JUCM, The Journal of Urgent Care Medicine September 2008

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™ SEPTEMBER 2008 VOLUME 2, NUMBER 11 THE JOURNAL OF URGENT CARE MEDICINE® www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE FEATURES 13 Pharyngitis: Diagnosis and Treatment in the Urgent Care Setting 32 Managing Wait Times for Greater Customer Satisfaction DEPARTMENTS 23 Insights in Images: Clinical Challenge 26 Abstracts in Urgent Care 38 Health Law 40 Occupational Medicine 41 Coding Q&A 48 Developing Data A BRAVEHEART PUBLICATION Get rid of the pink in a blink.* VIGAMOX® solution erases 99% of Streptococcus pneumoniae pathogens in vitr<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 2" href="http://viewer.zmags.com/publication/714f02a3?page=2">Get rid of the pink in a blink.*VIGAMOX® soluti</a> Get rid of the pink in a blink.*VIGAMOX® soluti<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 29" href="http://viewer.zmags.com/publication/714f02a3?page=29">Be Aware...Prepare!Don</a> Be Aware...Prepare!Don<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 50" href="http://viewer.zmags.com/publication/714f02a3?page=50"> DEVELOPING DATAAseatnspemeceifrigcintog idtsi</a> DEVELOPING DATAAseatnspemeceifrigcintog idtsi<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 31" href="http://viewer.zmags.com/publication/714f02a3?page=31"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 18" href="http://viewer.zmags.com/publication/714f02a3?page=18">PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN</a> PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 15" href="http://viewer.zmags.com/publication/714f02a3?page=15">ClinicalPharyngitis:Diagnosis and Treatmentin</a> ClinicalPharyngitis:Diagnosis and Treatmentin<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 14" href="http://viewer.zmags.com/publication/714f02a3?page=14">Physician dispensing with InstyMeds...A way to m</a> Physician dispensing with InstyMeds...A way to m<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 34" href="http://viewer.zmags.com/publication/714f02a3?page=34">Practice ManagementManaging Wait Timesfor Grea</a> Practice ManagementManaging Wait Timesfor Grea<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 35" href="http://viewer.zmags.com/publication/714f02a3?page=35">MANAGING WAIT TIMES FOR GREATER CUSTOMER SATISFAC</a> MANAGING WAIT TIMES FOR GREATER CUSTOMER SATISFAC<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 52" href="http://viewer.zmags.com/publication/714f02a3?page=52">02!#4)#% 6%,/#)495RGENTå#AREå3OLUTIONS</a> 02!#4)#% 6%,/#)495RGENTå#AREå3OLUTIONS<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 10" href="http://viewer.zmags.com/publication/714f02a3?page=10"> FROM THE EXECUTIVE DIRECTORThe Big Announcemen</a> FROM THE EXECUTIVE DIRECTORThe Big Announcemen<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 48" href="http://viewer.zmags.com/publication/714f02a3?page=48"> Urgent Care – Layton, Utah Layton, Utah: Inte</a> Urgent Care – Layton, Utah Layton, Utah: Inte<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 9" href="http://viewer.zmags.com/publication/714f02a3?page=9"> JUCM CONTRIBUTORSChances are, you’ve either e</a> JUCM CONTRIBUTORSChances are, you’ve either e<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 19" href="http://viewer.zmags.com/publication/714f02a3?page=19">There is no substitute for Tussionex®ADFR</a> There is no substitute for Tussionex®ADFR<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 5" href="http://viewer.zmags.com/publication/714f02a3?page=5"> LETTER FROM THE EDITOR-IN-CHIEFUCAOA in the Ne</a> LETTER FROM THE EDITOR-IN-CHIEFUCAOA in the Ne<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 11" href="http://viewer.zmags.com/publication/714f02a3?page=11">ComprehensiveresultswithoutrestrictionsTh</a> ComprehensiveresultswithoutrestrictionsTh<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 20" href="http://viewer.zmags.com/publication/714f02a3?page=20"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 36" href="http://viewer.zmags.com/publication/714f02a3?page=36">MANAGING WAIT TIMES FOR GREATER CUSTOMER SATISFAC</a> MANAGING WAIT TIMES FOR GREATER CUSTOMER SATISFAC<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 27" href="http://viewer.zmags.com/publication/714f02a3?page=27">H.C. Chin, MDAnshin Medical HealthcareNew York,</a> H.C. Chin, MDAnshin Medical HealthcareNew York,<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 23" href="http://viewer.zmags.com/publication/714f02a3?page=23"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 6" href="http://viewer.zmags.com/publication/714f02a3?page=6">)NTRODUCINGTHE(/34%$3/,54)/.FOR34)8 </a> )NTRODUCINGTHE(/34%$3/,54)/.FOR34)8 <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 51" href="http://viewer.zmags.com/publication/714f02a3?page=51"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 26" href="http://viewer.zmags.com/publication/714f02a3?page=26">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 16" href="http://viewer.zmags.com/publication/714f02a3?page=16">PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN</a> PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 25" href="http://viewer.zmags.com/publication/714f02a3?page=25"> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE </a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 47" href="http://viewer.zmags.com/publication/714f02a3?page=47">CareerOpportunities</a> CareerOpportunities<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 44" href="http://viewer.zmags.com/publication/714f02a3?page=44">CODING Q&Aters. Then work toward negotiating an</a> CODING Q&Aters. Then work toward negotiating an<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 4" href="http://viewer.zmags.com/publication/714f02a3?page=4">“Don’t worry. This won’t hurt a bit.”We are ve</a> “Don’t worry. This won’t hurt a bit.”We are ve<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 38" href="http://viewer.zmags.com/publication/714f02a3?page=38">MANAGING WAIT TIMES FOR GREATER CUSTOMER SATISFAC</a> MANAGING WAIT TIMES FOR GREATER CUSTOMER SATISFAC<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 43" href="http://viewer.zmags.com/publication/714f02a3?page=43"> CODING Q&AOf Discounts, Surgical WoundDressi</a> CODING Q&AOf Discounts, Surgical WoundDressi<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 49" href="http://viewer.zmags.com/publication/714f02a3?page=49">Career OpportunitiesFlagstaff, Arizona, a city b</a> Career OpportunitiesFlagstaff, Arizona, a city b<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 41" href="http://viewer.zmags.com/publication/714f02a3?page=41">HEALTH LAWGuiding PrinciplesTwo words to be gu</a> HEALTH LAWGuiding PrinciplesTwo words to be gu<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 7" href="http://viewer.zmags.com/publication/714f02a3?page=7">™The Official Publication of the Urgent Care A</a> ™The Official Publication of the Urgent Care A<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 28" href="http://viewer.zmags.com/publication/714f02a3?page=28"> ABSTRACTS IN URGENT CAREOn Vasopressin Cardiac</a> ABSTRACTS IN URGENT CAREOn Vasopressin Cardiac<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 13" href="http://viewer.zmags.com/publication/714f02a3?page=13"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 12" href="http://viewer.zmags.com/publication/714f02a3?page=12">FROM THE EXECUTIVE DIRECTORa new Accreditatio</a> FROM THE EXECUTIVE DIRECTORa new Accreditatio<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 37" href="http://viewer.zmags.com/publication/714f02a3?page=37"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 1" href="http://viewer.zmags.com/publication/714f02a3?page=1">™ SEPTEMBER 2008 </a> ™ SEPTEMBER 2008 <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 21" href="http://viewer.zmags.com/publication/714f02a3?page=21">PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN</a> PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 3" href="http://viewer.zmags.com/publication/714f02a3?page=3">(moxiﬂoxacin hydrochloride ophthalmicsolution) 0</a> (moxiﬂoxacin hydrochloride ophthalmicsolution) 0<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 24" href="http://viewer.zmags.com/publication/714f02a3?page=24">DaysSeptember 26-27, 2008LocationPeabody Hot</a> DaysSeptember 26-27, 2008LocationPeabody Hot<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 8" href="http://viewer.zmags.com/publication/714f02a3?page=8">JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West</a> JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 33" href="http://viewer.zmags.com/publication/714f02a3?page=33">ABSTRACTS IN URGENT CAREplacebo group; 15% of</a> ABSTRACTS IN URGENT CAREplacebo group; 15% of<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 40" href="http://viewer.zmags.com/publication/714f02a3?page=40"> HEALTH LAWBankruptcy Part Two: Honesty isthe </a> HEALTH LAWBankruptcy Part Two: Honesty isthe <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 22" href="http://viewer.zmags.com/publication/714f02a3?page=22">PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN</a> PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 45" href="http://viewer.zmags.com/publication/714f02a3?page=45">SACRAMENTO, CALIFORNIA URGENT CARE established </a> SACRAMENTO, CALIFORNIA URGENT CARE established <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 46" href="http://viewer.zmags.com/publication/714f02a3?page=46">CareerOpportunitiesSENIOR MEDICAL ADVISOR Vhi </a> CareerOpportunitiesSENIOR MEDICAL ADVISOR Vhi <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 39" href="http://viewer.zmags.com/publication/714f02a3?page=39">promotions may draw attention toa start-up cente</a> promotions may draw attention toa start-up cente<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 32" href="http://viewer.zmags.com/publication/714f02a3?page=32">URGENT CARE ASSOCIATION OF AMERICA </a> URGENT CARE ASSOCIATION OF AMERICA <a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 30" href="http://viewer.zmags.com/publication/714f02a3?page=30">ABSTRACTS IN URGENT CAREents, school administ</a> ABSTRACTS IN URGENT CAREents, school administ<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 17" href="http://viewer.zmags.com/publication/714f02a3?page=17">PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN</a> PHARYNGITIS: DIAGNOSIS AND TREATMENT IN THE URGEN<a title="JUCM, The Journal of Urgent Care Medicine September 2008 page 42" href="http://viewer.zmags.com/publication/714f02a3?page=42"> OCCUPATIONAL MEDICINEFear as a Factor in Occup</a> OCCUPATIONAL MEDICINEFear as a Factor in Occup