Journal of Urgent Care Medicine

Despite Deaths, Many Parents Say Flu Vaccine is Less Important Than Others

Eleven children have died from flu or flu-related illness this year, and roughly 20,000 are hospitalized every year in the U.S. thanks to influenza, according to the Centers for Disease Control and Prevention. And yet the C.S. Mott Children’s Hospital National Poll on Children’s Health, 2016 reveals that even 14% of parents who had their children immunized against flu this year believe it is “less important” than other childhood vaccines; perhaps less surprisingly, 59% of …

Be Prepared for Post Super Bowl Flu Spike—Especially in Colorado and North Carolina

Digging into the communal nacho platter at a Super Bowl party could give celebrants a bad case of eater’s remorse—in the form of influenza, especially among the hometown fans of the Carolina Panthers and Denver Broncos. It’s no joke: A new study published in the American Journal of Health Economics reports that the death rate attributed to the flu was significantly higher in regions that Super Bowl teams came from between 1974 and 2009. Researchers …

DIAGNOSIS CODES DETAIL

Data from the 2014 Urgent Care Chart Survey of 1,778,075 blinded visits by patients to more than 800 different urgent care clinics, conducted by the Journal of Urgent Care Medicine, reveal that for 2014, the top three diagnosis codes at U.S. urgent care centers involved, in descending order: Wounds,15.9% Sinusitis, 11.4% Respiratory conditions, other, 11.2% The bottom three diagnosis codes involved, in descending order: Influenza, 1.6% Tonsillitis, 1.5% Gynecologic issues, 1.5% The survey’s methodology and …

2016 Current Procedural Terminology Changes Pertinent to Urgent Care

Evaluation and Management There were two revisions and two additions to the “Evaluation and Management” section. Add-on codes 99354, “Prolonged evaluation and management or psychotherapy service(s) (beyond the typical service time of the primary procedure) in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour,” and 99355, “. . . each additional 30 minutes,” were revised to add the term psychotherapy in the description. Some good news in …

CDC: Keep Pushing Flu Shots—Cases Are Still Climbing

If your urgent care center has not seen a boom in patients reporting with flu-like symptoms, don’t assume it’s going to be a slow influenza season. The Centers for Disease Control and Prevention says the annual peak is merely delayed, not lower than expected. In fact, most of the United States is still seeing a gradual climb in reported cases with this year’s peak not expected until at least January. New Jersey and South Carolina …

Clinicians and Occ Med Providers Warned to Mind Safe Immunization Practices

Local, state, and federal health officials are reminding clinicians and occupational medicine providers to follow safe immunizations practices in the wake of serial missteps during a workplace vaccination program in New Jersey. An article published in the December 18 issue of Morbidity and Mortality Weekly Report notes “disregard for basic vaccine safety” that set in motion a mad scramble to assess and contain any potential danger to 67 workers whom they believe received shots with …

Abstracts in Urgent Care: January, 2016

SEAN M. McNEELEY, MD When Accuracy Is a Must, Go for Central Thermometers Key point: Peripheral thermometers are not nearly as accurate as central thermometers. Citation: Niven DJ, Gaudet JE, Laupland KB, et al. Accuracy of peripheral thermometers for estimating temperature: a systematic review and meta-analysis. Ann Intern Med. 2015; 163:768–777. Temperature measurement is performed at most visits to urgent care centers. Although the data are not always important in clinical decision-making, sometimes they are …

Urgent Care Management of Acute Otitis Media in Children

Urgent message: The possibility of ear infection is the most common reason parents seek care for their young children during viral upper respiratory infections with fever. Urgent care providers should know the new criteria for making the clinical diagnosis and how to use technology such as an acoustic otoscope before concluding that antibiotics are necessary. MICHAEL E. PICHICHERO, MD Diagnosing acute otitis media (AOM) is a visual process based on viewing the eardrum and determining …

Janitorial and Maintenance Roundtable: Best Practices for Managing Environmental Services

Urgent message: Every urgent care center must have a plan to clean and maintain its physical facility. In this JUCM-exclusive panel discussion, industry leaders share their insights on selecting an environmental services contractor, negotiating pricing, and maintaining service levels. Urgent care is often considered a blind product because patients generally lack the formal training necessary to assess the quality of the actual medical services delivered. As a result, satisfaction or dissatisfaction is determined in large …

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