Practice Management
Influenza sits alone as the only infectious disease among the top 10 causes of death in the United States, proving more work needs to be done to ensure everyone who needs a flu shot gets one. Urgent care is ideally suited to saving lives through prevention in this area, being an increasingly popular destination for people without a “medical home” and among newly insured patients. Influenza and pneumonia are listed as the seventh leading causes …
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The Centers for Disease Control and Prevention (CDC) has been very active in pushing for more responsible antibiotic prescribing lately. Now they’ve issued more formal direction in the form of guidelines for antibiotic prescribing in outpatient settings, offering four stewardship “pillars” for prescribers to follow. CDC’s Core Elements of Outpatient Antibiotic Stewardship, published in Morbidity and Mortality Weekly Report (MMWR), recommends that outpatient facilities like urgent care centers demonstrate dedication to and accountability for optimizing …
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Calling it “an emerging threat,” the head of the Centers for Disease Control and Prevention is urging healthcare providers in all settings to “act now to better understand, contain, and stop the spread of” infection caused by drug-resistant Candida auris. CDC Director Tom Frieden, MD, MPH, notes that C auris can be fatal, making the new drug-resistant strain especially concerning. The CDC recently issued its first report of 13 cases in the United States (in …
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Last year’s relatively mild flu season is likely indicative of two things: The vaccine produced was a good match for the prevalent strains of influenza, and this year’s season could be a doozy. The latter point would be borne out by history, which shows that “good” flu seasons are most often followed by “bad” flu seasons. That’s why the Centers for Disease Control and Preventions continues to hammer home the message that early vaccination is …
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Urgent Message: Tobacco-related illness costs the U.S. healthcare system billions in preventable medical expenses, yet many employees of urgent care centers continue to light up. It may be time for your urgent care center to address the issue of employee smoking by offering incentives for smoking cessation. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice Management Editor of JUCM—The Journal of Urgent Care Medicine. A …
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Reducing the rate of antibiotic resistance—let alone treating patients effectively and efficiently—means prescribing the right drug for the right pathogen at the outset. Unfortunately, it doesn’t always happen that way, so the Centers for Disease Control and Prevention (CDC) and the Pew Charitable Trusts and other public health and medical experts to determine how much U.S. outpatient antibiotic use is inappropriate and to set national targets for improving antibiotic prescribing. They found that at least …
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The Centers for Disease Control and Prevention estimates more than 136 million people end up in an emergency room every year in the United States. Of those, 2.1 million are admitted to a critical care unit. Many of the rest could be treated just as well—and much more conveniently and less expensively—in a full-service urgent care center. Consider that the following are among the most common reasons for visits to the ED: Skin infections Cuts …
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The flu season has barely begun, with the peak not expected for at least 2 months, but there’s already an uptick in reported cases—and multiple deaths—around the country. Just last week, Nevada reported three fatalities and North Carolina reported its first of the 2016–2017 season. The grim news is an opportunity to stress to patients the importance of getting their annual flu shot early, as suggested by the Centers for Disease Control and Prevention. Ask …
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The Centers for Disease Control and Prevention notes that use of opioids in pregnant women can lead to birth defects, suggesting that alternatives for pain management of severe pain should be considered. In addition, more thought needs to be given about the wisdom of providing opioids to women who are of childbearing age and not using birth control. However, a study published in Morbidity and Mortality Weekly Report found that opioids are prescribed to over …
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We told you recently that fewer than half the patients in the “millennials” age group (roughly, those born between 1982 and 2004) are planning to get a flu shot this year—in spite of the fact that the Centers for Disease Control and Prevention is urging patients in general to get vaccinated earlier than ever. Now a study by UPI indicates that U.S. parents who don’t get their kids immunized make that choice because they simply …
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