Ashley Blachford, Author at Journal of Urgent Care Medicine

Forecasts Predict Which States Will Need More Doctors and NPs

By 2028, a nationwide shortage of 100,000 healthcare workers is expected, with certain states facing severe deficits, according to Mercer. The healthcare workforce is projected to grow to 18.6 million by 2028, a 1.5 million increase from 2023. Despite this growth, the anticipated shortfall of over 100,000 workers will further strain a healthcare system already struggling with access to care issues. Texas, California, and New York are expected to experience significant shortages of both physicians …

Pandemic Fears Sparked Hundreds of Attacks on Health Workers

Between January 2020 to January 2023, 18 healthcare workers were killed and another 147 were injured in incidents related to the global COVID-19 pandemic, according to findings published in Health Security. In addition, 33 workers were kidnapped, and more than 100 other incidents involved damage to facilities. Sadly, workplace violence is common in the healthcare setting, the authors note, and the published study aimed to identify incidents specifically related to the pandemic—such as aggression against …

New Houston High School Specializes in Healthcare Career Training

Memorial Hermann Health System and the Aldine, Texas, school district in the Houston area this month opened the doors of a health education trade school for high school students. The Health Education and Leadership (HEAL) High School delivers a curriculum that combines academic classes with hands-on learning for healthcare careers. Students participate in job-shadowing, simulation labs, paid healthcare internships, professional mentoring, and other work-based learning experiences, according to the school’s press release. Students choose from …

Predictions Point to Average Flu Season in 2024-2025

One clue that helps forecast the forthcoming respiratory virus season in North America is the trend data from the Southern Hemisphere’s experience. The Centers for Disease Control and Prevention (CDC) found that the 2024 flu season, which is winding down this month, was similar to previous flu seasons in the Southern Hemisphere—a signal that northern countries may not see any particular highs or lows in terms of severity or case numbers. Flu activity in South …

Urgent Care Occupational Medicine Ensures Worker Safety

The Occupational Safety and Health Administration (OSHA) recently investigated a serious case of violations of worker safety standards that led to a 31-year-old factory employee who developed accelerated silicosis ultimately needing a double lung transplant. Other workers at the same home-products manufacturing facility in Chicago also reported unresolved lung disease from breathing silica dust, including severe illness that will require a lung transplant for at least one more employee in the future. Urgent care operators …

Guardrails for Nonsufficient Funds and Credit Card on File Fees

Urgent Message: Urgent care operators must navigate emerging federal, state, and payer regulations when developing financial policies that require payment by credit card and when setting fees for bounced checks and denied credit card charges. Alan A. Ayers, MBA, MAcc Citation: Ayers A. Guardrails for Nonsufficient Funds and Credit Card on File Fees. J Urgent Care Med. 2024; 18 (11): 41-43 Urgent care centers frequently charge a nonsufficient funds (NSF) fee when a patient’s check …

When An Urgent Care Contracts as Primary Care

Over the past 2 decades, urgent care has been on the forefront of consumerism. Increasingly, healthcare consumers are realizing how much they are contributing to the cost of healthcare delivery through taxes and payroll premium deductions, and therefore, they’re more motivated than ever to attain the full value of the benefits they’ve paid for. Urgent care has remained focused on the consumers’ sense of value by appealing directly to patients as clinics market their convenient …

Strategic Planning

Before I jump into this column, I want to mention our recent Advocacy victory: getting a mention of Urgent Care into the Centers For Medicare & Medicaid Services publication of the 2025 Medicare Physician Fee Schedule. If you want more details on why this is a big deal, you can listen to the 2 interviews I did with Eric Zimmerman (our lobbyist team leader) on the Urgent Care Leadership Podcast (found anywhere you get your …

Expecting the Unexpected: Emergency Preparedness in the Urgent Care Setting

Lyndsie Watkins, PA-C, FCUCM Lyndsie Watkins, PA-C, FCUCM, is lead PA for Northwell Health GoHealth Urgent Care East Region, a director of its fellowship program, and co-director of the GoPrepare emergency preparedness programing. Picture this: It’s a busy day in your urgent care (UC). You’re moving along steadily, seeing patients back-to-back. Unexpectedly, there is a commotion as a woman is brought in from the neighborhood right in front of the building. She appears unconscious, and …

Emesis Ad Nauseum: A Case Report of Cannabinoid Hyperemesis Syndrome in Urgent Care

Urgent message: Frequent cannabis use can lead to a syndrome characterized by severe and cyclical vomiting without other clear triggers. Termed “cannabinoid hyperemesis syndrome,” this disorder is often refractory to conventional antiemetic pharmacotherapy. Citation: Ramos J, Russell J. Emesis Ad Nauseum: A Case Report of Cannabinoid Hyperemesis Syndrome in Urgent Care. J Urgent Care Med. 2024; 18 (11): 13-18 John Ramos, MMS, PA-C, CAQ-EM, Joshua Russell, MD, MSc, ELS, FACEP, FCUCM Abstract Introduction: Cannabinoid hyperemesis …

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