Journal of Urgent Care Medicine

Staying in Good Stead with OSHA Starts with Maintaining Proper Records

Urgent message: Urgent care operators have a multitiered relationship with the Occupational Health and Safety Administration: as an employer required to provide a safe workplace for employees; in the context of helping occupational medicine clients maintain compliance with relevant OSHA regulations; and in maintaining through and accurate records of occ med employee cases. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Senior Practice Management Editor of The Journal …

What Urgent Care Operators Need to Know About OSHA

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. Urgent message: Though the topic of OSHA doesn’t often come up in the context of urgent care facilities themselves, operators are nevertheless required to have a thorough understanding of its standards and guidelines towards ensuring their facilities are in compliance, and that the health and safety of employees, patients, and …

Legal Considerations for Expedited Partner Therapy in Urgent Care

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. Urgent message: Expedited Partner Therapy enables a provider, when treating a patient for a sexually transmitted infection, to give a second prescription for the patient’s partner without having to examine the partner. Introduction Expedited Partner Therapy (EPT) is the clinical practice of treating the sex partners of patients diagnosed with …

Can Urgent Care Patients be Treated Anonymously?

Urgent message: Due to the perceived “acute nature” of the urgent care setting, many patients falsely believe that they can be treated anonymously. On the contrary, legal implications, insurance practices, and the integration of technology with medical records mean that delivering anonymous care is nearly impossible. 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. Healthcare is intensely personal, …

What Use Restrictions Can Landlords Impose on Urgent Care Facilities?

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. Urgent message: Lease “exclusivity of use” provisions prohibiting competing urgent care centers, walk-in medical clinics, primary care offices, etc. are often used in leases to protect an urgent care center, but there are implications for both landlord and tenant. “Landlord agrees that no other space in the Fairland …

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 …

#MeToo in the Urgent Care Center: When the Perpetrator is a Patient

Urgent message: Most urgent care operators are well aware of the need for strong, clear policies on sexual harassment among team members. Your responsibility to protect your employees doesn’t end there, though. Situations in which the harasser is a patient present unique challenges—and consequences. Suzanne C. Jones and Roma B. Patel INTRODUCTION The #MeToo movement may have begun with high-profile actresses in Hollywood publicly acknowledging years of inappropriate behavior at the hands of powerful men …

The Consequences of a Medical Provider Quitting Without Notice

Urgent message: Patients and communities rely on access to urgent care to augment primary care shortages and decant over-crowded Emergency Departments. A provider who quits without notice causes scheduling disruptions which could be considered “patient abandonment.” Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine Once a medical provider has accepted a patient into her practice, she is …

How Best to Manage an ‘At-Will’ Termination

Urgent message: In most states, employment is at will—meaning that an employer can fire or terminate an employee at any time, for any reason that is not against the law. Even so, the employment at-will doctrine isn’t a license for an employer to fire employees at the drop of a hat. There are still critical considerations for urgent care operators to heed when terminating a provider or staff member. Alan A. Ayers, MBA, MAcc is …

Do Nurse Practitioners and Physician Assistants Qualify for Overtime in the Urgent Care Setting?

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. Urgent message: Physician assistants and nurse practitioners perform many of the same tasks as physicians in urgent care settings, but ambiguity as to the nature of their practice means additional consideration must be given in how their pay is structured. The federal Fair Labor Standards Act1 (FLSA) states that all …