Case A 42-year-old woman presents with pain in her right shoulder that suddenly began after she caught herself with her raised right arm as she fell. She reports that she had been standing on a step stool and reaching for an object, and then fell forward. She has severe pain in the right shoulder, and it worsens with movement even through a minimal range of motion. She has associated numbness over the lateral portion of …
Read More
Is Uber an Option for Transporting Patients from Crowded EDs to Urgent Care?
Trying to relocate nonemergent patients from overcrowded emergency rooms to clinics and urgent care centers by ambulance led to out-of-control costs in the San Diego area. In addition, it’s been shown that some 30% of people who call 911 for an ambulance didn’t even need emergent care to begin with. So, health officials hit on the idea of calling a taxi or an Uber to take patients where they need to be. The question is, …
Read More
Spokane VA Opts to Expand Urgent Care Hours Instead of Reopening ED
Plans to reopen an emergency room that closed in 2014 have been scrapped in favor of expanding the hours of a nearby urgent care center in Spokane, WA. Administrators at the Mann-Grandstaff Veterans Affairs Medical Center haven’t hired enough physicians to staff the ED, so rather than delay further or try to get by on insufficient staffing, the plan is to keep the urgent care center open 24 hours a day, 7 days a week. …
Read More
Alleged Faulty EHR Security Leads to Billion Dollar Lawsuit
eClinicalWorks has been hit with a $1 billion class-action lawsuit over allegations that it failed to protect the security of millions of patient’s records—and that one patient with cancer actually died as a result of faulty patient EHRs. The latter charge says the deceased was “unable to determine reliably when his first symptoms of cancer appeared as his medical records failed to accurately display his medical history on progress notes.” More broadly, the suit contends …
Read More
Hospital System Fires Dozens of Employees Who Refused to Get Flu Shots
Essential Health says it went to great lengths to make sure employees had time to get their flu shots or apply for an opt-out on medical, religious, or philosophical grounds. It also tried to make it as easy as possible by offering multiple, free vaccine clinics, sending vaccine carts around so workers wouldn’t even have to leave their post. It provided ample incentive, too, notifying workers that if they did not get vaccinated (or an …
Read More
Cautionary Insights into Lawsuits Against Physicians
Urgent care providers were not named among those most likely to be sued in Medscape’s recent Malpractice Report 2017, but a look at the research is likely to offer some insights that could help them lower their risk for landing in court. “Failure to diagnose/delayed diagnosis” was the reason for 31% of the lawsuits against physicians in the survey—the most prevalent among all causes mentioned. “Complications from treatment/surgery” was the second-most common answer (27%). Procedural …
Read More
Update: Amazon is Expected to Distribute Medical Devices and Supplies, not Medications
All the recent talk about Amazon’s plans to become a wholesale pharmacy distributor seems to have been exactly that—just talk—as industry analysts have learned the online retailer has no intentions (currently) to start storing and shipping medications. Rather, they expect the company to use the pharmacy licenses it obtained in 12 states recently for medical devices and supplies. The investment firm Jefferies learned that Amazon went so far as to tell officials in Tennessee and …
Read More
More Hospitals Seek Help in Expanding Urgent Care Offerings
As many healthcare systems continue to break ground on their own urgent care facilities and others scan the horizon for operations ripe for acquisition, a third option is starting to pick up steam: Some hospitals are contracting with third parties to run their urgent care business in the hope of ensuring their in-house “startups” are operated by industry veterans. Physicians Immediate Care and OSF Healthcare have already entered into such an arrangement, as have Premier …
Read More
To Lease or Buy Medical Equipment: What’s Best for Your Practice?
Urgent message: Give ample consideration to the key factors—your credit history, taxes, technology, the cost of maintenance, and what your business truly needs—before deciding whether buying or leasing equipment is best for your urgent care operation. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine. Whether to lease or buy equipment for your urgent care center is …
Read More
CDC Pleads for Clinicians to Be Antibiotics Aware
The Centers for Disease Control and Prevention is intent on driving down inappropriate prescribing of antibiotics, and using U.S. Antibiotic Awareness Week and World Antibiotic Awareness Week to unveil a new educational campaign called Be Antibiotics Aware: Smart Use, Best Care. The CDC says at least 2 million Americans become infected with antibiotic-resistant bacteria annually—with at least 23,000 dying as a result. With over 160 million patient visits every year, according to the Urgent Care …
Read More