Journal of Urgent Care Medicine

Will Urgent Care Centers Benefit from Transformation of Big Retail Spaces?

As we’ve told you previously, visionary urgent care operators are finding golden opportunities in empty spaces that in years past would not have been considered prime locations for healthcare facilities (banks, restaurants…). Now it looks like there could be similar opportunity in retail space being vacated in larger shopping centers and malls. An article in Business Insider suggests that big retail spaces, already finding it harder to fill vacancies with traditional shopping outlets, will have …

Credit Card Holds Can Prevent the Hassle of Chasing Payment

While it may take patients a little time to get used to the idea, prepayment and credit card holds are becoming more and common among urgent care operators who are tired of chasing down payment from patients who’ve already received care—or having to write off charges altogether. Revenue cycle management leaders like Practice Velocity actively promote the concept to their partners. As with anything new (especially anything new involving money), some patients object to the …

Urgent Care Has a Place in Adolescent Suicide Screening

There aren’t many things more truly urgent than a child considering suicide. More adolescents kill themselves than die from cancer, heart disease, and many other causes combined, in fact. Now researchers at the University of Missouri‒Kansas City School of Medicine say a brief screening tool designed to detect suicidal risk was shown to be effective in a pediatric urgent care clinic. Considering previous studies showing that 17% of high school students had seriously considered suicide—and …

Be Careful When Asking About the ‘S’ Word in Interviewing Candidates

Different markets have different standards of living—and compensation. So, it’s important to get a sense early on whether what you’re willing to pay aligns well with qualified job seekers. That’s going to be a lot tougher if an emerging trend continues to grow, however. Some cities and states are forbidding interviewers from asking candidates about their current, or most recent, salary. Legislation to that effect was just passed in Philadelphia, though the city will delay …

Are Alternative Payment Models Catching On?

There’s little evidence that emerging payment models (eg, concierge medicine, cash-only practices, and accountable care organizations [ACOs]) are gaining any serious traction in urgent care—but that doesn’t mean they’re not making headway elsewhere. ACOs, in particular, are growing in usage among physicians, according to the Medscape Physician Compensation Report 2017. Usage of cash-only and concierge models is also growing, albeit much more modestly, as the graph below shows. Data source: Medscape Physician Compensation Report 2017. …

A Multimodal Intervention to Reduce Antibiotic Use for Common Upper Respiratory Infections in the Urgent Care Setting

Urgent message: Upper respiratory infections (URIs) are the most common presenting complaint in urgent care. Regardless of etiology or provider specialty, antibiotics are prescribed 60% of the time for the treatment of URIs, contributing to drug-resistant respiratory organisms. Employing a multimodal intervention, the authors we were able to appreciate a modest, statistically significant decrease in the rate of antibiotic prescribing among urgent care providers. Introduction Antimicrobial resistance is arguably one of the greatest risks to …

ED ‘Superusers’ Have Unmet Needs Beyond Their Symptoms

Urgent care has taken root, among other reasons, based on its capability to treat patients who otherwise would be sitting (and waiting) in local hospital emergency rooms with nonemergent illness and injury. This benefits not only our industry and the patients who need urgent care, but also those patients who will find a less-crowded ED than they might find in a world without urgent care. And some of them—particularly those covered by Medicare and Medicaid, …

Physicians Make More Money in Rural, Low-Cost Areas

There may be a certain amount of prestige to be aligned with major teaching hospitals in Boston, New York, Chicago, and Los Angeles, but physicians on the outskirts of medium-size cities are fetching higher pay these days, according to data just released by Doximity, a social network for clinicians. Researchers found salaries to be highest in rural, low-cost areas within medium-sized metropolitan areas. Doctors and advanced practice providers in the Charlotte, NC metro area are …

How to Hire Your Next Urgent Care Manager

Urgent message: Urgent care centers need engaged and effective operations leadership, which entails clearly defining managerial roles, individual skillsets and personality characteristics and also having a process for attracting, interviewing, and qualifying managerial candidates. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Experity and is Practice Management Editor of The Journal of Urgent Care Medicine. Jim Clifton, the highly respected CEO of global performance and research leader Gallup, has often stated …

When to Fight a Claim for Unemployment

Urgent message: While unemployment insurance claims can cost an urgent care center through higher future premiums, there are multiple considerations for when a center should contest or approve an unemployment claim. Urgent care centers, as service businesses, frequently experience a high rate of turnover among their less skilled, frontline staff—eg, receptionists, clerks, and medical assistants. Whether an employee quits or is terminated for cause or performance, a common issue for urgent care center owners is …