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Be sure and watch for insights from UCAOA CEO Laurel Stoimenoff, PT, CHC. Each month, Laurel shares insights on our industry, activities affecting urgent care, and information on UCAOA advocacy efforts and other events.

 

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UCAOA Members: The Rising Tide

Posted By By Laurel Stoimenoff, PT, CHC, Wednesday, December 6, 2017

I recently attended the Northeast Regional Urgent Care Association’s (NERUCA) conference, a chapter of UCAOA, to meet and network with our mutual members and participate in its leadership education track.  Shaun Ginter, CEO of CareWell Urgent Care and a UCAOA director, presented “Creating a Culture of Service,” during which he shared personal experiences of what worked, what didn’t work in his organization, and how CareWell measures service success. Following his presentation, gratitude was expressed for Shaun’s complete transparency in the information shared with a group that included potential competitors.  John Kulin, DO, president of NERUCA, commented that too often urgent care centers are painted with the same brush and a patient experience is a reflection on all centers.  As an oft misunderstood industry, elevating that experience and openly sharing successes and failures is a necessity.  Dr. Kulin summarized his comments by stating, “A rising tide raises all ships.” 

A Gift from Our Members to Urgent Care

UCAOA members have a history of sharing and supporting one another.  As a result, urgent care medicine has gained greater credibility from the perspective of patients, payers, the medical community and employers.  Additionally, member support through dues, purchases, and conference and convention attendance has allowed UCAOA to do the work we do on your behalf.  We work diligently and thoughtfully to provide support to individual and organizational members.  But, we never forget what our members and vendors do for us through their support.  In the spirit of the season, it is truly a gift to passionately serve you and your centers.

Members Matter through Support And Volunteerism

UCAOA was able to achieve a myriad of accomplishments in 2017 – spanning industry advancement, education, outreach and growth – thanks to the support and volunteerism of our members. Here are some highlights from the past year:

Leadership & Advocacy
In May, UCAOA participated in a Day on the Hill, advocating on behalf of urgent care centers across the country. UCAOA also provided the resources and expertise to publish a state of the industry whitepaper, as well as the annual Benchmarking Report – which is arguably the most quoted resource on the industry.

Education
UCAOA’s Education Committee worked tirelessly to offer the most relevant educational experiences for urgent care physicians, advanced practice clinicians, operators and administrators. The College of Urgent Care Medicine (CUCM) advanced its strategic agenda, produced a clinical newsletter and expanded its influence by welcoming NPs and PAs into the College alongside the many esteemed physicians it already serves.

Support
The Urgent Care Foundation raised funds through the support of attendees at the Annual Foundation Celebration, as well as sponsored grants to provide research, including antibiotic stewardship. The funds also facilitated a scientific symposium on concussion care in the urgent care setting, convened a thought leaders’ forum on the future of urgent care and established a disaster relief fund to assist urgent care center recovery.

Expansion
UCAOA launched Pediatric, Telemedicine, and Hospital and Health System sections for members, with more of these special interest groups in planning stages. The California Urgent Care Association (CALUCA) joined UCAOA as a chapter – further expanding the organization’s reach and membership – and a consulting arm was created to better assist urgent care centers interested in pursuing accreditation. Looking ahead, the UCAOA Board drafted a three-year strategic plan for future growth.

UCAOA turned 13 in 2017, and while we have the energy and passion of a teenager, we could not do our work without the rising tide that is provided by our members and industry supporters.  Thank you to all who collectively “raise the ships” so they may continue to deliver high-value, quality care to patients everywhere. 





This article is also available in the December issue of JUCM

 

 

 

Tags:  Advocacy  ceo  certification  connectivity  health  membership  on-demand services  patient care  patient experience  quality of care  UCAOA  urgent care  urgent care center 

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UCAOA Representatives Take to the Hill to Meet with Congressional Offices

Posted By Camille S. Bonta, MHS, Thursday, July 13, 2017

Members of the Urgent Care Association of America (UCAOA) turned citizen advocates on May 3 as they traveled to Capitol Hill to educate lawmakers and their staff about the important role of urgent care in the health care continuum.

 

The “day on the Hill” coincided with UCAOA’s Urgent Care Convention & Expo and included the participation of 15 UCAOA representatives who met with 75 congressional offices, including with staff on committees with jurisdiction over Medicaid and veteran’s health care.

 

Beyond providing lawmakers and their staff a basic education of urgent care centers, UCAOA members solicited the support for soon-to-be-introduced legislation that would require the Veteran’s Administration to cover healthcare services provided to veterans in urgent care centers. Sen. Bill Cassidy (R-LA) will lead introduction of the legislation in the Senate, and the introduction of bipartisan companion legislation in the House is expected.

 

Similar to the enactment of federal legislation in 2016 that requires TRICARE — the health insurance program for uniformed service members, retirees and their families to cover urgent care visits without prior authorization, legislation to improve veterans’ access to urgent care centers is important to UCAOA’s broader efforts to educate payers about urgent care’s value proposition.

 

UCAOA representatives were on the Hill the day before the House of Representatives passed the GOP American Health Care Act. It is unclear the extent to which Republicans will ultimately be successful at dismantling Obamacare this year.  No doubt, however, that states will seek greater flexibility with their Medicaid programs. 

 

Thirty-one states and the District of Columbia have expanded Medicaid. These states are very nervous because in almost each one of the expansion states, enrollment projections are higher than expected, which is putting a squeeze on state budgets.  Urgent care centers have the capacity to meet the nonemergency medical care needs of the Medicaid population at a fraction of what it costs to care for these patients in hospital emergency departments.  Yet, in many states, Medicaid rates for urgent care services are insufficient.  Because urgent care centers cannot provide healthcare services to Medicaid patients at a financial loss, states cannot establish a healthcare delivery infrastructure that encourages and supports lower costs sites of service for this population of patients until Medicaid rates are improved.

 

Improving Medicaid rates so they are on par with Medicare was another request to lawmakers. While budgetary considerations, including the failure of the Office of Management and Budget to conduct dynamic scoring that would count savings from shifting care out of the hospital emergency department into urgent care centers, make achieving Medicaid payment parity difficult, key congressional staff, during their meetings with UCAOA representatives, seemed genuinely interested in policy barriers urgent care centers face in caring for this patient population.

 

UCAOA’s “day on the Hill” constitutes just one component of the organization’s overall advocacy efforts, but an important component that UCAOA hopes to replicate and grow in the future.  A 2015 survey of congressional staff found that 94 percent note that “in-person visits from constituents” have some or a lot of influence on an undecided lawmaker a finding that has been consistent for more than a decade according to a report released this year by the Congressional Management Foundation.[1]

 

The survey also found that in-person meetings in which legislators and staff have opportunities to interact and develop relationships with constituents are very important for understanding constituents views, and that constituents meeting or getting to know legislative assistants

and district and state directors is a good way to build those relationships.

 

Contrary to what many UCAOA members may believe, they can use their voices to make a difference on policy issues important to the urgent care industry. UCAOA hopes its members will engage in advocacy efforts when called upon and, in the meantime, will use UCAOA resources made available to them to communicate and build relationships with their state and federal lawmakers, as well as with representatives of the payer community. 

 

To learn more about UCAOA’s advocacy activities, visit  ucaoa.org and look for “advocacy" in the menu bar.

Camille Bonta is the founder and principal of Summit Health Care Consulting in Breckenridge, CO focused on the lobbying, regulatory and advocacy efforts of national healthcare organizations, including UCAOA. 

 

 

 

 



[1] Citizen-Centric Advocacy: The Untapped Power of Constituent Engagement ∙ © Congressional Management Foundation CongressFoundation.org

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Tags:  Advocacy  AHCA  health  healthcare  payer  UCAOA  urgent care  veterans 

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