Practice Management
Millennials’ preference for walk-in care compared with traditional, office-based primary care has been well documented. And the fact that Americans born between 1980 and 1996 are visiting urgent care centers in ever-growing numbers makes sense; they don’t like the idea of making appointments or having an ongoing relationship with one medical provider, and really don’t like going to see a provider unless they’re sick—and then they want to see one now. So, the news that …
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Urgent message: As this year’s flu season arrives, urgent care providers must take stock of their individual capabilities, then develop a comprehensive strategy that addresses employee and patient flu vaccinations, marketing campaigns, competing with retail flu shot providers, and handling the increased seasonal influx of flu patients. 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. The end of …
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If you offer occupational medicine services, it’s likely a heavily promoted flu clinic is an annual event. (And if not, why not?) Some providers and companies are taking that a step further by offering free flu shots to employees’ family members, as well. The benefit is multifold: Employees see this as proof that their employer cares about them; you get to introduce yourself and your services to more prospective patients; and the entire practice promotes …
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Some patients are eager to take your advice regarding vaccine-preventable diseases. Others not so much. That doesn’t mean they’re unreachable, however. A study just published in Pediatrics indicates how you approach the subject can make a difference. Focusing on human papillomavirus (HPV) vaccination, the researchers found that acceptance rates were higher when the clinician used a “presumptive” communication style—making a strong recommendation based on the presumption that vaccination will be acceptable to the patient, as …
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“Everybody makes mistakes” couldn’t be more trite when you’re talking about the practice of medicine. And in urgent care medicine, where the provider could be faced with anything from an ingrown toenail to a life-threatening MI that really should be in the emergency room, the margin of error is razor thin. Missed diagnoses are especially foreboding, in terms of both the patient’s health and your legal risk. Some are more common than others and, therefore, …
Read MoreReport Pulmonary Illness Possibly Involving Vaping to State, Local Health Departments Key point: The CDC is working with state health departments to characterize severe pulmonary disease in patients who use e-cigarettes, also known as vaping. Citations: Centers for Disease Control and Prevention. CDC urges clinicians to report possible cases of unexplained vaping-associated pulmonary illness to their state/local health department. Available at: https://emergency.cdc.gov/newsletters/coca/081619.htm. Accessed September 6, 2019. Caporale A, Langham MC, Wensheng G, et al. Acute …
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Urgent message: Urgent care is often the first stop for patients experiencing acute eye complaints, including conjunctivitis. The capability to accurately distinguish between infectious conjunctivitis of a viral nature vs that of a bacterial nature is essential to administering appropriate treatment and avoiding inappropriate use of antibiotics. Isabelle Dortonne, MD, Patrizia Colmenares, OD, Trevor Lyford, BA, OSC, and John Sheppard, MD, MMSc INTRODUCTION The vast majority of acute conjunctivitis is viral in nature, with 65% …
Read MoreUrgent message: While urgent care centers benefit from exaggerated seasonal demand when a flu epidemic strikes, the risk is that the center’s own employees will get infected by contagious patients, incur medical costs, and lose time from work when they’re needed most. Alan A. Ayers, MBA, MAcc is Chief Executive Officer for Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Introduction It’s not uncommon for an urgent care …
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Urgent message: Absence of an obvious cause of symptoms should not mislead the clinician away from the likely diagnosis based on those symptoms. In this case, for example, the patient was ultimately diagnosed with a symptomatic chronic subdural hematoma associated with repetitive straining secondary to cough and constipation. Joel Kaye, BS, MS4 and Dana Tarina, MD Introduction Chronic subdural hematoma (CSDH) is an encapsulated collection of old blood in the space between the arachnoid membrane …
Read More“Care must be taken to differentiate bacterial infections from viral diseases and allergic conditions.”1 Things don’t get much plainer than that statement, quoted from an article published in Review Of Ophthalmology back in 2006. And yet, care is not always taken to differentiate bacterial infections of the eye from viral diseases and allergic conditions. That was made abundantly clear in this month’s cover article, Evaluation of Infectious Conjunctivitis by Clinical Evaluation and Novel Diagnostics (page …
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