Journal of Urgent Care Medicine

Pressure Mounts to Put Off Stage 3 of Meaningful Use

The College of Healthcare Information Management (CHIME) has joined 15 other organizations in asking Health and Human Services Secretary Tom Price to delay implementation of Stage 3 Meaningful Use and Certified EHR Technology requirements indefinitely. In a February 17 letter to Price, they stressed the importance of reducing regulatory burdens for physicians while “ensuring patients benefit from the best technology…and that the goal of a truly interoperable healthcare system comes to fruition.” The letter singled out …

UCA Readies for U.S. Health Reform with New Principles

As President Trump and members of both houses of Congress work to repeal the Affordable Care Act (ACA, or “Obamacare”), the Urgent Care Association (UCA) has revealed several health reform principles it will use to evaluate emerging legislative alternatives to the ACA. UCA says it will support policies that recognize urgent care should be treated as an essential health insurance benefit and included as an important element of value-based care, as well as those that …

Federal Judge Says Transgender Health Rule May Violate Physicians’ Rights

A federal judge in Texas granted a temporary restraining order against federal health officials who may seek to enforce rules that ban discrimination by physicians and hospitals against transgender patients. The judge says he based his decisions on the grounds that compelling doctors to support patients who have either completed or are currently transitioning could equate to forcing doctors to violate their own religious beliefs. Kansas, Kentucky, Nebraska, and Wisconsin joined Texas in the suit, …

What You Can—and Can’t—Convey in a Text Message to Other Providers

New guidelines from The Joint Commission clarify what clinicians are allowed to convey via text messages. Urgent care providers should especially be aware that clinicians are allowed to text each other using a HIPAA-compliant platform as long as they don’t do so to send patient care orders. The new guidance, drawn up in consultation with the Centers for Medicare and Medicaid Services, also stipulates that all healthcare organizations should have policies prohibiting the use of …

FDA: Wave Goodbye to Powdered Exam Gloves

We told you months ago the Food and Drug Administration (FDA) was assessing the viability and wisdom of banning use of powdered gloves in operating rooms and, more applicable to urgent care operators and clinicians, exam rooms. Now the agency says it has gathered sufficient evidence to publish a final rule banning the gloves, as well as absorbable powder for lubricating rubber gloves, due to “present an unreasonable and substantial risk of illness or injury. …

Texan Business Leaders Call for Fewer Restrictions on Telemedicine

The Texas Association of Business—the state’s chamber of commerce, essentially—is pushing lawmakers to come up with a bill that would allow more patients to use telemedicine. The TAB says the move is necessary after a decade of rising healthcare premiums and deductibles, which has increased the burden both on its members and their employees. Loosening restrictions on telemedicine has seen opposition from the physician-led Texas Medical Board, whose efforts have seen to it that the …

NJ Lawmakers Take a Closer Look at Telemedicine

Legislators in New Jersey are weighing the relative benefits of telemedicine in order to ensure the evolving technology is used properly—namely, that there’s no danger of virtual doctor visits taking the place of in-person care then the latter is clearly needed. Advocates point out that sometimes patients need to see a physician after even urgent care centers have close, though their symptoms don’t warrant an expensive trip to the emergency room. Detractors say some patients …

Vermont Seeks New Rules for Opioid Prescribing

Vermont is aiming to lower incidence of opioid addiction by putting new restrictions on prescribers. For starters, the state health department has recommended limiting the number of opioid pills a doctor can prescribe; Gov. Peter Shumlin suggested 10 would be appropriate for patients undergoing minor procedures like those that might be performed in the urgent care setting, but the proposal currently on the table frames the amount as a “5-day supply for acute pain.” That …

Missouri Demands Medicaid Copay in the ED—But Not in Urgent Care

Medicaid patients in Missouri will have to fork over an $8 copay before receiving care in the emergency room, thanks to a new bill that aims to reduce overusage in the ED. The bill allows for free visits to urgent care centers, however. Senate Bill 608 also gives physician offices the right to assess Medicaid patients a $5 penalty if they make a habit of missing appointments without 24-hours’ notice; miss an appointment once and …

Colorado to Vote on Single-Payer Health System

Payers, politicians, and practitioners don’t often line up on the same side of issues, but in Colorado they’re united in their distaste for a proposed single-payer system that would increase health coverage in the state—at the cost of a $25 billion tax increase that could drive employers out, some fear. Proponents counter that “ColoradoCare” would end up saving more than $6 billion annually by 2019. Under the program, residents would choose among private health insurance …