Journal of Urgent Care Medicine

Med Spa Services Require Protocols to Prevent Blood-Borne Pathogen Exposure

A new report from the Centers for Disease Control and Prevention (CDC) for the first time documents incidents of HIV transmission through cosmetic injection services known as “vampire facials,” which are treatments that inject a person’s own blood into their face for cosmetic purposes, such as skin rejuvenation. The services are usually delivered in spa-type environments and involve drawing a client’s blood, separating the plasma and cells, and using disposable or multi use sterile equipment …

Walmart Gives Up on Health Clinics and Virtual Care

In a somewhat surprising move, Walmart announced this week that it will close all 51 of its health centers as well as its telehealth business after a 5 year go at the market. The Walmart Health arm of the retail giant’s strategy was on track to expand beyond its initial 5 states (Arkansas, Florida, Georgia, Illinois, and Texas) but has abandoned the model because of a “challenging reimbursement environment,” the company said in a press …

Nurses Protest Use of Artificial Intelligence

Hundreds of nurses in San Francisco voiced their objections to the use of artificial intelligence (AI) in healthcare during a recent protest, according to Becker’s Hospital Review. For example, some criticized an AI feature within the Epic EHR that determines nurse staffing based on real-time charting. They argued that this method may not accurately or fairly account for their work. Additionally, some nurses raised objections to AI chatbots that interact with patients, which could create …

Challenges Predicted For FTC Noncompete Ban

Last week, the Federal Trade Commission (FTC) issued a final rule that would ban nearly all noncompete agreements among for-profit employers and a small subset of nonprofits as well. In healthcare, it represents a significant shift in employment and contractual agreements, allowing clinicians to switch jobs and work for rival providers without limitations. Rules are set to take effect in 4 months. The American Medical Association estimates as many as 45% of physicians work under …

Providers Still Not Back to Normal After Change Cyberattack

Two months after the Change Healthcare cyberattack upended payments to a large percentage of the nation’s healthcare providers, organizations say they’re still suffering from the fallout, both financially and logistically, according to Kaiser Health News. Change parent company UnitedHealth Group indicated during a shareholder call on Tuesday, however, that business is largely back to normal, and its chief financial officer said that the company expects full operations to resume next year. The hacking has cost …

Thousands of Kids Getting Into Melatonin Gummies Present to ED

The Centers for Disease Control and Prevention (CDC) recently reported that 11,000 children and infants presented to emergency departments between 2019 and 2022 after ingesting melatonin. More concerning is that flavored gummy products—which look like candy—were involved in nearly 5,000 of those cases. More than half of accidental ingestions involved children between 3 and 5 years old, according to CDC. Melatonin products do not require child-resistant packaging, but the agency found about three-quarters of the …

UCA and CUCM Elect New Board Members

As a key moment in the Urgent Care Association (UCA) Convention in Las Vegas last week, members elected a new board, led by Board President Scott Prysi, MD. The full list of board members is available on the UCA website. Additionally, the College of Urgent Care Medicine (CUCM) elected its new board members: Lindsey Fish, MD (also JUCM images editor); Roger Hicks, MD, FCUCM; Joshua Russell, MD, MSc, FACEP, FCUCM (also JUCM editor in chief); …

Union Clinicians Strike Over Staffing Issues at Detroit ED

Workers went on an anticipated strike last week over ongoing dissatisfaction related to insufficient staffing and long wait times for patients in the emergency department (ED) at Ascension St. John Hospital in Detroit. On April 18, union physicians, physician assistants, and nurse practitioners walked out after their good-faith negotiations failed to result in an agreement, according to local news reports. The clinicians had formed the union less than a year ago to advocate for improved …

Latest Physician Shortage Numbers Paint Painful Picture

According to a report from the Association of American Medical Colleges (AAMC), new projections indicate a continued shortage of physicians in the next 10 to 15 years, although the shortage is expected to be less than previously forecasted. AAMC predicts a shortfall of 13,500 to 86,000 physicians by 2036, with demand for physician services continuing to outpace the supply of working clinicians. By comparison, the 2021 report projected a shortfall of up to 124,000 physicians …

Change Cyberattack: How to Get Your Advance Payment From Insurers

The Department of Health and Human Services (HHS) earlier this week posted a letter to healthcare providers acknowledging their cash flow disruptions resulting from the Change Healthcare cyberattack that crippled mission-critical eligibility and claims processes nationwide. Providers were collectively losing as much as $1 billion a day for several weeks while they waited for Change to rebuild and relaunch its systems, according to a report from Axios. HHS officials also offered a practical resource guide …