Journal of Urgent Care Medicine

Telephone Interpreting: Improving Healthcare Outcomes and the Bottom Line

Urgent message: Using interpreters in the urgent care setting can help you provide quality healthcare and save time and money. Bruce Merley Imagine that it is late Friday night and you and a nurse are the last remaining staff on duty at your urgent care center. A couple arrives and the woman appears to have several facial cuts and bruises. When you greet them, the man responds in a language you do not understand. You …

Technology in Urgent Care: Digital or Conventional Imaging?

Urgent message: More and more urgent care clinics are wrestling with whether to offer digital or conventional x-rays. In this article, Registered Technologist Trip Hale offers expert advice on how to make the decision. Trip Hale, RT, (R) Introduction For today’s urgent care clinics, imaging is an internal part of providing complete diagnostic and treatment services. Because reimbursement for diagnostic studies is lower for physician-owned than for hospital or outpatient imaging facilities, a well-planned and …

Motivate Your Front-Line Staff With Enlightened Leadership

Urgent message: Registration specialists, medical assistants, and techs may be your lowest-paid employees, but the success of your urgent care is in their hands—and their success is in yours. ALAN A. AYERS, MBA, MAcc, Experity Urgent care is a service business whose long-term viability depends on patient loyalty and word of mouth. That’s why urgent care entrepreneurs spend tens of thousands of dollars in selecting the right locations, equipping them with the latest technology, and …

An Urgent Care Lab as a Profit Center?

Urgent message: An onsite lab can generate significant revenue for your practice. Lab expert Tim Dumas shows how. TIM DUMAS, MLT,CLS Introduction I have been a lab tech for almost 35 years and serve as advisor to 45 physician office labs around the country. I have seen many changes in that time, most for the better. Thirty—even 20—years ago, a stat CBC with differential was a 15-minute-procedure and required a skilled lab tech to get …

A Better Way to Settle Malpractice Suits?

Urgent message: Mediation could produce better outcomes than litigation for patients and physicians—if doctors would only show up. CAROL B. LIEBMAN, JD Introduction A stomach pain is misdiagnosed as viral gastroenteritis. The patient ends up in the hospital for six days with complications from a ruptured appendix. A physician prescribes penicillin to a woman with clearly documented allergies, which leads to anaphylaxis and a day in the ICU. A severe headache is labeled a migraine; …

Take Patient Satisfaction to the Next Level

Urgent message: Companies like Apple and Nordstrom have raised the quality of customer experience to an art form, one that urgent cares would do well to emulate. ALAN A. AYERS, MBA, MACC, Experity Introduction Urgent care is positioned as a consumer-focused delivery channel for low-acuity medical services differentiated from hospital emergency departments and primary care practices by retail-facing locations, extended evening and weekend hours, and walk-in convenience. As with airlines, restaurants, and other service businesses, …

Planning for Meaningful Use? The Clock Is Ticking

Urgent message: CMS offers stimulus funds to providers who “attest” that their EHR use improves patient care: up to $18,000 in 2011 alone. The sooner you do, the more you stand to earn. ERIC McDONALD “Meaningful use” refers to the use of a “certified” electronic health record (EHR) to meet specific objectives established by the Centers for Medicare & Medicaid Services (CMS), which administers the EHR incentive program. An EHR is certified when it demonstrates …

Dealing with the Disruptive Doctor

Urgent message: When a physician is dubbed “Tom the Terror,” turning a blind eye can send patients and staff heading for the exit, wreck your reputation, and spark a lawsuit. Here’s what to do instead.LEONARD D. GOODSTEIN, PHD, ABPP, and JOHN SHUFELDT, MD, JD, MBA, FACEP Tom P. is a competent, board-certified emergency physician. He is liked and respected by his patients. But Tom‘s relationships with staffers at the urgent care center where he still …

Enhancing Profits with Immigration Physicals

Urgent message: Conducting immigration physicals can be surprisingly lucrative. These relatively high-priced, cash-only visits incur no insurance billing or accounts receivable carrying costs. And because they are scheduled, ebbs and flows in patient volume can be leveled. Here’s how it works. Alan A. Ayers, MBA, MAcc Practice Velocity The success of a new urgent care center in a community requires a change in consumer behavior, with a sufficient number of residents shifting their utilization from …

Competitive Analysis to Stand Above the Crowd

Urgent message: Providing high-quality care and good service is not necessarily enough to attract and keep patients, especially if those patients can take their pick from among several urgent care centers. More and more, urgent care operators need to be aware of how their competitors operate. Alan A. Ayers, MBA, MAcc Practice Velocity All too often, urgent care entrepreneurs operate in a vacuum. They feel that if they offer a well-appointed facility with good signage, …