scholarly journals Do Urgent Care Centers Reduce Medicare Spending?

2021 ◽  
Author(s):  
Janet Currie ◽  
Anastasia Karpova ◽  
Dan Zeltzer
Keyword(s):  
Urgent Care ◽  
Urgent Care Centers ◽  
Medicare Spending

scholarly journals Utilizing Behavioral Science to Improve Antibiotic Prescribing in Rural Urgent Care Settings

2020 ◽  
Vol 41 (S1) ◽  
pp. s506-s507
Author(s):  
Patricia Cummings ◽  
Rita Alajajian ◽  
Larissa May ◽  
Russel Grant ◽  
Hailey Greer ◽  
...  
Keyword(s):  
Patient Education ◽  
Influenza Season ◽  
Action Plan ◽  
Inappropriate Prescribing ◽  
Urgent Care ◽  
Antibiotic Prescribing ◽  
Intervention Period ◽  
National Action Plan ◽  
Its Analysis ◽  
Urgent Care Centers

Background: The rate of inappropriate antibiotic prescribing for acute respiratory tract infections (ARTIs) is 45% among urgent care centers across the United States. To contribute to the US National Action Plan for Combating Antibiotic-Resistant Bacteria, which aims to decrease rates of inappropriate prescribing, we implemented 2 behavioral nudges using the evidence-based MITIGATE tool kit from urgent-care settings, at 3 high-volume, rural, urgent-care centers. Methods: An interrupted time series (ITS) analysis was conducted comparing a preintervention phase during the 2017–2018 influenza season (October through March) to the intervention phase during the 2018–2019 influenza season. We compared the rate of inappropriate or non–guideline-concordant antibiotic prescribing for ARTIs across 3 urgent-care locations. The 2 intervention behavioral nudges were (1) staff and patient education and (2) peer comparison. Provider education included presentations at staff meetings and grand rounds, and patient education print materials were distributed to the 3 locations coupled with news media and social media. We utilized the CDC “Be Antibiotics Aware” campaign materials, with our hospital’s logo added, and posted them in patient rooms and waiting areas. For the peer comparison behavioral intervention, providers were sent individual feedback e-mails with their prescribing data during the intervention period and a blinded ranking e-mail in which they were ranked in comparison to their peers. In the blinded ranking email, providers were placed into categories of “low prescribers,” those with a ≤23% inappropriate antibiotic prescribing rate based on the US National Action Plan for Combating Antibiotic-Resistance Bacteria 2020 goal, or “high prescribers,” those with a rate greater than the national average (45%) of inappropriate antibiotic prescribing for ARTI. Results: Our results show that fewer inappropriate antibiotic prescriptions were written during the intervention period (58.8%) than during the preintervention period (73.0%), resulting in a 14.5% absolute decrease in rates of inappropriate prescribing among urgent-care locations over a 6-month period (Fig. 1). The largest percentage decline in rates was seen in the month of April (−35.8%) when compared to April of the previous year. The ITS analysis revealed that the rate of inappropriate prescribing was statistically significantly different during the preintervention period compared to the intervention period (95% CI, −4.59 to −0.59; P = .0142). Conclusions: Using interventions outlined in the MITIGATE tool kit, we were able to reduce inappropriate antibiotic prescribing for ARTI in 3 rural, urgent-care locations.Funding: NoneDisclosures: Larissa May repo, Speaking honoraria-Cepheid Research grants-Roche Consultant-BioRad Advisory Board-Qvella Consultant-Nabriva

Finding the path of least resistance: Locally adapting the MITIGATE toolkit in emergency departments and urgent care centers

2021 ◽  
pp. 1-3
Author(s):  
Joanne Huang ◽  
Zahra Kassamali Escobar ◽  
Todd S. Bouchard ◽  
Jose Mari G. Lansang ◽  
Rupali Jain ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Antimicrobial Stewardship ◽  
Emergency Departments ◽  
Urgent Care ◽  
Complex Data ◽  
University Of Washington ◽  
Primary Care Clinics ◽  
Urgent Care Centers ◽  
The University

Abstract The MITIGATE toolkit was developed to assist urgent care and emergency departments in the development of antimicrobial stewardship programs. At the University of Washington, we adopted the MITIGATE toolkit in 10 urgent care centers, 9 primary care clinics, and 1 emergency department. We encountered and overcame challenges: a complex data build, choosing feasible outcomes to measure, issues with accurate coding, and maintaining positive stewardship relationships. Herein, we discuss solutions to challenges we encountered to provide guidance for those considering using this toolkit.

Increased access to urgent care centers decreases low acuity diagnoses in a nearby hospital emergency department

2019 ◽  
Vol 37 (3) ◽  
pp. 486-488 ◽  
Author(s):  
Ingrid Llovera ◽  
Kirsten Loscalzo ◽  
Jia Gao ◽  
Timmy Li ◽  
Martina Brave ◽  
...  
Keyword(s):  
Emergency Department ◽  
Urgent Care ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Urgent Care Centers

Most Transfers from Urgent Care Centers to Emergency Departments Are Discharged and Many Are Unnecessary

2018 ◽  
Vol 54 (6) ◽  
pp. 882-888 ◽  
Author(s):  
Tony Zitek ◽  
Ignasia Tanone ◽  
Alexzza Ramos ◽  
Karina Fama ◽  
Ahmed S. Ali
Keyword(s):  
Emergency Departments ◽  
Urgent Care ◽  
Urgent Care Centers

Urgent Care Centers

2014 ◽  
pp. 63-85
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Occupational Medicine ◽  
Urgent Care ◽  
Care Services ◽  
Primary Care Services ◽  
Per Capita ◽  
Urgent Care Centers ◽  
Care Costs

This chapter focuses on urgent care centers as a unique innovation that has been in the making for the last 30 years. Urgent care centers provide unscheduled or walk-in care, are open for extended hours on weeknights and weekends, and provide services that go beyond what primary care physicians provide, such as occupational medicine, laboratory tests, and fracture care such as splinting and casting, with some providing intravenous fluids, routine immunizations, and primary care services. This chapter describes in-depth the history and growth, operations, and stakeholders of urgent care centers, and overviews the research that relates to quality of care, costs, and patient satisfaction in these centers. Given the expanding industry, strong growth in company numbers, greater employment opportunities, and rising per-capita usage of urgent care centers, the author argues that the urgent care industry is in the growth phase of its life cycle.

Cutaneous

2018 ◽  
pp. 285-289
Author(s):  
Judson Barber ◽  
Jacinta Cooper
Keyword(s):  
Local Anesthesia ◽  
Emergency Departments ◽  
Urgent Care ◽  
Incision And Drainage ◽  
Developmental Age ◽  
Urgent Care Centers ◽  
Outpatient Settings ◽  
Treatment Procedures

Lacerations, abscesses, and burns are common presenting complaints evaluated in outpatient settings, urgent care centers, and emergency departments. These conditions are often painful, and the treatment procedures may cause additional pain or anxiety. The location and severity of the wound and the chronologic and developmental age of the patient influence the need for local anesthesia or systemic medications to make procedures tolerable for the patient. This section discusses the safe administration of medications to facilitate laceration repair, incision and drainage of abscesses, and burn debridement. General principles of the types of analgesia or sedation that are useful for these procedures are discussed.

Urgent Care Centers Delay Emergent Surgical Care Based on Patient Insurance Status in The United States

2020 ◽  
Vol 272 (4) ◽  
pp. 548-553
Author(s):  
Walter R. Hsiang ◽  
Daniel Wiznia ◽  
Laurie Yousman ◽  
Michael Najem ◽  
Alison Mosier-Mills ◽  
...  
Keyword(s):  
United States ◽  
Surgical Care ◽  
The United States ◽  
Urgent Care ◽  
Insurance Status ◽  
Urgent Care Centers
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