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Within this page, you will find Industry Perspective blogs written by the UCA Corporate Support Partners (CSP); Insights from UCA CEO Laurel Stoimenoff, PT, CHC; Practice Management blogs to help you better manage center operations; and bonus UCA education in Educational Insights.


EDUCATIONAL INSIGHTS: UCA2019 Convention Take Home Tactics Dose 3: Sinusitis/Pharyngitis/Otitis Media and Creating a Cohesive Culture

Posted: May 29, 2019
Comments: 0
Author: UCA Admin

State of the Art Guideline Review: Sinusitis/Pharyngitis/Otitis Media

Sinus infections, pharyngitis and otitis media are among the most common conditions for which adults and children are treated in Urgent Care.  Though clear guidelines are readily available and can assist in making the right diagnosis and antibiotic choices when needed, sometimes clinicians feel that patients will be dissatisfied when that right choice is made. Chrysa Charno, PA-C, MBA tells you how to overcome that:

Take Home Tactic #1: Antibiotic resistance is related to our prescribing habits; many RTIs do not require antibiotics - URI, early non-severe sinusitis, viral pharyngitis, for sure

“Even when the patient is asking for the antibiotic, take the opportunity to try to educate.  Explain possible antibiotic harms and that they can exceed benefit by discussing side-effects with each antibiotic Rx that IS needed.  More than likely, this is a different than the patient’s prior experience and may need additional explanation and education.”

Take Home Tactic #2: Educate your patients about their illnesses

Take the time to educate and explain by weaving-in stories from the media (eg, “superbugs”).  Offer symptomatic treatment and leave the door open for easy follow-up and be sure to ask if there are any questions while the patient is in the room.  When all else fails and there is no way out…offer safety-net prescription, though probably less “valid” for bronchitis, flu, RAD than for OM, sinusitis.”

Take Home Tactic #3: Diagnose specifically – categorize illness

  • As an example, in the case of Otitis Media:
    • You should diagnose AOM in children with moderate or severe bulging of the TM or new onset of otorrhea not due to acute OE. 
    • May diagnose AOM: mild bulging of the TM and recent (< 48 hours) onset of ear pain (or holding, tugging, rubbing of ear) or intense erythema of the TM
    • Should not diagnose AOM: who do not have middle ear effusion (on pneumatic otoscopy and/or tympanometry.

Chrysa Charno, PA-C, MBA, has been a practicing PA for 17 years in the fields of internal medicine, orthopedics, dermatology, plastic surgery, urgent care and emergency medicine. In addition to practicing medicine, she also holds an MBA from Rochester Institute of Technology and serves as the first APC on the Board of the Urgent Care College of Medicine. Today she is the Founder and CEO of AcuteKids, Pediatric Urgent Care in Rochester, NY and thoroughly enjoys many sleepless nights between work and three little kids!

 

 

 

 

GET UP TO 34 HOURS OF CME FOR YOUR TEAM: PURCHASE CONTENT HERE.  Act fast!  Prices go up June 7th.

 

 

 

 

Creating a Cohesive Culture

Like any check-up, a wellness check-up for your company’s culture should be completed regularly; and it is even more important when there are multiple locations. A cohesive culture is created by skilled leaders who can align the team. During this interactive workshop we will examine the current state of your organizational culture. Diagnosis opportunities to align the team and create a communication plan that fosters engagement, alignment, and accountability.

Take Home Tactic #1: Know the purpose of your organization.

“What’s your WHY?  This should be at the forefront of your culture – why do you exist and what are you doing to prove that your organization’s “why” is worth a repeat visit from your patients.”

Take Home Tactic #2: Have a strategic approach to building the culture you want.

“Not only to what the business is doing but the talent strategy.  What you measure is what you get so what aspects of cultural contribution are you measuring?  Contribution by team members as well as leaders.  Yes, you can measure positive team behaviors!”

Take Home Tactic #3: Leadership creates that culture whether they intend to or not.

“What kind of leader are you?  Do you measure performance and reward those who deliver?  Are you a role model by greeting patients in the lobby?  Do you help prep an exam room?   Do you foster an environment that rewards creativity, learning and development?  The leader sets the tone for success.”

 

Amy Lafko, MSPT, MBA, founded Cairn Consulting Solutions with the belief that you need to grow your people to grow your business. Amy focuses her work on the employee experience that is derived from skilled leaders and aligned teams. Amy has earned her MSPT from Ithaca College, her MBA from Loyola University of MD. Amy leverages over 20 years of professional leadership experience primarily focused in operational leadership in a variety of healthcare settings including as the Operations Administrator of multi-site Urgent Care and Retail Services.

 

 

 

 

GET UP TO 34 HOURS OF CME FOR YOUR TEAM: PURCHASE CONTENT HERE. Act fast!  Prices go up June 7th.

READ PAST COPIES OF TAKE HOME TACTICS HERE

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