Is Cashless Urgent Care on the Horizon?

Is Cashless Urgent Care on the Horizon?

Urgent message: As a growing number of retail businesses go cashless in an effort to cut overhead and provide faster and more seamless service, urgent care may likewise need to consider the pros and cons of an entirely cashless service model. 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. Cashless businesses seem to be the next big thing …

Read More
HCA Keeps Growth Going by Buying 24 MedSpring Urgent Care Centers

HCA Keeps Growth Going by Buying 24 MedSpring Urgent Care Centers

HCA Healthcare continues to expand its footprint by acquiring existing locations from other companies—this time filling its basket with 24 MedSpring urgent care centers previously owned by Fresenius Medical Care. The locations are in markets where HCA already has urgent care facilities, so the latest move should allow HCA to offer services to more patients more conveniently, rather than stretching to cover a broader geographic area. HCA’s network of urgent care centers will now include …

Read More
Summertime, and the Livin’ Is Easy—for Diarrhea-Causing Parasites

Summertime, and the Livin’ Is Easy—for Diarrhea-Causing Parasites

Outbreaks of disease caused by the Cryptosporidium parasite (a key symptom of which is diarrhea) shot up an average of 13% annually between 2009 and 2017, according to a new report from the Centers for Disease Control and Prevention. It’s now the top cause of disease outbreaks via water in the U.S. There were 444 outbreaks over the study period, resulting in hundreds of hospitalizations and one fatality. Around 35% of the outbreaks were linked …

Read More
ACIP: More Patients Should Be Getting MenB and Hep A Shots—and We Need to Take Another Look at Flu, Too

ACIP: More Patients Should Be Getting MenB and Hep A Shots—and We Need to Take Another Look at Flu, Too

The recently concluded meeting of the Centers for Disease Control’s Advisory Committee on Immunization Practices (ACIP) resulted in a few major developments on the vaccine front: Serogroup B Meningococcal (MenB) Vaccine ACIP has recommended MenB vaccine boosters in the past for patients between 16 and 23 years of age. However, recent outbreaks prompted discussion of whether that was adequate; ultimately, the committee decided it is not and now says children 10-years-old and up should receive …

Read More
‘Forward’ Is Moving in That Direction—But How Far?

‘Forward’ Is Moving in That Direction—But How Far?

In a bold attempt to wrangle Millennial patients in search of a healthcare setting that meets their needs, a company called Forward is billing itself as the “Next Gen Doctor’s Office.” Its website promises whole-body wellness, a personalized health plan, and unlimited office visits (and “app support”). Essentially, it’s a direct, membership-based primary care model that offers 24/7 on-demand access via telemedicine. The obvious question for JUCM News readers is, what does this mean for …

Read More
Get Ready to Deal with Independence Day Mishaps

Get Ready to Deal with Independence Day Mishaps

Just as sure as your dog will be cowering in the corner once fireworks start booming, urgent care centers can expect to see a range of injuries related to “celebrations” gone awry in the coming days. According to the Consumer Product Safety Commission, the most common injuries occur to hands and fingers, followed by the head and face, the legs, and the eyes. Last year, Independence Day sent roughly 9,100 people to emergency rooms. The …

Read More
Nice Job! Flu Shots May Have Prevented 90,000 Hospitalizations This Season

Nice Job! Flu Shots May Have Prevented 90,000 Hospitalizations This Season

In a flu season that has been classified as the worst in decades, influenza vaccinations prevented anywhere from 40,000 to 90,000 hospitalizations according to data just released by the Centers for Disease Control and Prevention. The effectiveness data are less straightforward; the 2018–2019 vaccine was 29% effective overall. That figure is deceptively low, however, in that the CDC says this year’s vaccine offered “no significant protection” against H3N2 influenza, but lowered the risk of H1N1 …

Read More

Virtual Urgent Care: Boom or Bust?

Telemedicine remains a hot topic of debate in urgent care circles. In fact, it seems like every urgent care conference I attend lately has a telemedicine track or expert panel. JUCM recently featured a point-counterpoint discussion between two industry leaders, Stanford Coleman, MD, MBA, FAAP and William Gluckman, DO, MBA, FACEP—whose opinions on the topic are as well-reasoned as they are divergent. So, let me add my two cents. The discussions and analyses I’ve been …

Read More
An 80-Year-Old Man with Rhinorrhea, Cough, and Intermittent Dizziness

An 80-Year-Old Man with Rhinorrhea, Cough, and Intermittent Dizziness

Case The patient is an 80-year-old man with history of hypertension and high cholesterol who presents with rhinorrhea and cough. On further history, he admits to 2 months of intermittent dizziness, not worsening.  He denies any chest pain/discomfort, SOB, or sweating. No neuro symptoms. On exam, you find:  General: A&O, NAD Lungs: Clear bilaterally Cardiovascular: Regular rhythm, without m,r,g Abdomen: Soft and nontender Ext: No edema or asymmetry, pulses are 2+ and equal in all …

Read More

Abstract In Urgent Care-July 2019

Rush for Outpatient Stress Test Recommendation (Finally) Examined Key point: Rapid outpatient stress testing (ie, within 72 hours), which has long been recommended by the American Heart Association, did not decrease the short-term risk of major adverse cardiac events (MACE). Citation: Natsui S, Sun BC, Shen E, et al. Evaluation of outpatient cardiac stress testing after emergency department encounters for suspected acute coronary syndrome. Ann Emerg Med. April 5, 2019. [Epub ahead of print] The …

Read More