Journal of Urgent Care Medicine

CDC: Too Few Pregnant Women Are Getting Vaccines. Help Them See Why They Must

Two-thirds of pregnant women in the United States are leaving themselves at risk for influenza, tetanus, diphtheria, and acellular pertussis by declining to get the necessary vaccinations, according to data from the Centers for Disease Control and Prevention. Obviously, that also puts their unborn children at risk, ratcheting up the urgency to help them understand that both the flu shot and the Tdap vaccines are not only safe but necessary for their own protection. It’s …

New Guidelines Stress Appropriate Treatment for a Deadly Combination: Flu + CAP

It’s widely believed that the number of flu deaths is much higher than data would lead us to believe each year, due to the fact that cause of death is often attributed to complications from flu. One of the main culprits is community-acquired pneumonia. So, for the first time in more than 10 years, the Infectious Diseases Society of America has updated its guidelines on treating CAP. The take-home message is that adults who test …

Keeping Up with CMS Policies on Medicare Cards and Flu Vaccine Reimbursements

New Medicare Card Transition Period Ends December 31, 2019 As a result of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), in 2018 the Centers for Medicare and Medicaid Services (CMS) began issuing new Medicare cards to all beneficiaries; unlike the previously existing cards, the new cards do not display the beneficiary’s Social Security number. CMS set up a schedule to mail out the new cards based on regions, to be completed by …

Abstracts in Urgent Care-November 2019

An Update on Vaccine the 2019-2020 Flu Season Key points: The CDC recommends annual influenza vaccination for everyone 6 months of age and older, with any licensed influenza vaccine that is appropriate for the recipient’s age and health status (IIV, RIV4, or LAIV4) with no preference expressed for any one vaccine over another. All regular dose vaccines are quadrivalent this year. Fluzone (high-dose trivalent vaccine) may provide more protection to those ages 65 and up, …

When Pregnant Patients Present to the Urgent Care Center

Urgent message: Care of the pregnant patient in urgent care can be complex, as every test or treatment needs to take into account both the mother and her unborn child. Conditions which would be considered benign and self-limited in healthy patients take on a different level of concern, and must be managed differently, in the pregnant patient. James Hicks, MD INTRODUCTION There appears to be a wide variety of comfort levels within any particular urgent …

Urgent Care Takes a Run at Appealing to Gig Workers—and There Are a Lot of Them

A recent post on the Forbes website noted that 64% of gig workers (or contractors, full-time freelancers, independent workers…pick your favorite term) have no paid sick time. Considering that they make up around one-third of the U.S. workforce these days, that’s a lot of people stressed about staying well or getting well quickly if they do get sick. Their economic survival (and physical health, obviously) depends on it. The Urgent Care Association just forged a …

Whether You Fail or Prevail Rests on Your Preparedness for Flu Season—Now

Urgent message: As this year’s flu season arrives, urgent care providers must take stock of their individual capabilities, then develop a comprehensive strategy that addresses employee and patient flu vaccinations, marketing campaigns, competing with retail flu shot providers, and handling the increased seasonal influx of flu patients. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. The end of …

Flu Season Carries Potential Benefits—and Risks—for Occupational Medicine Providers

If you offer occupational medicine services, it’s likely a heavily promoted flu clinic is an annual event. (And if not, why not?) Some providers and companies are taking that a step further by offering free flu shots to employees’ family members, as well. The benefit is multifold: Employees see this as proof that their employer cares about them; you get to introduce yourself and your services to more prospective patients; and the entire practice promotes …

Evaluation of Infectious Conjunctivitis by Clinical Evaluation and Novel Diagnostics

Urgent message: Urgent care is often the first stop for patients experiencing acute eye complaints, including conjunctivitis. The capability to accurately distinguish between infectious conjunctivitis of a viral nature vs that of a bacterial nature is essential to administering appropriate treatment and avoiding inappropriate use of antibiotics. Isabelle Dortonne, MD, Patrizia Colmenares, OD, Trevor Lyford, BA, OSC, and John Sheppard, MD, MMSc INTRODUCTION The vast majority of acute conjunctivitis is viral in nature, with 65% …

Employer Liability for Flu Infection

Urgent message: While urgent care centers benefit from exaggerated seasonal demand when a flu epidemic strikes, the risk is that the center’s own employees will get infected by contagious patients, incur medical costs, and lose time from work when they’re needed most. Alan A. Ayers, MBA, MAcc is Chief Executive Officer for Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Introduction It’s not uncommon for an urgent care …