Why Urgent Care?

  • The only real way an Emergency Physician can "put up a shingle.“
  • 70-80% of patient seen in hospital ED’s go home, we can see them at Winding Cross Urgent Care
  • The Urgent Care Centers industry represents one of the fastest-growing segments of the American healthcare system. (IBIS World - Feb 2013)
  • Fixed and predictable hours
  • No night shifts
  • No institutional headaches
  • No EMTALA issues (unless affiliated with a hospital)
  • No contract concerns - be the master of your own destiny
  • Be your own Boss! - the satisfaction of owning your own practice

Emergency Physicians in Urgent Care

  • A natural practice extension from the Emergency Department
  • We are natural multitaskers - can easily maintain patient flow
  • We are comfortable with any walk in complaint
  • We have procedure skills in numerous specialties
  • We are comfortable with any acuity
  • Our training makes us the best practitioners for the Urgent Care segment
  • Patients seek Board Certified physicians for their care

Current State of Urgent Care

  • The "wild west" of medicine
  • Any practitioner from any specialty can open an "urgent care center."
  • Diverse delivery of services
  • Diverse provider pool
  • Lack of standardized services
  • Not typically accredited by any organizational body
  • Most are extensions of primary care services
  • Most do not see moderate acuity patients (dehydration requiring IV fluids, abdominal pain or chest pain workups)

Freestanding ER vs Winding Cross Urgent Care

Freestanding ER Winding Cross Urgent Care
Receives ambulances No ambulances
Under EMTALA rules Not under EMTALA
Under hospital administration Locally owned and usually staffed by owners
Transfers require documentation
Transfers can be arranged as direct admissions (workup already done)
No onsite specialty backup
No onsite specialty backup
Diagnostics to include X-ray, CT, ultrasound
Diagnostics to include X-ray, CT, ultrasound
Onsite laboratory Onsite laboratory
Not very cost effective to the patient Much more cost effective to the patient

Urgent Care vs Winding Cross Urgent Care

Urgent Care
Winding Cross Urgent Care
Practitioners with varied backgrounds
BC Emergency Physicians
Usually involves Primary Care No primary care services
Very low acuity Any acuity that can drive in
Questionable diagnostics ability
Delivery of near hospital level diagnostics
Questionable acute care knowledge with ill patients Emergency Department level of care in an Urgent Care setting

Current State of Hospital Based ED's

  • Nation's Grade Drops to a Dismal D+ for Failure to Support Emergency Patients
    Jan 16, 2014
  • WASHINGTON, Jan. 16, 2014 /PRNewswire-USNewswire
    Emergency physicians today sounded a warning that the continuing failure of state and national policies is endangering emergency patients, citing as proof a worse grade of D+ in the latest edition of a state-by-state report card on support for emergency care (Report Card). The Report Card forecasts an expanding role for emergency departments under Obamacare and describes the harmful effects of the competing pressures of shrinking resources and increasing demands. The Report Card measures conditions and policies under which emergency care is being delivered, not the quality of care provided by hospitals and emergency providers.
  • Emergency physicians today sounded a warning that the continuing failure of state and national policies is endangering emergency patients
  • Citing as proof a worse grade of D+ in the latest edition of a state-by-state report card
  • The Report Card forecasts an expanding role for emergency departments under Obamacare and describes the harmful effects of the competing pressures of shrinking resources and increasing demands.
  • The Report Card measures conditions and policies under which emergency care is being delivered, not the quality of care provided by hospitals and emergency providers.
  • The problem is NOT with Emergency Physicians
  • The problem is with the SYSTEM they are forced to work with
  • Third party payers are steering patients away from hospital ED’s

In Closing

  • Practice Emergency Medicine the way you were trained
  • Receive “thank you” from patients because they made a choice to see you, not because they HAD to see you
  • Join us in revolutionizing Urgent Care and the delivery of acute care services
  • People will seek out the brand for their Urgent Care needs
  • Emergency Physicians are the best trained for this type of practice – and patients know it