Comments on: An MD/MBA bets big on urgent care http://www.kevinmd.com/blog/2006/08/mdmba-bets-big-on-urgent-care.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: velocidochttp://www.kevinmd.com/blog/2006/08/mdmba-bets-big-on-urgent-care.html#comment-67163 velocidoc Sat, 16 Sep 2006 01:00:00 +0000 http://clients.emmense.com/kevinmd/2006/08/an-mdmba-bets-big-on-urgent-care.html#comment-67163 Exactly right! "High quality and quickly" is the key to urgent care medicine. The <a HREF="http://www.ucaoa.org" REL="nofollow">Urgent Care Association of America</a> is helping many physicians enter the growing field of urgent care medicine. It features two full-day (plus) conferences on starting an urgent care center each year. It is a great opportunity to find out what it takes to start an urgent care center. At <a HREF="http://www.practicevelocity.com" REL="nofollow">Practice Velocity Urgent Care Solutions</a>, it has been a great privelege to work with so many bright, motivated physicians in opening new urgent care centers. Exactly right! “High quality and quickly” is the key to urgent care medicine. The Urgent Care Association of America is helping many physicians enter the growing field of urgent care medicine. It features two full-day (plus) conferences on starting an urgent care center each year. It is a great opportunity to find out what it takes to start an urgent care center. At Practice Velocity Urgent Care Solutions, it has been a great privelege to work with so many bright, motivated physicians in opening new urgent care centers.

]]> By: Dexhttp://www.kevinmd.com/blog/2006/08/mdmba-bets-big-on-urgent-care.html#comment-66398 Dex Tue, 22 Aug 2006 07:42:00 +0000 http://clients.emmense.com/kevinmd/2006/08/an-mdmba-bets-big-on-urgent-care.html#comment-66398 Gee, left out some stuff: d-dimers for low risk PE pts, amyl/lip for pancreatitis, and fingersticks for known DMers or AMS. Risk stratification (aka "triage") would be key here. Let's just exclude older, unstable, dysrhythmic, coagulopathic, or s/p revascularization-ers. Or anyone who might need a consult. Definetely AMSers or gomers. Many hospitals as well as mine already have a system in place for this: In 16 shifts I have yet to see an asthmatic patient, uncomplicated broken bone, uncomplicated abscess ('cept at night when the PA's who staff the "other" ER go home). I think ppl would rather see a dr., tho. <br/><br/>Anything conceivably not requiring consult, admission, CT, or AMS workup would be ideal. Frustrated ER docs with ER's clogged with sniffles and scrapes and drug refills would be ideal. Esp if U/S was a big part of it. Interesting. Gee, left out some stuff: d-dimers for low risk PE pts, amyl/lip for pancreatitis, and fingersticks for known DMers or AMS. Risk stratification (aka “triage”) would be key here. Let’s just exclude older, unstable, dysrhythmic, coagulopathic, or s/p revascularization-ers. Or anyone who might need a consult. Definetely AMSers or gomers. Many hospitals as well as mine already have a system in place for this: In 16 shifts I have yet to see an asthmatic patient, uncomplicated broken bone, uncomplicated abscess (‘cept at night when the PA’s who staff the “other” ER go home). I think ppl would rather see a dr., tho.

Anything conceivably not requiring consult, admission, CT, or AMS workup would be ideal. Frustrated ER docs with ER’s clogged with sniffles and scrapes and drug refills would be ideal. Esp if U/S was a big part of it. Interesting.

]]> By: Dexhttp://www.kevinmd.com/blog/2006/08/mdmba-bets-big-on-urgent-care.html#comment-66397 Dex Tue, 22 Aug 2006 07:24:00 +0000 http://clients.emmense.com/kevinmd/2006/08/an-mdmba-bets-big-on-urgent-care.html#comment-66397 I am down with this business model. In the ER as a junior doc I am the one who mostly picks up the slack with respect to these patients anyway. The things that COULD be an emergency, but are often not. Chest pain, for example. Most of the time, if the history is good and the risk factors are there, we do EKG, CXR, one set of cardiac enzymes as well as some other stuff depending on the presentation. "GI cocktail" for suspected GERD, GB U/S for cholelithiasis, or mo-feen for suspected msk issue. All of this could be done by burnt out ER docs with lots of experience in an urgent care clinic near a hospital, especially if they have U/S. It's better to let the Drs triage the pts anyway, cuz ppl just wont tell some things to nurses. I am down with this business model. In the ER as a junior doc I am the one who mostly picks up the slack with respect to these patients anyway. The things that COULD be an emergency, but are often not. Chest pain, for example. Most of the time, if the history is good and the risk factors are there, we do EKG, CXR, one set of cardiac enzymes as well as some other stuff depending on the presentation. “GI cocktail” for suspected GERD, GB U/S for cholelithiasis, or mo-feen for suspected msk issue. All of this could be done by burnt out ER docs with lots of experience in an urgent care clinic near a hospital, especially if they have U/S. It’s better to let the Drs triage the pts anyway, cuz ppl just wont tell some things to nurses.

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