Journal of Urgent Care Medicine

Until the COVID-19 Vaccine Is Widely Distributed, Keep Testing—and Reporting

When the Centers for Disease Control and Prevention updated their running count of data related to COVID-19 on December 7, a couple of subtle messages highly relevant to the urgent care provider stood out. Yes, the headlines went to the dramatic spike in cases, hospitalizations, and ICU admissions. However, the data also reveal something that emerged in Incidence of SARS-CoV-2 in Preoperative Patients Tested in an Urgent Care Setting, the original research articles featured on …

Making Antibiotic Resistance Awareness a Priority—A COVID-Created Opportunity

It’s a conversation I’ve had endless times. One that I’ve honed and refined stepwise over time, and one that my patients often tell me they hadn’t considered before: the appropriate use and overuse of antibiotics. And right now, with patients hyper-focused on healthy immune systems, medical providers are uniquely positioned to build antibiotic stewardship into our diagnostic process and significantly increase resistance awareness nationwide. Process and Priorities A year ago, my approach to sharing a …

What’s New for RCM? Updates on Coding for COVID-19 Testing

As lab testing for COVID-19 continues to evolve, new products—and new CPT codes—continue to emerge. The latest tests combine COVID-19 testing with a test for influenza A and B. There are two types: one includes the polymerase chain reaction (PCR) test, the other includes the antigen test. The new CPT codes are: 87636 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus …

New Lawsuits Re-examine Prescribing of PrEP in Urgent Care

Urgent message: Urgent care providers should take note of emerging class-action lawsuits when helping patients decide if PrEP (pre-exposure prophylaxis for HIV) is right for them. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care Few diseases ravage the body like HIV. As such, the healthcare world has been working for decades to develop treatments and methods to protect patients against it. One of the most promising treatments is pre-exposure prophylaxis …

Overcoming the Trauma of Making a Medical Error: Self-forgiveness is an Important Skill for Recovery

Have you ever made a mistake while practicing medicine that negatively affected somebody’s life? Even if you haven’t yet, you probably will if you practice long enough. Have you thought of how you will recover afterwards? Fatal errors can affect healthcare providers all through their career.1 Self-forgiveness after a medical error facilitates open mindedness, recovery from trauma, relief of mental and emotional anguish, re-engagement, growth, and regained appreciation for life.2 It is prudent for healthcare …

2020 Be Remembered for—Beyond the Obvious?

If you surveyed Google data for 2020, you’d probably find that some of the most oft-used terms of the year were pandemic, covid, coronavirus, or even social distancing, work from home, and new normal. Let’s just say it’s been a year of seismic cultural change not only in the United States and across the globe, but also within the urgent care industry. While, clearly, there have been many hardships and tragedies this year, urgent care …

Finding Urgent Care (and the Value of Recognizing a Specialty)

I arrived in New Zealand 11 years ago, a doctor without direction and certainly with no inkling of urgent care. I was one of those doctors who had always hoped to find their ultimate career path whilst at university. Alas, whilst I was able to remove some options (here’s looking at you Ob/Gyn) no single specialty sufficiently inspired me to follow that rabbit hole through to its conclusion. So, my medical career began with an …

Can Employers Mandate the COVID-19 Vaccine?

Urgent message: Based on precedent, urgent care operators and other employers can mandate the COVID-19 vaccine when available, subject to reasonable accommodation for exemptions, which are limited when an employee’s role is public- or patient-facing. As we strain our eyes to see the light at the end of the tunnel in this pandemic, many urgent care centers will continue to have front office staff, medical assistants, and providers interacting with the public. In fact, research …

Turning Back the Tide of Antibiotic Resistance, One (Unfilled) Prescription at a Time

According to JUCM’s own chart research, antibiotics are the most-prescribed class of medications in urgent care. This is not surprising, given that six of the top 10 presenting complaints in urgent care encompass possible diagnoses for which an antibiotic could be an appropriate choice.1 Still, there’s no denying that antibiotics have been overprescribed across the board—in retail clinics, emergency room, traditional primary care offices, and urgent care. This was clearly validated in a research …

Looking Forward to 2021

2020 has been a rough year for all of us, and everybody is eagerly awaiting 2021. One thing for urgent care providers to look forward to is simplified documentation standards for evaluation and management guidelines. Current documentation guidelines are over 20 years old. A lot has changed in that time, most importantly the adoption of electronic medical records (EMR). Thus, outdated expectations have created “note bloat,” unnecessary work, and contributed to provider burn out. The …