Practice Management
Case The patient is a 62-year-old woman who presents to the urgent care center after 1 hour of intermittent dizziness and feeling of palpitations. She has no chest pain, fever, vomiting, or diarrhea. Further history reveals that she has a history of anxiety, which is manifested by intermittent feeling of heart “palpitations.” Her primary care doctor is treating her with a selective serotonin reuptake inhibitor (SSRI) for anxiety. Upon exam, you find: General: Alert and …
Read MoreTracking Antibiotic Prescriptions for Nonbacterial Acute URI Key point: Patients were more likely to receive prescriptions from mid- or late-career physicians and from those with higher daily patient volumes. Citation: Silverman M, et al. Antibiotic prescribing for nonbacterial acute respiratory infections in elderly persons. Ann Intern Med. [Epub ahead of print May 9, 2017] This retrospective analysis of linked administrative health care data was drawn from 8,990 primary care physicians and 185,014 patients who presented …
Read More
Urgent message: Ideally, paid advertising should show a return on investment based on the revenue it generates. However, revenue-based metrics are difficult to prove using social media, in which “likes” are more valuable in identifying fully engaged patients than generating direct sales. When it comes to social media marketing channels, Facebook remains atop the throne. The fact that 80% of Fortune 500 companies have an active Facebook page more than supports that assertion, and stands …
Read MoreDriven partially by increased use of the powerful synthetic opioid fentanyl, patients continued to flood emergency rooms across the country in increasing numbers over the 10-year period ending in 2014, according to data from the Agency for Healthcare Research and Quality (AHRQ; see graph below). The implications for urgent care are A) that some of those patients surely received their first opioid prescriptions in an urgent care center legitimately for treatment of acute pain, underscoring …
Read More
Pharmaceutical giant Merck and Heritage Valley Health System are the latest healthcare organizations to be struck with a ransomware attack. The same event created havoc across Europe, as well. Electronic security experts point to a version of the Petya virus as the likely “pathogen.” While Merck was largely mum on how it fared, Heritage Valley said its network had “protections” put in place by its antivirus software vendor to ensure patient care was not disrupted. …
Read More
The Centers for Medicare and Medicaid Services (CMS) may have doled out more than $729 million in incentive payments for use of electronic health record systems that didn’t actually comply with federal standards, according to the Office of the Inspector General (OIG) at Health and Human Services. The OIG has already uncovered instances where providers who received payments could not document that they were using electronic health records in “meaningful” ways—a key requirement to reap …
Read More
Add adolescent concussion to the growing list of conditions for which telemedicine can be useful, in terms of effectiveness, cost, and satisfaction scores, according to data presented at the annual meeting of the American Association of Nurse Practitioners. Researchers employed a nurse practitioner-led, remote assessment of young athletes (13–18 years of age) with concussions, in conjunction with in-person athletic trainers. The most common positive feedback involved the accessibility of the program from any location, notably …
Read More
The U.S. Consumer Products Safety Commission tells us we can expect a spike in emergency room visits on or around the Independence Day holiday next week. If you’ve done a good job of alerting your community to the fact that many ED-bound patients could be treated just as well (not to mention faster and less expensively) in your urgent care center, that means you can expect to see more traffic, too. Make sure your holiday …
Read More