Urgent Care / Emergency Medicine Forecast Outlook Review

Urgent Care Review

As the population ages, the need for Emergency and Urgent Care also grows.  The current physician shortage in the United States is expected to worsen over time. Other issues are affecting this shortage as well, including the shrinking economy and the impending health care reform.

Primary Care Shortage leads to Urgent Care Physician shortage

According to a press release by the Medicare Payment Advisory Commission, Urgent Care physicians will have plenty of work available from Medicare, but they may not want it. Medicare pays lower fees than private insurance so Primary Care physicians are much less likely to take on new Medicare patients. As a result, up to a third of all Medicare patients may not be able to find a Primary Care physician at all.

Some areas are hit harder than others by these statistics, such as Arizona. In some areas of the desert state, Primary Care physician-to-patient ratio is less than 6 doctors per 10,000 residents, according to a study by St. Lukes. The result of more people not having access to primary care will be increased use of Emergency Room and Urgent Care centers.  Naturally, Emergency and Urgent Care physicians are going to have their hands full if this trend continues.

Weakened Economy results in Crowded Clinics

As the weakening economy runs its course; many people are losing availability to affordable health benefits. Insurance policies are lapsing at an alarming rate, and citizens receiving COBRA (Consolidated Omnibus Budget Reconciliation Act) coverage are also running out of options. With the walls closing in on affordable healthcare, many people have decided they must do without proper preventative doctor visits. As you might expect, when the severity of the condition can no longer be quelled with rest and over the counter remedies, and starts to dramatically interfere with daily life, the emergency room may be the last place to turn to. Through the stock market crash, the housing bust, and record breaking unemployment records, emergency rooms and Urgent Care clinics are filling up faster than ever.

Baby Boomers in the ER

Another factor in the insurgence of Emergency Medicine and Urgent Care cases in the United States is due to another socioeconomic group that cannot be ignored. The baby boomers will result in an exponential increase of the 65 and older demographic. This group statistically requires considerably more assets, personnel, specialists, and physician care. They need hospital and Emergency room services more and more often than any other age group.

Can Health Care Reform Solve ER problems?

Whether the health reform will crush us or not is neither here nor there. Although it has passed and been signed into law, the major changes are not set to go into full effect until 2014. The repercussions of said reform may not be fully comprehensive for years after that. Emergency room overcrowding is a serious problem, given the rising number of geriatric patients, uninsured patients, and underinsured patients. If the health care reform doesn’t fix the problems it promises, …

How Being Nice Can Destroy Your Success in Business

In many cultures building a strong relationship is a requirement for doing business. This is a natural motivational driver for some where helping people is a priority.

“Bless him! Jack is so nice! He’s such a lovely person…” was how people described Jack, a coaching client. Jack was always concerned with maintaining harmony and getting along with people, even if it involved contorting himself to fit in.

Jack was overly nice. He valued people and their feelings more than achieving goals and tasks. He strived to keep people happy and create harmony. This had limited his success in business.

I have to confirm that a friendly approach creates connectivity and builds empathy. It works extremely well if you want to increase morale, improve communication or offer emotional support to someone with personal challenges.

Unfortunately, Jack was a people-pleaser and relied solely on this approach to lead. He was too concerned with keeping things harmonious. His philosophy was:

If people like me, then they’ll want to work with me.

He was always worried about getting along with people. Looking after others was his priority and he would always move towards people that he perceived needed help.

Being helpful, supportive and focusing on positive relationships is strength. If this strength is over-played though, it can have a negative effect on relationships leading to poor performance and mediocre results.

Being overly nice contorted Jack’s lens for doing business effectively: He would lower the price to prospective clients and was always giving his time or services away for free. He was seen as “a soft touch.” He would not give feedback to his staff in fear of upsetting them. He would spend time worrying about whether people liked him or not. Work took second place to his feelings.

Being “nice” takes a lot of energy.

Here is how to recognize when being nice is too much:

1. You’re too concerned about keeping harmony: You shy away from confrontation or difficult conversations. You’re always stepping in to keep things sweet and cool. Looking after others is your sole priority.

2. You avoid giving feedback: You neglect to give honest and open feedback to your clients and staff. They can’t improve because you keep the information to yourself. You focus on giving praise and rarely offer advice on how to improve. Others may feel that mediocrity is tolerated.

3. You worry what people think of you: You are more concerned about getting along with people, sometimes to the detriment of the task in hand! Task accomplishment becomes a potential blindside. You worry about what people might/might not be thinking about you. This becomes your priority and distorts your thinking. You constantly replay in your mind whether they like you or not,maybe you upset them when you said something.

4. You’re too friendly in a crisis: Instead of taking the lead and providing clarity and direction, you are too focused on keeping everyone happy and maintaining the welfare of others. You play down the situation and people …