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Posts Tagged ‘Central Jersey Urgent Care Center’

CJUC on the Asbury Circle. All photos by Paul Goldfinger.©

 

By Paul Goldfinger, MD, FACC, Editor @Blogfinger.net

Four years ago I wrote a piece about the increasing successes of urgent care centers, and, specifically, the Central Jersey Urgent Care at the Asbury Circle  (731 Rt. 35, Ocean Twp).  I was impressed with their focus on convenience and quality care and their determination to improve the possibilities for patients who are acutely ill. No one likes to go to an ER, and this is an excellent option for many kinds of situations.

Here two links to articles we have posted on this subject

 

Urgent care assessment 2014

 

Blogfinger 2015 post on walk-in health clinics

 

In 2014,  I spoke enthusiastically about the urgicenter concept and about the CJUC.    Now, the CJUC doctors are operating a total of six centers in this area.  Recently the Ocean unit expanded by 1,700 square feet and they have modernized that spacious location and have updated their procedures. Their main goals remain convenience and quality, and I continue to be impressed by the success of their operation.  As for convenience, they are about 10-15 minutes from Ocean Grove, and their records indicate that many Grovers go there.  You just walk-in; no appointment is needed.   All members of my immediate family including myself have received fine care at the CJUC.

Part of the waiting area at CJUC. 7/13/18 ©

 

Vikram Varma, MD,  collaborates with one of his advanced practice colleagues. He is the Medical Director of the Ocean facility.    Paul Goldfinger, MD photo. 7/13/18 © Blogfinger.net

Today I interviewed their Practice Manager Anthony Orzo and two of their physicians  and I learned of the progress they have made in the last 4 years.

The main theme for the physician directors of the CJUC  is to address many of the problems that patients now face in accessing healthcare, particularly urgent care, and then finding solutions to make the experience as excellent as possible. Here is a summary of what I learned:

a.  All their doctors are board certified ER physicians who work part time in hospital ER’s to maintain their acute care skills.  Today I met Chiraq Patel, MD and Vikram Varma MD. We spoke doctor to doctor, and  I was impressed with their desire to operate the finest urgicenter in the area and with their intense emphasis on quality. I found that they have examined their operation top to bottom to insure the best results.

b. The doctors now work with physician extenders, ie nurse practitioners and/or physician assistants.   When a patient enters their facility, a triage decision based on the complaint determines whether he will be initially evaluated by an “advanced practitioner” or by an MD. This team of two is always present and often collaborate on patient care. Generally the most worrisome cases go right to the doctor, but their advanced practitioners are instructed to consult with the physician if there is any concern.  If you wish, you can request an MD regardless of your complaint.

c. The facility is open from 8-8 every day of the year. Parking is easy. Leaving can be a bit of a challenge on the circle.   The staff is welcoming. The waiting area is divided so that potentially infectious patients are placed in one location. They will offer a mask if it is desired. If someone looks worrisome in the waiting area, they will bring them inside immediately. They try to expedite waiting times.

The recent renovation has produced 5 new examining rooms including one where they can offer treatments such as IV’s.  There is a welcoming pediatrics area with a colorful hand painted seashore scene on the wall  and a very efficient central operations station for personnel to interact and monitor care. It looks like one that you might find in a hospital.

d. The doctor enters a patient’s room with a “scribe” which enables him to focus totally on the patient instead of on a computer. The scribe deals with the computer and the written documentation of the visit.

e.  The staff is able to perform a variety of blood tests and other diagnostics such as a Strep throat and  HIV testing. They give vaccinations such as flu shots and they  do Xrays and ECG’s. The Xrays  are over-read within 2 hours by outside radiologists. You can get a physical exam, travel medical counseling, and pediatric care for 6 months and up.

f.  Although the CJUC doctors will not function as  your primary physician, you can go there for followup of issues that they initially saw you for.

g. The experience is much better than going to an ER, but if necessary, they will arrange to have a patient transported to the hospital. If you need a referral to a specialist, they will help you make that contact.

h.  The CJUC offers a phone app which lets you check on waiting times.  They also have a brilliant “membership plan” which offers a number of guaranteed visits outside of your insurance. As for the latter, they accept most insurance plans including Medicaid.  Their goal is to turn no one away.

On Sunday July 15, they will have an open house from noon to 4 pm, and the public is invited. There will be tours, food, face painting and giveaways. You can see the facility and meet the staff.  You will be impressed.

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Central Jersey Urgent Care

Central Jersey Urgent Care

By Paul Goldfinger, MD, FACC  (Editor @Blogfinger)

You may have noticed urgent care centers in strip malls around the state. These facilities, which specialize in treating non-life- threatening ailments such as minor accidents, flu, rashes etc., are increasing in numbers around the country and will play a significant roll in the new healthcare system. They already are an important cog in healthcare in countries like England, Israel, New Zealand and Canada.

The idea first developed in the 1970’s in the U.S.. We had one in Morris County (Budd Lake) which was run by ER doctors and ER RNs. At first they didn’t do so well because their roll in the delivery of healthcare was unclear, and some insurance companies wouldn’t reimburse their care. But the prospects for urgent care facilities have brightened in recent years, with over 10,000 across the country, and 64 in New Jersey.   There is now a specialty of Urgent Care Medicine, and many new centers open each year.

With an impending shortage of family doctors and increased numbers of insured patients, the urgent care centers are looking good as a practical  offering on the medical buffet table. Did you ever get sick, such as with a pain in the abdomen, and wonder where you should go to be evaluated?  Most of us would rather walk on fire than go to an ER where you are guaranteed a long and even dangerous wait.

You could call your family doctor, if you have one, but you might be told that you can be seen next week. And you can’t find a doctor who will see you on weekends, evenings or holidays.  Well, a good solution is to go to an urgent care center where you can be seen that day, by just walking in, and you can be evaluated by a board certified physician. Clearly, this is looking more and more attractive each day.

The economics are changing in a way that makes it feasible for good doctors to choose urgent care medicine for a career. The cost of care in such a facility is much less than that in an ER, and without the risks, time lost, discomfort and psychologic side effects.

Yesterday I visited the Central Jersey Urgent Care which is in the new strip mall  (732 Rt 35, Unit G) on the Asbury Circle  (right before you get onto Rt. 66)   There I met with Markintosh Berthelemy, MD, Chirag Patel, MD and Larry Desrochers, MD. These doctors are all American university trained,  board certified ER physicians who are highly qualified for the kind of work  they do at the Urgent Care Center. Their facility is modern, gleaming and spacious. It includes a lab and X-Ray. They opened one year ago. Phone 732 455 8444.

Dr. Barthelemy explained that there is rarely a wait at their facility. They are open 365 days per year, and you can find details at their web site ( CJUC link).   He said that they are “an alternative to the ER.” They see adults and children. But he pointed out that significant acute conditions such as heart attacks should go to an ER, and if such a patient comes into their center, they will stabilize the situation and call 911.

Dr. Patel, who also works part time in a hospital ER, agreed that the future of urgicenters seems bright, but that there is considerable uncertainty regarding how it will work out under Obamacare and if mega-corporations such as Barnabas Health might try to undercut them.

For the patients that they do see, they can save a lot of time by setting bones, suturing wounds and running some labs. There are about six urgent care centers around here, but they are not all the same. For example some use nurse practitioners or primary care doctors instead of board certified ER docs, of which there are 4 at CJUC.

This urgi center does not also function as a primary care facility, so they don’t follow patients with chronic issues, but they will fill in if your regular doctor cannot see you, even if the problem is not so acute, such as you are about to run out of blood pressure medication and need a prescription. The Center calls all their patients back two days later, and once a patient leaves, he can call the Center if things aren’t going well or if there are questions. These doctors communicate routinely with primary docs, and they can be a huge help to patients by arranging referrals, if needed,  to the best specialists in the community.

I enjoyed meeting these doctors and their staff. They are personable, knowledgable and caring. Don’t hesitate to go there if you are having a problem, and it is about 10 minutes away. If you research urgi-centers in the area, make sure that you will be seen by board certified doctors.  Nurses and PA’s are not the same. Similarly, don’t confuse the advantages of urgent care centers with the “doc-in-a box” services provided by a growing number of pharmacies.

 

 

 

 

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