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Avoid CLIA-Waived Testing Violations in Urgent Care
Urgent message: Most of the laboratory testing that occurs in urgent care consists of simple, on-site tests that are “waived” from federal CLIA regulations—but urgent care centers must still comply with standards affecting their CLIA waiver. All facilities in the United States that perform laboratory testing on human specimens for health assessment or the diagnosis, prevention, or treatment of disease are regulated under the Clinical Laboratory Improvement Amendments of 1988 (CLIA). CLIA requires laboratories to be certificated by individual states as well as by the Centers for Medicare & MedicaidRead More
Urgent message: As millions of the “millennial generation” enter and advance in the workplace, urgent care centers must adapt to remain competitive and sought-after employers in their communities. The healthcare landscape is ever-evolving, and is currently experiencing sweeping change across many fronts. Whether it’s, say, changing reimbursement models or innovation in how care gets delivered, urgent care operators are having to adapt to rapid change at a breakneck pace. Going beyond novel patient cohorts and payment structures, however, is the generational shift happening across the nation’s workforce as the majorityRead More
  Figure 1. The patient is a 32-year-old woman who presents with ankle pain following a fall in which she twisted her ankle. She reports that she was texting while walking her dog and stumbled off the curb. View the image taken and consider your next steps, along with possible diagnoses.Read More
Square Peg 1
Urgent message: Over the past 15 years, the growth of urgent care in the United States has been fueled largely by independent entrepreneurs. Joining a start-up practice can provide tremendous advancement and financial opportunity, but such also comes with the uncertainty, change, and creativity of managing a fledgling new business. Joining a start-up company can be an exciting moment in an employee’s career. While stepping onboard a business during its early stages can feel risky, the result has the potential to be both personally and professionally rewarding. The key isRead More
Urgent message: Given the ubiquity of smartphones and other mobile devices, urgent care operators must have a strategy and policy in place to deal with the privacy implications of personal technologies in the workplace. Mobile devices like tablets and smartphones have become ubiquitous in everyday life, and employers in every industry are increasingly seeing employees access their devices throughout the workday. While concerns over lost productivity should concern all employers, healthcare is unique in the added risks associated with patient privacy and personal health information (PHI). There are numerous waysRead More
Urgent message: An urgent care operation’s success is determined greatly by the quality of its workforce. Consequently, in increasingly competitive labor markets, urgent care operators need to invest in their strongest employees to get them to stay. 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. While we often point to location, marketing, systems, and other “success factors” in urgent care, it’s no secret that your employees play an outsized role in how wellRead More
Urgent message: Physicians are expected to be leaders in the urgent care practice, but they are also human and prone to inappropriate behavior. It’s thus critical for urgent care operators to establish processes for investigating, documenting, and responding to allegations of physician misconduct. 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. On any given day, there is no single person in an urgent care operation as influential as the physician. The physician, sometimesRead More
Urgent message: The difference between being a “business owner” and “just an employee” is the personal degree of investment one has in his or her organization. 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. What differentiates an “outstanding” from a “mediocre” employee? While factors like dependability, attention to detail, and pleasant demeanor might be the first come to mind—these are basic traits that should be demonstrated by all members of an urgent careRead More