Posted by Welcome to our comprehensive guide on the best urgent care EMR solutions available for clinics. As the healthcare industry continues to evolve, electronic medical records (EMR) have become essential tools for managing patient information efficiently and securely. In the fast-paced environment of urgent care clinics, having a reliable EMR system can make all the difference in providing quality care and streamlining operations.
In this article, we will explore the features, benefits, and key considerations in selecting the right EMR system for urgent care settings. Whether you are a small clinic or a large healthcare facility, finding the right EMR solution is crucial for optimizing productivity and improving patient outcomes. From patient registration to clinical documentation and order management, we will discuss the essential features that clinics should look for when evaluating urgent care EMR solutions.
Our aim is to provide you with valuable insights into the top-rated EMR vendors specializing in urgent care solutions. We will discuss their products, reputation, customer reviews, and overall market presence, helping you make an informed decision in selecting the right partner for your clinic’s EMR needs.
Furthermore, we will highlight the benefits of implementing urgent care EMR solutions, such as workflow improvement, enhanced communication between staff members, and real-time access to patient data. We will also delve into the challenges that clinics may face during the implementation process and provide best practices to ensure a smooth transition.
Data security and HIPAA compliance are paramount when dealing with patient information, and we will address how urgent care EMR solutions can ensure the protection of sensitive data while complying with regulatory requirements.
Lastly, we will discuss the cost considerations associated with implementing an urgent care EMR system, including pricing models, upfront costs, ongoing maintenance fees, and potential return on investment. Choosing the right EMR vendor and understanding the cost implications are vital for clinics to make informed financial decisions.
Join us as we explore the world of urgent care EMR solutions and discover how they can revolutionize your clinic’s operations and patient care. Let’s navigate through this fascinating journey together!
Understanding the Importance of Urgent Care EMR
In today’s fast-paced healthcare environment, urgent care clinics require efficient and reliable software solutions to manage their operations effectively. This is where urgent care EMR (Electronic Medical Records) systems play a crucial role. It is imperative for clinics to understand the importance of implementing an EMR system specifically tailored for urgent care settings.
Urgent care software, also known as an EMR system for urgent care or urgent care clinic management software, provides clinics with advanced functionalities designed to streamline operations, improve patient care, and enhance overall efficiency. These software solutions are specifically designed to meet the unique needs and challenges of urgent care settings, ensuring that clinics can deliver high-quality care promptly and efficiently.
EMR systems for urgent care clinics offer a range of features that enable clinics to manage patient records, streamline clinical workflows, and optimize revenue cycles. These functionalities include:
- Patient Registration: Online patient registration forms allow for quick check-ins, reducing administrative burdens and improving front-office efficiency.
- Clinical Documentation: EMR systems facilitate accurate and streamlined clinical documentation, ensuring that healthcare providers can capture and access patient information and medical histories easily.
- Order Management: Advanced order management tools enable urgent care clinics to efficiently track and manage diagnostic tests, prescriptions, and referrals, ensuring seamless care coordination.
- Billing and Coding: Integrated billing and coding capabilities simplify the revenue cycle management process, reducing errors and maximizing reimbursements.
- Interoperability: EMR systems for urgent care seamlessly integrate with other healthcare systems, allowing for efficient exchange of patient data, enhancing care coordination, and avoiding duplications.
Implementing an urgent care EMR system brings several significant benefits for clinics. It enhances clinic workflows by automating manual processes, reducing paperwork, and eliminating the risk of lost or misplaced documents. The improved efficiency leads to faster patient check-ins, reduced wait times, and enhanced patient satisfaction.
Moreover, urgent care software empowers healthcare providers with accurate and up-to-date patient information, ensuring informed decision-making and improved patient outcomes. The integration of clinical data across systems enables a holistic view of patient health, facilitating comprehensive and coordinated care.
By embracing urgent care EMR solutions, clinics can also optimize their revenue cycles, minimize billing and coding errors, and improve the accuracy and timeliness of insurance claims. This ultimately leads to increased revenue and financial stability for the clinic.
It is imperative for urgent care clinics to select a reliable and feature-rich EMR system that meets their unique requirements. In the following sections, we will explore the key features to look for in urgent care EMR solutions, highlight top-rated vendors, discuss implementation challenges and best practices, and provide guidance on training and support.
| Benefits of Urgent Care EMR | Features | Benefits |
|---|---|---|
| Streamlined clinic operations | Patient registration | Quick check-ins, improved front-office efficiency |
| Improved patient care | Clinical documentation | Accurate and accessible patient information, enhanced decision-making |
| Enhanced efficiency | Order management | Efficient diagnostic tests, streamlined care coordination |
| Optimized revenue cycles | Billing and coding | Reduced errors, improved reimbursements |
| Seamless integration | Interoperability | Efficient data exchange, improved care coordination |
Key Features to Look for in Urgent Care EMR Solutions
When evaluating urgent care EMR solutions for your clinic, it’s crucial to consider the key features that will optimize your workflow, improve patient care, and ensure seamless operations. The right healthcare EMR for urgent care should provide robust functionalities tailored to the specific needs of urgent care settings. Here are the essential features to look for:
Patient Registration
The urgent care medical software should offer a user-friendly patient registration module. This feature should streamline the registration process, allowing patients to easily provide their information, medical history, insurance details, and consent forms. Look for EMR solutions that offer customizable registration forms to match your clinic’s requirements.
Clinical Documentation
Efficient clinical documentation is crucial for accurate and comprehensive patient records. The urgent care EMR should provide templates and customizable forms for documenting chief complaints, history of present illness, physical examinations, and treatment plans. Features like voice recognition and structured data entry can significantly speed up the documentation process.
Billing and Coding
An integrated billing and coding module is essential for streamlining revenue management in urgent care clinics. Look for EMR solutions that offer automated coding suggestions based on the documentation, making the process faster and more accurate. The system should also support electronic claims submission and easy reconciliation of payments.
Order Management
The urgent care EMR should have a comprehensive order management system that allows providers to efficiently create, track, and manage orders for laboratory tests, radiology exams, prescriptions, referrals, and more. Look for features like order sets, quick order templates, and electronic transmission of orders to enhance efficiency and reduce errors.
Interoperability with Other Systems
Seamless integration with external systems like pharmacies, laboratories, and imaging centers is crucial for efficient coordination of patient care. Look for an urgent care EMR solution that offers interoperability features, such as HL7 messaging, API integration, and compatibility with health information exchanges (HIEs), ensuring smooth data exchange and real-time access to patient information.
By considering these key features, you can evaluate and select the best urgent care EMR solution that aligns with your clinic’s needs, improves efficiency, and enhances patient care.
Top-rated Urgent Care EMR Vendors
When it comes to choosing the right electronic medical records (EMR) system for urgent care clinics, it is crucial to select a vendor that specializes in providing solutions tailored to the unique needs of these healthcare settings. In this section, we will explore some of the top-rated urgent care EMR vendors in the market. These vendors have established a strong reputation for delivering high-quality products and services that meet the specific demands of urgent care clinics.
Here are a few of the leading urgent care EMR vendors:
1. Epic Systems Corporation: Epic is well-known for its comprehensive suite of healthcare software solutions, including their urgent care EMR system. With a strong focus on interoperability and usability, Epic offers a user-friendly EMR platform that streamlines workflows and enhances patient care.
2. NextGen Healthcare: NextGen Healthcare offers a robust EMR system specifically designed for urgent care clinics. Their solution provides features such as built-in order sets, e-prescribing capabilities, and real-time data access, facilitating efficient clinical workflows and improved patient outcomes.
3. athenahealth: athenahealth is a leading vendor that offers cloud-based EMR solutions for urgent care clinics. Their platform focuses on functionality, ease of use, and integration capabilities. With powerful features such as automated documentation and revenue cycle management, athenahealth empowers urgent care clinics to provide high-quality care.
4. DrChrono: DrChrono is an innovative EMR vendor that offers a mobile-friendly solution for urgent care clinics. Their EMR software includes features such as customizable templates, e-prescriptions, and seamless integration with other healthcare systems, providing flexibility and efficiency for healthcare providers.
5. Cerner Corporation: Cerner is a trusted name in the healthcare industry, offering a comprehensive suite of EMR solutions. Their urgent care EMR system prioritizes interoperability and data exchange, ensuring seamless communication between urgent care clinics, hospitals, and other healthcare facilities.
These are just a few examples of the top-rated urgent care EMR vendors in the market. It’s important to thoroughly evaluate each vendor’s products, reputation, customer reviews, and overall market presence before making a decision. The right urgent care EMR vendor will provide a reliable and efficient solution that meets the unique needs of your clinic.
Factors to Consider When Choosing an Urgent Care EMR
When selecting an urgent care EMR solution for your clinic, it is crucial to consider several key factors. These factors will play a significant role in determining the success and efficiency of your electronic medical records implementation. Below, we outline the critical considerations that should guide your decision-making process:
Pricing Models
Understanding the pricing models offered by different urgent care EMR vendors is essential. Evaluate whether the pricing structure aligns with your clinic’s budget and long-term financial goals. Consider factors such as upfront costs, subscription fees, additional modules/functionalities, and any hidden charges. Look for a pricing model that offers transparency and flexibility to accommodate your clinic’s unique needs.
Scalability
As your urgent care clinic expands and grows, it is vital to have an EMR system that can scale with your business. Ensure that the EMR solution can accommodate an increasing patient volume, support multiple locations if applicable, and handle the growing demands of your clinic. A scalable EMR will allow for seamless integration and future-proof your clinic’s operations.
Training and Support
Adequate training and ongoing support are crucial for the successful implementation and utilization of an urgent care EMR. Look for a vendor that offers comprehensive training programs tailored to your clinic’s needs. Consider the availability and responsiveness of their support team, whether it be through phone, chat, or email. A vendor who prioritizes customer success will provide the necessary resources and assistance to ensure a smooth transition and ongoing support.
Customization Options
Every urgent care clinic has unique workflows, preferences, and requirements. Evaluate the level of customization offered by the EMR solution to align with your clinic’s specific needs. Look for features that can be tailored to match your clinic’s processes, documentation templates, order sets, and reporting requirements. A customizable EMR will enhance efficiency and ensure the system aligns with your clinic’s established workflows.
Regulatory Compliance
Adhering to regulatory requirements, such as HIPAA, is critical in the healthcare industry. Ensure that the urgent care EMR solution you choose is compliant with the necessary regulations. It should have robust security measures in place to protect patient data and maintain confidentiality. Confirm the vendor’s commitment to data privacy and compliance by reviewing their certifications and adherence to industry standards.
| Factors to Consider | Description |
|---|---|
| Pricing Models | Understand the pricing structure and ensure transparency and flexibility. |
| Scalability | Choose an EMR system that can handle the growing demands of your clinic. |
| Training and Support | Ensure the vendor offers comprehensive training and responsive support. |
| Customization Options | Look for an EMR solution that can be tailored to your clinic’s specific needs. |
| Regulatory Compliance | Confirm the system’s compliance with HIPAA regulations and data security measures. |
By carefully considering these factors, you can make an informed decision when choosing an urgent care EMR solution. Remember, finding the right EMR system that aligns with your clinic’s unique requirements is crucial for efficient operations and enhanced patient care.
Benefits of Implementing Urgent Care EMR Solutions
Implementing urgent care EMR solutions offers numerous benefits for clinics, improving workflows, enhancing communication, and providing real-time access to patient data. These advantages are crucial for streamlining clinic operations and delivering efficient and high-quality care.
Improved Workflow Efficiency
With urgent care EMR solutions, clinics can streamline their workflows and reduce administrative burdens. Electronic health records for urgent care enable healthcare professionals to easily document patient encounters, access medical histories, and order tests with just a few clicks. This eliminates the need for manual paperwork and minimizes the risk of errors, enabling faster and more efficient care delivery.
Enhanced Communication and Collaboration
Urgent care EMR solutions facilitate seamless communication and collaboration among healthcare providers, leading to improved patient outcomes. Clinicians can securely share patient information, treatment plans, and updates in real-time, ensuring efficient coordination of care. This streamlined communication enables healthcare teams to make informed decisions quickly and provide timely and effective treatments for patients.
Access to Real-Time Patient Data
Electronic health records for urgent care enable instant access to essential patient information, such as medical histories, lab results, and medication records. This real-time access to data allows healthcare providers to make well-informed decisions, reducing diagnostic errors and improving patient safety. Having a comprehensive overview of a patient’s medical history also enables clinics to provide more personalized and tailored care.
“Implementing urgent care EMR solutions improves workflow efficiency, enhances communication and collaboration among healthcare providers, and provides real-time access to critical patient data.”
Furthermore, urgent care EMR solutions can automate tedious administrative tasks, such as appointment scheduling and billing, further streamlining clinic operations and allowing clinicians to focus more time on patient care. These solutions also support the interchange of data between different healthcare providers, ensuring comprehensive and coordinated patient care.
By implementing urgent care EMR solutions, clinics can significantly enhance their operations, deliver more efficient care, and improve patient outcomes. The advantages of real-time access to patient data, streamlined workflows, and improved collaboration contribute to the overall success and productivity of urgent care clinics.
Integration of Urgent Care EMR with Existing Systems
Integrating urgent care EMR with existing systems is crucial for seamless clinic operations and efficient patient care. By connecting EMR systems with laboratory systems, imaging systems, and billing systems, urgent care clinics can streamline workflows, improve data accuracy, and enhance overall productivity.
EMR vendors understand the importance of integration and offer various capabilities to ensure compatibility with existing systems. These integration options provide clinics with the flexibility to choose the solutions that best fit their needs.
Benefits of Integration
Integrating urgent care EMR with existing systems offers several benefits:
- Efficient Data Sharing: Integration allows for seamless sharing of patient data between systems, ensuring accurate and up-to-date information.
- Improved Workflow: By eliminating manual data entry and duplication, integration streamlines clinic workflows, reducing errors and saving time for healthcare providers.
- Enhanced Patient Care: Access to integrated data from different systems enables healthcare providers to make well-informed decisions quickly, leading to improved patient care and outcomes.
Integration Options
EMR vendors provide various integration options to enable smooth connectivity with existing systems:
| Integration Option | Description |
|---|---|
| Application Programming Interface (API) | A robust API allows EMR systems to exchange data securely and in real-time with other systems. |
| Standard Protocols | Support for industry-standard protocols, such as HL7 and DICOM, enables seamless integration with different healthcare systems. |
| Custom Integration | Vendors provide custom integration services to meet specific clinic requirements and ensure smooth interoperability. |
With these integration options, urgent care clinics can choose the method that aligns best with their existing systems and operational workflows.
“Integration of urgent care EMR with existing systems streamlines workflows, improves data accuracy, and enhances overall productivity.”
Overall, integrating urgent care EMR with existing systems is essential for maximizing the benefits of EMR technology. Through seamless data sharing, improved workflows, and enhanced patient care, clinics can experience the true potential of their urgent care EMR solutions.
Ensuring Data Security and HIPAA Compliance
When it comes to urgent care EMR solutions, data security and HIPAA compliance are of utmost importance. Clinics must take proactive measures to protect patient information and adhere to regulatory requirements. Here are key considerations for maintaining data security and ensuring HIPAA compliance:
1. Secure Data Storage and Encryption
Healthcare EMR systems for urgent care should offer secure data storage and encryption protocols. This ensures that patient data is safeguarded from unauthorized access and potential breaches. Encryption adds an extra layer of protection by encoding data, making it unreadable to unauthorized individuals.
2. Role-Based Access Control
Implementing role-based access control allows clinics to define different levels of access for staff members based on their roles and responsibilities. This ensures that only authorized individuals have access to patient records and sensitive information. It minimizes the risk of data breaches and unauthorized data modifications.
3. Audit Logs and Monitoring
Effective urgent care EMR solutions provide audit logs and monitoring features that track user activity and system access. These logs allow clinics to monitor and review any suspicious activities or potential security breaches. Regular monitoring helps maintain data integrity and quickly identify and address security issues.
4. Regular Data Backups
Performing regular data backups is crucial for data security and business continuity. In case of system failures or data loss, backups ensure that patient information is recoverable. It is essential to establish a robust backup and recovery strategy to minimize the risk of data loss and ensure uninterrupted access to patient records.
5. Employee Training and Education
Clinics should provide comprehensive training and education to their staff members regarding data security and HIPAA compliance. This includes training on handling sensitive patient information, password management, and recognizing and reporting potential security threats. Regular training sessions help reinforce the importance of data security and promote a culture of compliance within the clinic.
6. Regular Security Assessments
Conducting regular security assessments helps identify vulnerabilities in the urgent care EMR system and implement necessary precautionary measures. Regular assessments also assist in staying updated with the latest security standards and maintaining compliance with HIPAA regulations.
7. Business Associate Agreements
When working with vendors or third-party service providers, clinics should establish Business Associate Agreements (BAAs). These agreements ensure that the vendors comply with HIPAA regulations and adequately protect patient data. It is essential to review and update BAAs periodically to maintain data security and compliance.
| Measures | Description |
|---|---|
| Secure Data Storage and Encryption | Ensure data is stored securely and encrypt sensitive information to prevent unauthorized access. |
| Role-Based Access Control | Define different levels of access for staff members based on their roles and responsibilities. |
| Audit Logs and Monitoring | Track user activity and system access to identify and address potential security breaches. |
| Regular Data Backups | Perform regular backups to prevent data loss and ensure business continuity. |
| Employee Training and Education | Provide comprehensive training on data security and HIPAA compliance for all staff members. |
| Regular Security Assessments | Conduct periodic assessments to identify vulnerabilities and implement necessary security measures. |
| Business Associate Agreements | Establish agreements with vendors to ensure their compliance with HIPAA regulations. |
By implementing these measures, urgent care clinics can protect patient data, maintain HIPAA compliance, and provide a secure environment for healthcare delivery.
Implementing Urgent Care EMR: Challenges and Best Practices
Implementing urgent care EMR solutions can present various challenges for clinics. However, with proper planning and the right approach, these challenges can be overcome effectively. In this section, we will explore some common challenges faced during the implementation process and provide best practices and tips to ensure a smooth transition.
Challenges during Urgent Care EMR Implementation
- Data Migration: The transition from paper-based records to an electronic system involves migrating vast amounts of patient data. This process can be complex and time-consuming, requiring careful attention to data accuracy and integrity.
- Workflow Adaptation: Introducing an EMR system requires adjustments to clinic workflows and staff responsibilities. Resistance to change and the learning curve associated with new technology may impact productivity and result in initial disruptions.
- Training and Adoption: Training staff members on how to effectively use the urgent care EMR solution is crucial for its successful implementation. Ensuring buy-in and encouraging staff members to embrace the new system can be a challenge.
- Integration with Existing Systems: Integrating the urgent care EMR with existing systems, such as billing and laboratory systems, can pose technical challenges. Seamless interoperability is essential for efficient clinic operations.
- Technical Support and Maintenance: Once the urgent care EMR system is implemented, ongoing technical support and maintenance are vital. Timely updates, addressing system glitches, and resolving issues require a reliable support system.
Best Practices for a Successful Implementation
- Thorough Planning: Develop a comprehensive implementation plan that addresses all aspects, including data migration, workflow adaptation, training, and system integration. Clearly define goals, timelines, and responsibilities.
- Engage Staff Members: Involve clinic staff in the decision-making process and provide regular communication to address concerns and motivate buy-in. Encourage active participation and create a positive environment for embracing change.
- Training and Education: Invest in thorough training programs to ensure all staff members understand the urgent care EMR solution and its functionalities. Offer ongoing education and support to enhance proficiency and confidence.
- Collaborate with Vendors: Work closely with the urgent care EMR vendor to establish a strong partnership. Leverage vendor expertise and guidance for seamless integration, technical support, and system optimization based on the clinic’s unique requirements.
- Monitor and Evaluate: Continuously monitor the implementation process and evaluate its effectiveness. Seek feedback from staff members and patients to identify areas of improvement and make necessary adjustments.
“Implementing an urgent care EMR system requires careful planning and consideration. By addressing the challenges head-on and embracing best practices, clinics can successfully transition to electronic medical records, improving efficiency and patient care.”
Training and Support for Urgent Care EMR Users
Comprehensive training and ongoing support are essential for the successful implementation and utilization of urgent care EMR solutions. Clinic staff need to be equipped with the necessary knowledge and skills to effectively leverage the capabilities of the software, ensuring efficient workflows and improved patient care.
When it comes to training methods, there are various options available for clinics to choose from, including:
- On-site training: This involves an EMR vendor sending trainers to the clinic’s premises to provide hands-on instruction and guidance.
- Web-based training: With this approach, clinics can receive training remotely through webinars, video conferences, or online modules.
- Self-paced training: Some EMR vendors offer self-paced learning materials, such as tutorials, training videos, and user guides, allowing clinic staff to learn at their own convenience.
Regardless of the training method chosen, it is crucial for clinics to ensure that all relevant staff members receive adequate training to maximize the benefits of the urgent care EMR system.
In addition to training, ongoing support from the EMR vendor is vital for clinics to effectively address any issues or concerns that may arise during system usage. This support can come in the form of:
- 24/7 helpdesk: EMR vendors often provide a dedicated support team that clinics can reach out to for assistance at any time.
- Regular updates and enhancements: EMR vendors continually refine and enhance their software to meet the evolving needs of urgent care clinics, ensuring that clinics always have access to the latest features and functionalities.
By investing in comprehensive training and ongoing support, urgent care clinics can empower their staff to confidently utilize the EMR software, leading to improved efficiency, streamlined workflows, and enhanced patient care.
Cost Considerations for Urgent Care EMR Implementation
Implementing an urgent care electronic medical records (EMR) system is a significant investment for clinics. Understanding the cost implications and considering various factors is crucial in making an informed decision. In this section, we will explore the pricing models, upfront costs, ongoing maintenance and support fees, and the potential return on investment (ROI) for clinics.
Pricing Models
Urgent care EMR vendors typically offer different pricing models to suit the needs of clinics. The most common pricing models include:
- Per-Provider License: This model charges clinics based on the number of providers using the EMR system. The cost increases as the number of providers grows.
- Per-Visit Fee: Some vendors offer a per-visit fee structure, where clinics pay for each patient encounter recorded in the EMR system.
- Subscription-Based Pricing: This model requires clinics to pay a recurring monthly or annual fee for using the urgent care EMR software.
Choosing the right pricing model depends on the clinic’s budget, patient volume, and anticipated growth. It is crucial to evaluate the long-term cost implications and scalability of each pricing model.
Upfront Costs
When implementing an urgent care EMR system, clinics often incur upfront costs that go beyond the software license fees. These costs may include:
- Hardware and Infrastructure: Clinics may need to invest in servers, workstations, networking equipment, and other hardware components to support the EMR system.
- Implementation Services: Hiring consultants, trainers, and project managers to guide the implementation process and ensure a successful transition.
- Data Conversion: Converting existing paper records or data from a legacy system to the new EMR software may require additional resources.
- Training: Providing comprehensive training for staff members to effectively use the urgent care EMR system.
Understanding and budgeting for these upfront costs is essential for clinics to avoid any financial surprises during the implementation process.
Ongoing Maintenance and Support Fees
After the initial implementation, clinics should consider the ongoing maintenance and support fees associated with the urgent care EMR system. These fees typically cover:
- Software Updates: Vendors regularly release updates and enhancements to their EMR software to address bugs, security issues, and introduce new features. Ongoing maintenance fees may include access to these updates.
- Technical Support: Having access to technical support from the EMR vendor ensures clinics can address any software-related issues promptly.
- Data Backup and Security: Maintaining secure backups of patient data and implementing robust security measures is critical to protect sensitive information. Ongoing fees may cover these services.
Understanding the scope of ongoing maintenance and support fees is essential to assess the long-term financial commitment of implementing an urgent care EMR system.
Return on Investment (ROI)
“Implementing an urgent care EMR system can yield significant returns by streamlining clinic operations, improving patient care, and enhancing efficiency. It is essential for clinics to evaluate the potential ROI and weigh it against the upfront costs and ongoing expenses.”
Conclusion
In conclusion, investing in reliable and efficient EMR solutions is crucial for urgent care clinics. Throughout this article, we have explored the importance of urgent care EMR in streamlining clinic operations, improving patient care, and enhancing efficiency.
By selecting the right vendor and implementing an urgent care EMR system, clinics can benefit from features like patient registration, clinical documentation, billing and coding, order management, and interoperability with other systems. This not only improves workflow but also enhances communication between staff members and provides access to real-time patient data.
Furthermore, integrating urgent care EMR with existing systems, ensuring data security and HIPAA compliance, and following best practices for implementation are essential considerations for clinics. Comprehensive training and ongoing support for EMR users, along with a thorough understanding of cost implications, are equally important.
Overall, urgent care clinics can achieve significant improvements in patient care, efficiency, and data management by implementing the right urgent care EMR system. It is essential for clinics to carefully evaluate their needs, choose a reputable vendor, and make a well-informed decision to reap the benefits of electronic medical records in the urgent care setting.