Journal of Urgent Care Medicine

Arkansas UC Centers Anticipate Ambulance Arrivals

In Arkansas, a new rule will begin January 1, 2024, allowing ambulance services to triage, treat, and transport patients to alternative destinations, including urgent care centers, physician offices, and behavioral health facilities. However, the ambulance service will be on-task to first coordinate the patient’s care with a physician or a behavioral health specialist via telemedicine. Insurers will also be required to cover 911-initiated ambulance dispatch resulting in telemedicine triage, transportation to the alternative destination, and/or treatment …

Positive Perception of Urgent Care Rises

A new poll from Gallup found that Americans have a more favorable perception of the care and attention they receive at urgent care compared to many other provider types. Among the list of 9 healthcare players in the 2023 Health and Healthcare survey, urgent care ranks just above the middle at number 4. Here’s how respondents rated urgent care: “Excellent/Good”: 56%; “Only Fair”: 32%; “Poor”: 10%. Nurses receive the best rating from consumers with 82% …

CVS Adds Large In-Store Clinic Space for Carbon Health

In January 2023, pharmacy chain CVS made an investment of $100 million in Carbon Health—a primary care and urgent care operation—presumably to augment the limited scope of CVS’ existing MinuteClinic business. Now, CVS retail stores in the Northeast are starting to show signs of Carbon Health’s entrance. According to Salem News (Massachusetts), locations in the cities of Beverly and Swampscott are planning to open new in-store clinics that will replace and significantly expand on the …

Free Federal Program Competes With UC During Flu Season

The Home Test to Treat program, a virtual community-health initiative created by the federal government, has scaled up to offer free nationwide testing and treatment services for COVID-19 and influenza. Offering at-home rapid tests, telehealth sessions, and home-delivered medication, the program is a collaboration among three federal agencies. Uninsured adults or those enrolled in Medicare, Medicaid, Veterans Affairs, or the Indian Health Services can now enroll to receive free tests. Positive test results allow patients …

47-Year-Old With Left Hip Pain

One afternoon, a 47-year-old man presents in the urgent care with left hip pain that he says just started in the past day or so. He says he hasn’t had any injuries or falls. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case can be found by clicking “Solve this Case” below.

Flu Season Instigates Longer ED Wait Times

In a cohort study of more than 2.7 million emergency department (ED) visits published in JAMA Network Open, researchers found long wait times and lengths of stay were common at children’s hospitals during the 2022 surge of viral respiratory illnesses. They studied visits across 25 EDs from September 1 to December 31, 2022, including 301,688 pediatric visits for viral and respiratory illness, such as COVID-19 and respiratory syncytial virus. The experience during this time period …

Florida Hospitals May Need UC Partnerships—Possibly To UC’s Detriment

Under the “Live Healthy” initiative proposed by Florida lawmakers in early December, every hospital emergency department (ED) would need to create a plan for handling patients who present with non-emergent conditions and/or for those who do not have access to a primary care physician. The aim of the proposed legislation is to divert non-emergent ED visits to urgent care or primary care, thus saving ED resources and encouraging less costly preventive care. If passed, the rules would …

AI Voice App Helps Optimize Insulin Dosing

When Alexa talks to patients with type 2 diabetes, apparently they listen. A study in JAMA Network Open found patients gained better glycemic control when they engaged with an artificial intelligence (AI) voice app—which was customized by their respective clinicians to help them achieve optimal insulin dosing. App users demonstrated significantly better insulin adherence and glycemic improvement during the 2-month trial. Glycemic control was measured by mean fasting blood glucose, rather than HbA1c. The app …

Ohio County Raises Alarm Over Pediatric Pneumonia Outbreak

Health officials in Ohio are tracking a surge in pediatric pneumonia cases in Warren County, with 145 cases reported in children aged 3 to 14 since August. Although these are considered “typical pediatric pneumonia cases” in terms of severity, the prevalence has led to an unusually high number of hospitalizations, meeting the criteria for an outbreak according to the Ohio Department of Health. While the Centers for Disease Control and Prevention notes that the national …

Sesame Competes With UC on Doctor’s Notes

Sesame, a virtual and in-person primary care provider with direct-pay pricing, has now added the ubiquitous doctor’s note to its list of services. In the company’s press release, it clearly draws competitive battle lines in the market by calling out urgent care as an option that “is quite expensive” for patients who need to obtain doctor’s notes for work or school. Sesame offers the notes free of charge with paid consultations, which start at $30. …