JUCM, The Journal of Urgent Care Medicine November 2008

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™ NOVEMBER 2008 VOLUME 3, NUMBER 2 THE JOURNAL OF URGENT CARE MEDICINE® www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE FEATURES 11 Assessment and Initial Care of Fingertip and Nailbed Injuries 18 The Front Office: Window to Your Practice DEPARTMENTS 25 Insights in Images: Clinical Challenge 29 Abstracts in Urgent Care 31 Occupational Medicine 33 Coding Q&A 34 Health Law 40 Developing Data A BRAVEHEART PUBLICATION FROM THE EXECUTIVE DIRECTOR UCAOA Has a New Home(page) ■ LOU ELLEN HORWITZ, MA Y ou’ve probably noticed that UCAOA has an entirely new web- site at www.ucaoa.org! Since we’ve <a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 10" href="http://viewer.zmags.com/publication/746b2b63?page=10">FROM THE EXECUTIVE DIRECTORUCAOA Has a New Hom</a> FROM THE EXECUTIVE DIRECTORUCAOA Has a New Hom<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 17" href="http://viewer.zmags.com/publication/746b2b63?page=17">FINGERTIP AND NAILBED INJURIESA main determ</a> FINGERTIP AND NAILBED INJURIESA main determ<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 18" href="http://viewer.zmags.com/publication/746b2b63?page=18">ASSESSMENT AND INITIAL CARE OF FINGERTIP AND NAIL</a> ASSESSMENT AND INITIAL CARE OF FINGERTIP AND NAIL<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 13" href="http://viewer.zmags.com/publication/746b2b63?page=13">ClinicalAssessment and Initial Care ofFingert</a> ClinicalAssessment and Initial Care ofFingert<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 36" href="http://viewer.zmags.com/publication/746b2b63?page=36">HEALTH LAWManaging Through Change■ JOHN SH</a> HEALTH LAWManaging Through Change■ JOHN SH<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 22" href="http://viewer.zmags.com/publication/746b2b63?page=22">THE FRONT OFFICE: WINDOW TO YOUR PRACTICET</a> THE FRONT OFFICE: WINDOW TO YOUR PRACTICET<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 28" href="http://viewer.zmags.com/publication/746b2b63?page=28">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 37" href="http://viewer.zmags.com/publication/746b2b63?page=37">Career OpportunitiesURGENT CARE IN LAKELAND, FL</a> Career OpportunitiesURGENT CARE IN LAKELAND, FL<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 2" href="http://viewer.zmags.com/publication/746b2b63?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 November 2008 page 23" href="http://viewer.zmags.com/publication/746b2b63?page=23">There is no substitute for Tussionex®ADFR</a> There is no substitute for Tussionex®ADFR<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 16" href="http://viewer.zmags.com/publication/746b2b63?page=16">ASSESSMENT AND INITIAL CARE OF FINGERTIP AND NAIL</a> ASSESSMENT AND INITIAL CARE OF FINGERTIP AND NAIL<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 35" href="http://viewer.zmags.com/publication/746b2b63?page=35">CODING Q&AICD-9 Changes in 2008■ DAVID ST</a> CODING Q&AICD-9 Changes in 2008■ DAVID ST<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 39" href="http://viewer.zmags.com/publication/746b2b63?page=39">CareerOpportunities</a> CareerOpportunities<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 34" href="http://viewer.zmags.com/publication/746b2b63?page=34">OCCUPATIONAL MEDICINETable 2. Tailoring Your Ap</a> OCCUPATIONAL MEDICINETable 2. Tailoring Your Ap<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 31" href="http://viewer.zmags.com/publication/746b2b63?page=31">ABSTRACTS IN URGENT CAREOn the San Francisco S</a> ABSTRACTS IN URGENT CAREOn the San Francisco S<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 26" href="http://viewer.zmags.com/publication/746b2b63?page=26">Dedicated to HelpingUrgent Care Professiona</a> Dedicated to HelpingUrgent Care Professiona<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 21" href="http://viewer.zmags.com/publication/746b2b63?page=21">THE FRONT OFFICE: WINDOW TO YOUR PRACTICEme</a> THE FRONT OFFICE: WINDOW TO YOUR PRACTICEme<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 30" href="http://viewer.zmags.com/publication/746b2b63?page=30"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 14" href="http://viewer.zmags.com/publication/746b2b63?page=14">ASSESSMENT AND INITIAL CARE OF FINGERTIP AND NAIL</a> ASSESSMENT AND INITIAL CARE OF FINGERTIP AND NAIL<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 41" href="http://viewer.zmags.com/publication/746b2b63?page=41">Career Opportunities Urgent Care - Peoria, IL</a> Career Opportunities Urgent Care - Peoria, IL<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 27" href="http://viewer.zmags.com/publication/746b2b63?page=27">INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac</a> INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 19" href="http://viewer.zmags.com/publication/746b2b63?page=19"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 12" href="http://viewer.zmags.com/publication/746b2b63?page=12"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 9" href="http://viewer.zmags.com/publication/746b2b63?page=9"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 5" href="http://viewer.zmags.com/publication/746b2b63?page=5">LETTER FROM THE EDITOR-IN-CHIEFA Recipe for Me</a> LETTER FROM THE EDITOR-IN-CHIEFA Recipe for Me<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 6" href="http://viewer.zmags.com/publication/746b2b63?page=6">DOCTORS WHO USE EHRs SAYTHEY HELP IMPROVE T</a> DOCTORS WHO USE EHRs SAYTHEY HELP IMPROVE T<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 24" href="http://viewer.zmags.com/publication/746b2b63?page=24"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 32" href="http://viewer.zmags.com/publication/746b2b63?page=32">The Urgent Care Association of America presents i</a> The Urgent Care Association of America presents i<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 11" href="http://viewer.zmags.com/publication/746b2b63?page=11">JUCM CONTRIBUTORSI t’s a rare (and very lu</a> JUCM CONTRIBUTORSI t’s a rare (and very lu<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 40" href="http://viewer.zmags.com/publication/746b2b63?page=40">CareerOpportunitiesLife’s too short to practice</a> CareerOpportunitiesLife’s too short to practice<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 29" href="http://viewer.zmags.com/publication/746b2b63?page=29">H.C. Chin, MDAnshin Medical HealthcareNew York,</a> H.C. Chin, MDAnshin Medical HealthcareNew York,<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 7" href="http://viewer.zmags.com/publication/746b2b63?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 November 2008 page 4" href="http://viewer.zmags.com/publication/746b2b63?page=4">ComprehensiveresultswithoutrestrictionsTh</a> ComprehensiveresultswithoutrestrictionsTh<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 8" href="http://viewer.zmags.com/publication/746b2b63?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 November 2008 page 3" href="http://viewer.zmags.com/publication/746b2b63?page=3">(moxiﬂoxacin hydrochloride ophthalmicsolution) 0</a> (moxiﬂoxacin hydrochloride ophthalmicsolution) 0<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 42" href="http://viewer.zmags.com/publication/746b2b63?page=42">DEVELOPING DATAInGenaerlryal2H00o8sp, iUtaClA</a> DEVELOPING DATAInGenaerlryal2H00o8sp, iUtaClA<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 38" href="http://viewer.zmags.com/publication/746b2b63?page=38">Carolinas Healthcare System BC physicians ne</a> Carolinas Healthcare System BC physicians ne<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 20" href="http://viewer.zmags.com/publication/746b2b63?page=20">Practice ManagementThe Front Office:Window to</a> Practice ManagementThe Front Office:Window to<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 25" href="http://viewer.zmags.com/publication/746b2b63?page=25">Salaries and benefits are an urgent care cen</a> Salaries and benefits are an urgent care cen<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 15" href="http://viewer.zmags.com/publication/746b2b63?page=15">ASSESSMENT AND INITIAL CARE OF FINGERTIP AND NAIL</a> ASSESSMENT AND INITIAL CARE OF FINGERTIP AND NAIL<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 44" href="http://viewer.zmags.com/publication/746b2b63?page=44">02!#4)#% 6%,/#)495RGENTå#AREå3OLUTIONS</a> 02!#4)#% 6%,/#)495RGENTå#AREå3OLUTIONS<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 43" href="http://viewer.zmags.com/publication/746b2b63?page=43">URGENT CARE ASSOCIATION OF AMERICA</a> URGENT CARE ASSOCIATION OF AMERICA<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 1" href="http://viewer.zmags.com/publication/746b2b63?page=1">™ NOVEMBER 2008</a> ™ NOVEMBER 2008<a title="JUCM, The Journal of Urgent Care Medicine November 2008 page 33" href="http://viewer.zmags.com/publication/746b2b63?page=33">OCCUPATIONAL MEDICINEHedging Your Bets: The Ar</a> OCCUPATIONAL MEDICINEHedging Your Bets: The Ar