, has often stated …
Read MoreUrgent message: While unemployment insurance claims can cost an urgent care center through higher future premiums, there are multiple considerations for when a center should contest or approve an unemployment claim. Urgent care centers, as service businesses, frequently experience a high rate of turnover among their less skilled, frontline staff—eg, receptionists, clerks, and medical assistants. Whether an employee quits or is terminated for cause or performance, a common issue for urgent care center owners is …
Read More
Various bodies in the United States are devoting significant resources to tracking methicillin-resistant Staphylococcus aureus (MRSA) infections. However, they’re doing so in “silos” with little coordination from one to the next, which is getting in the way of developing strategies to control the spread of MRSA, according to a report published in Antimicrobial Resistance & Infection Control. At least one of the organizations cited in the report for tracking and reporting MRSA infections, Tricare, which …
Read More
Urgent care operator CityMD’s steady expansion in the New York metropolitan area has made it an appealing prospect for private equity, with Warburg Pincus LLC said to be putting down $600 million to bring it into its healthcare fold. CityMD has some 68 locations currently, after starting with a single New York City center in 2010. The company bought one of its competitors, Premier Care, but also built new locations as part of its growth …
Read More
Rude behavior in the workplace might cost you good employees. Even worse, though, a new study indicates the consequences of incivility extend to patients. In a blog post for The Wall Street Journal, Dr. Gurpreet Dhaliwal, a professor of medicine at the University of California, San Francisco and a practicing physician at the San Francisco VA Medical Center, describes what happened when clinical staff participating in an Israeli training exercise were broken into 24 pairs …
Read More