bnapolitano, Author at Journal of Urgent Care Medicine

CDC Warns ‘Unusual Antibiotic Resistance’ is Widespread

A new report published online in the Centers for Disease Control and Prevention’s Vital Signs reveals that the CDC and health departments across the country identified more than 220 instances of germs with “unusual” antibiotic-resistant genes last year. Anne Schuchat, MD, principal deputy director of the CDC, called it “reassuring” that the resistant bacteria were identified because that’s the first step toward finding new ways to kill them. The report also notes that one in four germ …

TheStreet Makes a Case for Choosing Urgent Care Over the ED

One might expect to hear urgent care’s praises sung by insurers, public health experts, and certainly patients, but props from a website devoted to offering investment insights might be unexpected. And yet, if you go to TheStreet you’ll find an article boldly titled Why Going to Urgent Care Is Better than the ER. As you read the article, it becomes apparent why the site is on the urgent care bandwagon. Cost savings for healthcare consumers …

Remember, Patients Are Likely to Forget Your Instructions

You may have already assumed this based on repeat visits by “frequent flyers” in your practice, but a recent study published in PLOS One confirms that without prompts, the majority of patients forget at least part of what they’re told by physicians. One culprit revealed by the study: limited time for provider–patients engagements. Patients surveyed remembered only 49% of their doctor’s instructions on their own; 36% did better with prompts, and 15% either could not …

Report: Walmart and Humana May Be Deepening Their Partnership

Walmart may be looking to wade deeper into the healthcare pool—including, potentially, offering urgent care services—by working more closely with Humana, according to an article published in The New York Times. The report says unnamed sources don’t expect Walmart to take over Humana outright. More likely, the deal will manifest in a financial and operating partnership focused on prescription drug sales and/or insurance coverage. It could also be the basis for opening urgent care centers …

Ready or Not, Here Come the New Medicare Cards

It’s going to take a year for the whole batch to be in place, but your front desk staff will start seeing new Medicare cards this month. As we told you when the Centers for Medicare and Medicaid Services first announced its plans, every Medicare member will be issued a unique ID number to replace their Social Security number on the cards to better protect all manner of personal information tied to the SSN. Patients’ …

A 35-Year-Old HIV-Infected Patient

Case A 35-year-old, HIV-infected patient who recently started highly active antiretroviral therapy (HAART) presents to your urgent care center very concerned about a large group of vesicles that had appeared on her leg. She recalls feeling a burning sensation for several days before they appeared. Upon probing, she tells you that she’s also had headache, neck pain, and fatigue. View the photo and consider what your diagnosis and next steps would be. Resolution of the …

A 74-Year-Old Man with Epigastric Pain

Case The patient is a 74-year-old man who complains of epigastric pain. He is an alcoholic who has had multiple episodes of pancreatitis. He has no chest pain, shortness of breath, or diaphoresis. An ECG is performed by staff prior to provider evaluation. Upon exam, you find: General: Alert and oriented Lungs: CTAB Cardiovascular: RRR without murmur, rub, or gallop, occasional irregular beats Abdomen: Soft and NT without r/r/g View the ECG taken and consider …

A 51-Year-Old Woman with Wrist Pain After a Fall

Case A 51-year-old woman presents with wrist pain and swelling after tripping on a loose piece of carpeting and falling on her outstretched hand. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

The Change Gang: Adopting a Disruptive Culture

We’ve all heard it: Why do we have to change? This is the way we’ve always done things! Change is difficult, even for those of us who embrace it. But it is especially difficult for non-owner employees. After all, why welcome the discomfort and uncertainty of change if there is no upside to your personal bottom line? This is perhaps one of the biggest challenges we face as the urgent care industry matures and competition …

Facility Design: Cultivating Collaboration in the Back Office

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: To move patients through the center quickly, urgent care demands near-constant communication among providers and staff. Eliminating enclosed provider offices in favor of shared workspaces promotes back office collaboration while keeping providers focused on clinic activities in real time. Urgent care reflects the seismic shift occurring in healthcare—traditional, …