Journal of Urgent Care Medicine

CDC Offers Guidance on Treating Patients Returning Home from Hurricane Areas

Urgent care centers in hurricane-affected areas have probably gotten into the habit of looking for sudden respiratory ailments and signs of illness related to consumption of tainted water or food. However, the vast numbers of relief workers and volunteers who flocked to help residents affected by the recent storms are now returning home, where providers may not have such issues at the top of their minds. Recognizing that, the Centers for Disease Control and Prevention …

UCA Asks the Public: Are You Urgent Care Prepared for Flu Season?

The Urgent Care Association has launched a public-facing campaign to get consumers to head to their local urgent care center to ward off influenza, now that the season has officially begun. In addition to stressing that the urgent care center is “the best place to receive flu vaccinations and other key winter healthcare services,” UCA’s message also focuses on herd immunity—the notion that higher immunization rates will result in lower incidence of illness across the …

CDC Says Flu Vaccines Have ‘Plateaued’—so Start Promoting Its Benefits

Just the other day we shared data indicating that healthcare professionals are far less inclined to get a flu shot if their workplace doesn’t require it or offer the immunizations on site. Now comes word from the Centers for Disease Control and Prevention that the whole country’s influenza vaccination rate has plateaued—leaving us all at higher risk for an outbreak. New figures from the CDC reveal that since the 2013-2014 season, the rate for adults …

Want to Drive Flu Shot Compliance for Your Providers? Demand It!

Despite longstanding advice that people over the age of 6 months should be vaccinated against influenza, more than half of healthcare professionals (HCPs) opt out unless they’re required to get a shot by their employers, according to the Centers for Disease Control and Prevention. More than 75% of HCPs got a flu shot in preparation for the 2016-2017 flu season—but in clinics and other settings where vaccination was not “required, promoted, or offered on site,” …

Doing the MACRA’ena—Part II

In my last column, I tried to explain the complicated math involved in calculating the potential financial impact of MACRA/MIPS on urgent care centers. I made the case for a significant return on investment for a typical urgent care with a typical mix of Medicare patients. Of course, all of the potential return depends on implementation of practical and efficient quality improvement programs that meet the measurement and reporting expectations outlined by the Centers for …

Don’t Forget Your Flu Vaccine Information Statements

This should be prime time for recommending flu shots to patients, ideally offering to give one on the spot if medically appropriate for the patient’s condition at the time of service. The Centers for Disease Control and Prevention recommends everyone 6 months of age or older receive an influenza vaccine every year, preferably by the end of October. Just as important from an administrative (and legal) perspective is remembering to provide an official Vaccine Information …

Be Mindful of Dates of Service When Coding for Flu Shots—or Get Claims Denied

Among the Centers for Medicare and Medicaid Services’ new codes is one that’s likely to be confusing as patients start coming in for flu shots. A quadrivalent vaccine made and distributed by Sequirus is available for reporting, but if billing staff use the corresponding code, 90756 (Influenza virus vaccine, quadrivalent [ccIIV4], derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use) before January 1, 2018, the claim will be denied. Instead, they’re advised …

Plague in the House—Could You Identify the Patient?

Urgent message: While common perceptions are that the plague—the infamous microorganism that claimed the lives of countless millions in ancient times—has been eradicated in modern society, infections still occur, even in the United States. While the odds of encountering a patient infected with the plague are thin, its presentation of flu-like symptoms—which could easily lead a patient to urgent care—make it a diagnosis urgent care providers should be aware of. Introduction Yersinia pestis—known commonly as …

Last Season’s Flu Vaccine Gets a C+ Overall, But Failed in Protecting Older Patients

The 2016–2017 flu season is far enough behind us that health system numbers crunchers can assess how well the vaccine performed—and it’s definitely a mixed bag. While it was a good match for the predominant strain (Type A H3N2) and was around 42% effective in preventing illness severe enough to send patients to the doctor’s office, the Centers for Disease Control and Prevention admits that it was essentially ineffective in protecting people age 65 and …

Improving Appropriate Antibiotic Use for Common Clinical Conditions in Urgent Care

Urgent message: Increasingly, patients with symptoms of acute infection run to their nearest urgent care center. As such, urgent care clinicians can contribute greatly to national efforts to save lives by stemming the growth of antibiotic resistance through good antibiotic stewardship. Introduction Despite being a recent healthcare phenomenon, urgent care centers are responsible for a growing percentage of outpatient healthcare, with an estimated 160 million total annual visits at more than 9,300 sites in the …