Journal of Urgent Care Medicine

Urgent Care Scope of Services

Same-day ambulatory healthcare services are the hallmark of urgent care (UC). Because UC clinicians care for a wide range of conditions and injuries, they need to be proficient in a broad scope of immediate intervention services. In its latest white paper, the Urgent Care Association (UCA) noted that more organizations are moving to a staffing model with nurse practitioners (NPs) and physician assistants (PAs) serving as the primary providers on-site, rather than physicians. This model grew …

Telehealth Adoption Rises Steadily in Urgent Care

Telehealth Adoption in Urgent Care has rose steadily throughout the years. View this graph with information provided by the Urgent Care Association.

Center Locations Double, Driven by Big Consumer Trends

Across the hills and valleys of healthcare, the rising power of the consumer has reshaped the landscape more than any other market shift in recent memory. Patient preferences are fueling demand for everything from virtual care to retail-store clinics. For urgent care, the innovations represent thrilling opportunity alongside equal measures of competition. The ratio of wins to losses will vary by market. Yet even with the large-scale disruption, urgent care has grown with intention, both …

In-Office Dispensing: The Good, the Bad, and the Unlikely

On paper (so to speak), in-office prescribing in the urgent care center would seem to be a no-brainer for all concerned: patients could avoid the time-consuming hassles of navigating the retail drugstore morass and head straight home with their medication, and providers could be assured that their patients got the right medication in a timely manner and could be the responsible parties to answer any questions they may have—all while collecting a modest profit. That’s …

There’s No Casual Approach to Improving Antibiotic Stewardship—but When You Make the Effort, It Works

Improving antibiotic stewardship was an industry-wide mandate even before a 2018 study indicated that urgent care appeared to be more likely than other settings to overprescribe for common infections. While the methodologies could be questioned, especially in their take on the nature of urgent care visits, the point was well taken. Since then, urgent care as a whole has sought to improve providers’ prescribing habits more aggressively than ever. The initial awareness campaigns did a …

That Notion That Urgent Care Centers Help Volume in the ED? It’s True

One of the key “selling” points of urgent care has always been that if patients who don’t have limb- or life-threatening concerns are able to get acute care someplace other than the emergency room, they would go there, thereby lowering cost, wait times, and risk associated with the ED. Now there’s evidence to support the first part of this premise, thanks to a new report from Mesirow Investment Banking. As seen in the graph below, …

The 10-Year Trend on UC Claim Lines Is Strong—in the City and in the Country

Click Here to download the PDF. Believe it or not, just a decade ago urgent care accounted for barely 6% of all claim lines in the United States. There was little difference between rural and urban settings, too. New research from FAIR Health1 shows that the picture changed dramatically in 2015, though, as the percentage of claim lines attributed to urgent care jumped nearly 5% in a single year and rural claims started to outpace …

Despite Challenges, Urgent Care Acuity Remains High

There’s been a bit of discussion in the urgent care industry (including in JUCM articles of late) concerning a perceived degradation of acuity in urgent care practice. The worry is that in the service of getting a maximum number of patients in and out the door quickly, some patients with more than minimally complicated complaints are advised to visit the closest emergency room when they could just as safely (and more cost-effectively) be treated in …

Healthcare Visits by Victims of Human Trafficking Are Limited, but Often Include Urgent Care

As noted in this month’s cover article (Human Trafficking in the Urgent Care Setting: Recognizing and Referring Vulnerable Patients), isolation is one of many tools perpetrators use to control victims of human trafficking. Certainly this includes limiting access to healthcare. Not surprisingly, when care is necessary it’s not likely to be sought in a primary care office. Rather, busy acute care sites that offer walk-in access and relative anonymity tend to be preferred—with urgent care …

COVID-19 Has Had a Strong Impact on Pediatric Presentations—Well Beyond the Virus Itself

The effects of SARS-CoV-2 itself on various populations in the United States and internationally have been well-documented. Likewise, an ever-growing number of studies have measured the effects of the pandemic on healthcare, the workforce, children’s education…and on and on. One fact that has been largely overlooked: While social distancing and mask mandates helped reduce spread of COVID-19, with the unintended benefit of reducing the number of cases of other infectious diseases, they did nothing …