Use of a Quality Improvement Tool for the Evaluation of Healthcare Disparities in Urgent Care: A Case Example for Bacterial Pneumonia

Use of a Quality Improvement Tool for the Evaluation of Healthcare Disparities in Urgent Care: A Case Example for Bacterial Pneumonia

Urgent message: While healthcare disparities have been studied in several healthcare sites, it is unclear whether these disparities persist in the urgent care setting. This study provides a quality improvement tool to assess whether these disparities persist in an urgent care clinic. Derrick Murcia and Lindsey Fish, MD ABSTRACT Background Bacterial pneumonia is an illness commonly seen across urgent care clinics. Despite several studies that have identified healthcare disparities in treating bacterial pneumonia in general, …

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Case Report: Reoccurring Metatarsophalangeal Joint Pain

Case Report: Reoccurring Metatarsophalangeal Joint Pain

Urgent message: Acute or chronic hallux pain is a common complaint in urgent care. Due to the structure, several diagnoses can have similar presentation on history and exam. With this discussion, we examine a sesamoid stress injury. Sergio P. Ramoa, MD, MS INTRODUCTION The tibial (medial) and fibular (lateral) sesamoids are contained within the flexor hallucis brevis tendons along the metatarsal head.1 They have several roles such as absorbing weight, helping glide and reducing friction …

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Case of a Nonhealing ‘Sunburn’ on a Toddler

Case of a Nonhealing ‘Sunburn’ on a Toddler

Urgent message: Rashes are a common ailment, and their etiology can have overlapping appearances. In a case where rash does not improve with treatment, it is often necessary to reconsider the differential. Sergio Ramoa MD, MS INTRODUCTION It is common for providers to have difficulty diagnosing patients who present with rash due to the diverse appearances, as well as overlapping similarities, of different etiologies. Due to the extensive nature of rashes, this article will focus …

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An Unresponsive Pupil in the Urgent Care: Can A Diagnosis Be Made from the Bedside History and Exam?

An Unresponsive Pupil in the Urgent Care: Can A Diagnosis Be Made from the Bedside History and Exam?

Urgent message: Ocular complaints for which there is no immediate, obvious explanation do not necessarily have to be referred to the emergency room or ophthalmology. Employing the process of elimination to narrow down a broad differential, using the available evidence, can expedite the correct diagnosis while allowing the patient to remain in the urgent care. Kayla Penny, BS; Joseph LaRochelle, PharmD, BCPPS, FCCP; Deirdre Hooper, MD; Haley Caire, BS; and Kelsey Rooney, BS CASE PRESENTATION …

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Breakthrough COVID Infection in a Vaccinated person from a Possible Vaccinated Exposure

Breakthrough COVID Infection in a Vaccinated person from a Possible Vaccinated Exposure

Sergio Ramoa MD, MS Urgent Message: With variant COVID-19 mutations, incomplete herd immunity, and less restrictive government regulatory statues, it is important to remain vigilant with continued testing and prevention even with a full vaccinated history. Introduction In the United States, cases of COVID-19 have passed 32,000,000 and 570,000 for deaths. 141,000,000 cases and 3,000,000 deaths have afflicted the world. Approximately 9.6% of infected individuals are hospitalized and a majority have mild to moderate symptoms.1 …

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The Dangers of Mistaking Metrics for Strategy

The Dangers of Mistaking Metrics for Strategy

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Urgent message: While metrics are essential for measuring a business strategy’s effectiveness, losing sight of the strategy in favor of a sole focus on the metrics carries the risk of undermining the very objective the strategy was meant to achieve. “If you can’t measure it, you can’t improve it.” Or …

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Respirator Fit Exams Breathe New Life into Occ Med Urgent Care Offerings

Respirator Fit Exams Breathe New Life into Occ Med Urgent Care Offerings

Urgent Message: Urgent care centers that offer occupational medicine services play an important role in protecting the safety of the nation’s workforce. One such service—offering respiratory fit testing—constitutes an important element of that mission while also creating a distinct revenue stream. To truly maximize the potential of offering this valuable eservice, however, it is important to understand the OSHA regulations, secure proper equipment, and assure staff is properly trained to conduct respirator fit tests. Alan …

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Use Digital Marketing and Social Media to Attract and Engage New Urgent Care Patients

Use Digital Marketing and Social Media to Attract and Engage New Urgent Care Patients

URGENT MESSAGE: A seismic shift away from traditional marketing toward digital media and popular consumer social media platforms such as Facebook, LinkedIn, and YouTube has led most medical practices to focus on attracting and engaging both current and new patients via the internet. Urgent care practices, often the best-kept secrets in their communities, now have an unprecedented opportunity for growth using digital marketing and social media to their advantage. Parham Javaherian, MBA, is Chief Executive …

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Local SEO Matters!

Local SEO Matters!

URGENT MESSAGE: Mobile devices have gone from a convenience to a link between an individual and practically every facet of life—work, entertainment, and even healthcare. If you want them to help lead patients right to your door, you’ve got to ensure you’re linked in to search engines that employ location-enabled technology. Drew Reitzel is a partner in Sprout Marketing Group in Orlando, FL. Introduction In the ever-changing world of search engine optimization (SEO), local search …

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To See a Brighter Future, Take Off Your Blinders!

To See a Brighter Future, Take Off Your Blinders!

URGENT MESSAGE: Ongoing success requires that the urgent care operator keep his or her eyes open for opportunities to improve the patient experience. The challenge is that the operator can become desensitized by what he/she sees every day. In this guest blog, Lou Ellen Horwitz explains that effective operators must “take their blinders off” in order to experience the operation the way patients do. Lou Ellen Horwitz is Director of Learning at Seattle-based Immediate Clinic. …

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