<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"><head><meta name="Microsoft Theme 2.00" content="CALAAEM NS template 6.18.15v2.htm 011"><meta http-equiv=Content-Type content="text/html; charset=us-ascii"><meta name=Generator content="Microsoft Word 14 (filtered medium)"><!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:Verdana;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
p.MsoAcetate, li.MsoAcetate, div.MsoAcetate
{mso-style-priority:99;
mso-style-link:"Balloon Text Char";
margin:0in;
margin-bottom:.0001pt;
font-size:8.0pt;
font-family:"Tahoma","sans-serif";}
span.EmailStyle17
{mso-style-type:personal-compose;
color:black;}
span.BalloonTextChar
{mso-style-name:"Balloon Text Char";
mso-style-priority:99;
mso-style-link:"Balloon Text";
font-family:"Tahoma","sans-serif";}
.MsoChpDefault
{mso-style-type:export-only;
font-family:"Calibri","sans-serif";}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial","sans-serif"'><img width=746 height=181 id="Picture_x0020_1" src="cid:image009.jpg@01D1B3B3.F7DF27D0" alt="Description: Description: Description: Description: CAL/AAEM: California Chapter of the American Academy of Emergency Medicine"></span><span style='font-size:9.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><div style='margin-left:15.0pt;margin-top:7.5pt;margin-right:15.0pt;margin-bottom:7.5pt' id=content><div style='border-top:solid #7F7F7F 1.0pt;border-left:none;border-bottom:solid #7F7F7F 1.0pt;border-right:none;padding:4.0pt 0in 4.0pt 0in'><p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif";color:#7F7F7F'>May 2, 2016<o:p></o:p></span></b></p></div><div style='margin-top:11.25pt;margin-bottom:11.25pt'><p class=MsoNormal><b><span style='font-size:12.5pt;font-family:"Arial","sans-serif";color:#DF0009'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:12.5pt;font-family:"Arial","sans-serif";color:#DF0009'>As urgent care grows, the new twist is specialty clinics, franchises<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:"Arial","sans-serif";color:#0070C0'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Arial","sans-serif";color:#0070C0'><a href="http://www.fiercepracticemanagement.com/story/urgent-care-grows-new-twist-specialty-clinics-franchises/2016-05-02?utm_medium=nl&utm_source=internal&mkt_tok=eyJpIjoiTVRnellURTNOamt5WmpBeCIsInQiOiJcL1NsdXhGTXhGU29QU2M5UFJqUFZUK1hlTHAyb0VFNzJYdkJldlorR1dReExDbG9rM0pXQnVDdHRSeGZmU05TaWhcL2lKQW56T1hzdndlb2RIcTVGb1d5YTcwTHNEUlpkOUduY2xHaFN6OXhvPSJ9">Fierce Practice Management</a></span><span style='color:#0070C0'><o:p></o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'>By Joanne Finnegan<o:p></o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'>As it grows, urgent care is evolving with the latest twists involving specialty clinics, franchises, and hospitals and health insurance companies getting into the action, according to an article in the Orlando Sentinel.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'>The majority of urgent care clinics provide primary care and pediatric services, but now a growing number are providing special care in areas such as orthopedics and cardiology, the report said.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'>That's the case for Alejandro Badia, M.D., a hand surgeon, who started an orthopedic urgent care center called OrthoNOW in 2010 in Miami-Dade County in Florida after he found patients had sought care elsewhere before coming to his practice. He wanted patients to be able to reach him more directly.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'>Now Badia has turned OrthoNOW into a franchise. He has sold 10 franchises so far, with most of the owners not doctors but people capitalizing on this growing healthcare delivery option. "Our mission is to change the way expert orthopedic healthcare is delivered. It's a simple mission. Like Uber. It's a simple concept," said Badia, a practicing hand surgeon.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'>There are more than 7,000 urgent care centers in the U.S., with the sector expected to grow 4 percent to 6 percent a year in the next several years, the report said.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:45.95pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:60.95pt'><span style='font-family:"Arial","sans-serif"'>OrthoNOW plans to double in size every year for the next five years. The cost of a franchise is between $450,000 and $850,000, with most care provided by orthopedic physician assistants who work under the supervision of a physician, the article said.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:60.95pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:75.95pt'><span style='font-family:"Arial","sans-serif"'>Another change in urgent care, is that the centers were at first mostly independently owned. However, with the shift to outpatient care, more hospitals and health insurance companies are opening urgent care clinics, the report said. More patients are seeking treatment at urgent care centers because of convenience and time savings.<o:p></o:p></span></p></div><p class=MsoNormal style='margin-right:15.75pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:15.75pt'><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal><strong><span style='font-family:"Arial","sans-serif"'>Jeff Wells</span></strong><span style='font-family:"Arial","sans-serif"'><br>Deputy Editor, CAL/AAEM News Service<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal><strong><span style='font-family:"Arial","sans-serif"'>Brian Potts</span></strong><b><span style='font-family:"Arial","sans-serif"'> MD, MBA</span></b><span style='font-family:"Arial","sans-serif"'><br>Managing Editor, CAL/AAEM News Service<br><br></span><o:p></o:p></p></div><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:7.5pt;font-family:"Verdana","sans-serif"'>Contact us at: <span style='color:#0070C0'><a href="mailto:calaaem.news.service1@gmail.com">calaaem.news.service1@gmail.com</a></span><br><br>For more articles, visit our <span style='color:blue'><a href="http://www.calaaem.org/news_archives.php"><span style='color:blue'>archives</span></a></span>. <br><br></span><span style='font-size:9.0pt;font-family:"Arial","sans-serif"'><a href="mailto:somcaaem@uci.edu"><span style='font-size:7.5pt;font-family:"Verdana","sans-serif";color:black;text-decoration:none'>To</span></a></span><span style='font-size:7.5pt;font-family:"Verdana","sans-serif";color:#0070C0'><a href="https://maillists.uci.edu/mailman/listinfo/calaaem"><span style='color:#0070C0;text-decoration:none'> </span><span style='color:blue'>unsubscribe</span></a></span><span style='font-size:7.5pt;font-family:"Verdana","sans-serif"'> from this list, visit our mail server.<br><br>Copyright (C) 2015. The California Chapter of the American Academy of Emergency Medicine (CAL/AAEM).</span> <span style='font-size:7.5pt;font-family:"Verdana","sans-serif"'><a href="http://www.calaaem.org">http://www.calaaem.org</a>. All rights reserved.<br><br>CAL/AAEM, a nonprofit professional organization for emergency physicians, operates the CAL/AAEM News Service solely as an educational resource for physicians. Dissemination of an article by CAL/AAEM News Service does not imply endorsement, agreement, or recommendation by CAL/AAEM News Service, CAL/AAEM, or AAEM.<br><br><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><b><span style='font-size:7.5pt;font-family:"Verdana","sans-serif"'>Follow CAL/AAEM on Facebook and Twitter:<o:p></o:p></span></b></p><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:7.5pt;font-family:"Verdana","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><a href="http://www.facebook.com/pages/CalAAEM/172577489479442?sk=wall&filter=12" target="_blank"><span style='color:black;text-decoration:none'><img border=0 width=33 height=33 id="Picture_x0020_6" src="cid:image010.jpg@01D1B3B3.F7DF27D0"></span></a> <a href="https://twitter.com/#!/CALAAEM"><span style='color:windowtext;text-decoration:none'><img border=0 width=36 height=36 id="Picture_x0020_7" src="cid:image011.jpg@01D1B3B3.F7DF27D0"></span></a> <a href="http://escholarship.org/uc/uciem_westjem"><span style='color:windowtext;text-decoration:none'><img border=0 width=134 height=36 id="Picture_x0020_4" src="cid:image012.jpg@01D1B3B3.F7DF27D0"></span></a><o:p></o:p></p><p class=MsoNormal style='background:#D9D9D9'><span style='color:black'><o:p> </o:p></span></p></div></body></html>