StuWilli, Author at Journal of Urgent Care Medicine

New Report Sees Urgent Care Market Growing to $30.5 Billion by 2020

Add Transparency Market Research to the growing list of research organizations that see major growth continuing in the global urgent care market. Using 2013’s figure of $23.5 billion as a baseline, the report projects 30% growth by 2020—making for a market value of $30.5. Urgent Care Centers Market—Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2014–2020 cites the growing ranks of senior citizens and concerns over finding cost-effective care, combined with traditional urgent care …

Sentara Jumps into the Urgent Care Patient Experience Data Pool

Hospital systems have been tracking patient experiences for decades. Now one of them is extending that practice to its own urgent care centers; Sentara Healthcare is thought to be the first organization in the country to post aggregate patient survey ratings for urgent care centers online. National Research Corporation reached out to 40,000 patients within 1 to 3 days of a Sentara urgent care visit over the past year, asking them to rate their experience …

Time for Urgent Care to Grow Up

I never thought I’d quote the rap artist Kamari aka Lyrikal, but I was drawn to his words of wisdom while preparing for this column: “The hardest part about growing up is letting go of what you were used to, and moving on with something you’re not.” As the “children” of urgent care, we have seen an adventurous and revolutionary spirit create an industry and discipline from scratch. We cared about things our “parents” dismissed …

The Future Without Flu: Will Public Health Gains Cause Business Ills?

It’s well known that the retail industry has a nasty habit of overreliance on the holiday season to buffer slower sales throughout the year. When the economy is strong, retail sales typically follow, and investors are happy. When the economy falters or when brick-and-mortar retail is disrupted by lowercost, more-convenient alternatives, investors feel a bit under the weather. Similarly, the urgent care dilemma has always been a relative dependence on flu season to account for …

Medications 21 Through 40 by Percentage of Prescriptions Written (Brands and Generics Together)

Last month, in our March 2016 issue, we reported data for 2014 on the top 20 medications prescribed in U.S. urgent care centers. This month, we bring you percentages for the next 20 most-prescribed medications (items 21–40). The data were obtained as part of the 2014 Urgent Care Chart Survey of 150 million annual visits by patients to more than 800 different urgent care clinics. The survey was conducted by the Journal of Urgent Care Medicine. The survey’s methodology …

Prolonged-Service Codes

Q. The coding staff has relayed to me that we can now bill for times when my clinical staff must spend extra time with a patient. Is this true? What are the requirements for documentation? A. Yes, two new Current Procedural Terminology (CPT) codes added in 2016 by the American Medical Association allow you to bill for clinical staff members’ time spent with a patient above and beyond what is considered to be the usual amount of time. …

Shoulder Pain in a 62-Year-Old After a Fall

A 62-year-old man presents with right shoulder pain that began the previous evening after he fell in his garage. The pain is worse with movement through the range of motion. He has no pain in the elbow and says that he has no head pain or head injury. His social history reveals that he is a smoker and drinks alcohol. View the image taken (Figure 1) and consider what your diagnosis would be.

Protecting Your Urgent Care Center Against Whistle-Blowers

Urgent message: Government financial enticements for whistleblowing have resulted in a sharp rise in employee reports against their health-care employers. Urgent care centers can protect themselves by identifying potentially litigious employees, having a wellpublicized compliance program, and by establishing internal reporting procedures. Introduction In recent years, there has been a dramatic rise in the number of whistle-blower lawsuits in the health-care industry. Because these lawsuits reap huge payouts for the federal government, whistle-blowers are monetarily enticed to report their employers to government agencies rather …

Abstracts in Urgent Care: April, 2016

SEAN M. McNEELEY, MD Copeptin and Troponin Together Are Useful in Diagnosing Acute Coronary Syndromes Key point: There is a new tool for ruling out myocardial infarction. Citation: Ricci F, Di Scala R, Massacesi C, et al. Ultra-sensitive copeptin and cardiac troponin in diagnosing non-ST-segment elevation acute coronary syndromes—the COPACS Study. Am J Med. 2016;129:105–114. Concern about patients with non-ST-segment elevation myocardial infarction with chest pain and normal electrocardiogram (ECG) findings frequently causes a transfer …

Ocular Arteriovenous Malformation Manifesting as Proptosis

Urgent message: Proptosis may be caused by a variety of vascular, infectious, endocrine, and neoplastic diseases that may threaten vision or cause serious systemic complications or death. Providers should be familiar with causes and work-up, including which findings suggest a need for immediate imaging and consultation. ARMIN GOLLOGLY, MD, BRIAN ZIPSER, MD, WENDY HUANG, MD, FAAO, FAAP, CHRISTOPHER M. FECAROTTA, MD, FAAO, FAAP, FCPP, AND MARK RICHMAN, MD, MPH Introduction This report describes a case of unilateral proptosis due to …