Practice Management
The more time physicians spend dealing with electronic health record systems, the less money they make and the less time they have for providing care directly to patients, according to new data published in Health Affairs. The article says about half the time physicians spend working in EHR is during patient encounters. The other half of the time—when they’re not with patients, in other words—their time working within the EHR goes uncompensated, essentially. The authors …
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Rude behavior in the workplace might cost you good employees. Even worse, though, a new study indicates the consequences of incivility extend to patients. In a blog post for The Wall Street Journal, Dr. Gurpreet Dhaliwal, a professor of medicine at the University of California, San Francisco and a practicing physician at the San Francisco VA Medical Center, describes what happened when clinical staff participating in an Israeli training exercise were broken into 24 pairs …
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As antibiotic resistance continues to grow, organizations from the Urgent Care Association of America to the Antibiotic Resistance Action Center to the Centers for Disease Control and Prevention have asked their audiences to take a close look at what they can do to curb unnecessary prescriptions that exacerbate the problem. (The cover article in the May issue of JUCM will look at how one institution tackled this problem, as well.) Now the Centers for Medicare …
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Children whose parents ensure they get flu shots stand a significantly lower risk for death from influenza than children who are not vaccinated, according to new data from the Centers for Disease Control and Prevention. In fact, the CDC says between 2010 and 2014 flu vaccinations reduced the risk of flu-associated death by half among children with underlying high-risk medical conditions, and by nearly two-thirds among healthy children. The study, published in Pediatrics, is thought …
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Ohio is placing new limits on the prescribing of opioid medications for acute pain, forbidding clinicians from writing more than a 7-day supply for adults, or a 5-day supply for minors (down from up to 90 days, currently). Prescribers will be allowed to override the acute pain limit if they identify a specific reason in their patients’ medical records, though this is not likely to apply in the urgent care setting. Further, the limits do …
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A new study published in Morbidity and Mortality Weekly Report reveals that the risk for long-term opioid use—defined as use that lasts for at least 1 year—increases within just a few days of starting to take a prescribed opioid drug. Researchers at the Centers for Disease Control and Prevention looked at data reflecting the care of more than a million patients who received at least one opioid prescription between June 1, 2006, and September 1, …
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The episodic nature of the urgent care setting makes it a popular target for opioid addicts “doctor shopping” for someone new to write prescriptions. As such, urgent care clinicians must remain always-vigilant for ways to help stem rampant opioid addiction. One tool that’s built into the urgent care electronic medical record systems (eprescribing) can be a valuable weapon in that fight. Where a paper script—or, worse, a whole pad—can be lost or stolen, an electronic …
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Your child wakes up with a sore throat and a fever. Like any responsible parent, you take a sick day and call the pediatrician, only to hear “Sorry, nothing today. We may be able to squeeze you in tomorrow afternoon.” Now what? Well, 42% of the 2,000+ parents surveyed in the C.S. Mott Children’s Hospital National Poll on Children’s Health say they would take their child to an urgent care center, retail clinic, or the …
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The old axiom “you never get a second chance to make a first impression” is highly relevant in urgent care, where patients already not having the best of days are probably encountering your front desk staff and clinical team for the first time. Now a new study shows how those patients perceive the professionals they meet in your location is likely to influence their overall satisfaction, as well as their likelihood of complaining later on. …
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As you’ve read here, the spectrum of business models accessible to urgent care operators is constantly expanding. “Direct care,” in which patients pay a monthly fee for a range of basic services, is one that may appeal to operators and clinicians desiring a less-structured approach to running their business—such as getting insurance companies “out of the room,” as explained by Linnea Meyer, MD in an article published in The Wall Street Journal recently. Patients pay …
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