Last week, I twisted my ankle playing in the backyard with my dogs. My dogs have me well trained; I throw the ball, they chase it, then they run away, making me then chase them to retrieve the ball.
On one such circuit, my foot hit one of the holes one of my dogs had dug (I
love my dogs!), and my ankle rolled in a manner that a 50+-year-old man's ankle
should not move. After a quick check to ensure that none of my neighbors saw
what happened, I picked myself up and limped into the house. After taking two
ibuprofen and icing my ankle, the swelling did not go down, and my ankle was
turning a lovely shade of purple. My next action was to ask my wife to take me
to the local urgent care facility. At no point did I think to go to my local
hospital's emergency room. It wasn't until after I returned home with doctor's
orders to rest, take ibuprofen, and ice the offending joint, did I realize
something interesting. That should this have happened six years ago; I would
have gone to the hospital instead of an urgent care facility.
(BTW, the story of above is entirely, 100%, fictitious. I, as a grown
man, would never allow himself to be trained by three lovable rescue
dogs!)
However, I, like most Americans, have come to rely on urgent care
facilities for non-life threatening injuries and illnesses. The rapidly growing
marketplace of urgent care facilities has crept into our daily lives. The
healthcare market has seen a growing demand for urgent care facilities due in
large part to consumers demanding more choices, faster access to a healthcare
provider, and a better patient experience.
Being able to run to a local
pharmacy, without an appointment, for a sore throat is not only faster but more
convenient. The nurse practitioner can prescribe the appropriate medications and
send it to the pharmacist in seconds. Most times, by the time I leave the exam
room, my prescription is ready. Or, visiting an urgent care facility for a
twisted ankle (that stupid fictitious hole in my backyard!) and be x-rayed,
examined and on my way home in less than an hour is a much better experience
than an emergency room. (Let me unequivocally state the obvious - emergency
rooms triage patients based on the severity of the illness or injury. They
rightfully place patients that are severely wounded or very sick ahead of grown
men who trip while playing with their dogs.)
What does
goes into making the experience better for the patient?
Urgent care centers are a modern invention, having, for the most part,
started within the last decade. The 21st Century patient was the model for the
workflow. This consumer not only wants their goods and services now, but they
also want high-quality products and services. This patient wants to seen
quickly, examed thoroughly and be on their way with a solution to their illness
or injury in a relatively short period of time. And if they don't get what they
want? They are more than happy to visit the urgent care center across the
street. With few brands excepted (Apple and Nike come to mind), the 21 Century
consumer is not a brand loyal creature.
One of the differentiators is the
equipment in the facilities. Unfortunately, some hospital systems saw the new
business model of urgent care facilities as an excuse to transfer their old
equipment and purchase new equipment for the hospital. While these new
facilities were beautiful to look at and great for a sore throat, they failed
the expectations of this 21st Century consumer. Having old or outdated x-ray
equipment break down or not provide good diagnostic images caused many of this
type of facility to fail. Centers that invested in new equipment with state of
the art technologies offered a better patient experience.
Today's
radiology companies offer x-ray solutions designed for use in urgent care
facilities. Floor mounted digital radiology systems, mobile x-ray units, and
u-arms provide high-resolution digital images while occupying a small footprint.
While these systems are small in size, they do not compromise quality. Many
offer the same diagnostic image quality of full-size machines found in hospitals
and imaging centers. For my fictitious ankle, an x-ray on a new DR portable was
good enough for my physician to determine my ankle wasn't broken.
So the
next time you twist your ankle playing catch with the dog, remember to visit an
urgent care facility. But should you have your ankle snapped in two by a timber
wolf, you probably should skip the urgent care facility and head to the
emergency room.
***That's my dog Odie, he is a six-year-old, 80lb rescue
pup that loves to play catch.
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