Sync template from atomicqms-style deployment

README.md

@@ -1,3 +1,133 @@
-# urgent-care
+# Urgent Care & Walk-In Clinic Quality Management System
 
-A comprehensive QMS template designed for urgent care centers, walk-in clinics, and immediate care facilities.
+A comprehensive QMS template designed for urgent care centers, walk-in clinics, and immediate care facilities.
+
+## 🏥 Designed For
+
+- **Urgent Care Centers** - Walk-in acute care facilities
+- **Retail Health Clinics** - Pharmacy-based clinics
+- **Occupational Health Clinics** - Workers' comp and employer health
+- **After-Hours Clinics** - Extended hour primary care
+- **Pediatric Urgent Care** - Children's walk-in services
+- **Sports Medicine Clinics** - Athletic injury care
+- **Freestanding Emergency Departments** - Stand-alone emergency services
+
+## 📋 Regulatory Framework
+
+This template supports compliance with:
+
+- **The Joint Commission** - Ambulatory Care accreditation
+- **UCAOA** - Urgent Care Association standards and benchmarks
+- **CMS** - Medicare/Medicaid requirements
+- **State Medical Board** - Physician practice and supervision
+- **OSHA** - Bloodborne pathogens, workplace safety
+- **HIPAA** - Patient privacy requirements
+- **CLIA** - Point-of-care testing requirements
+- **State Facility Licensing** - Urgent care facility regulations
+- **EMTALA** - Emergency screening requirements (if applicable)
+- **CDC** - Infection control guidelines
+
+## Repository Structure
+
+```
+├── SOPs/
+│   ├── Patient-Flow/          # Triage, registration, rooming, discharge
+│   ├── Clinical-Protocols/    # Chief complaint-based treatment pathways
+│   ├── Procedures/            # Suturing, splinting, I&D, injections
+│   ├── Diagnostics/           # X-ray, lab, POCT procedures
+│   ├── Safety/                # Infection control, emergencies, transfers
+│   └── General/               # Document control, training, CAPA
+├── Forms/
+│   ├── Triage-Forms/          # ESI triage, vital signs, acuity
+│   ├── Visit-Documentation/   # History, exam, assessment, plan templates
+│   ├── Procedure-Consent/     # Procedure-specific consent forms
+│   ├── Discharge-Instructions/# Condition-specific aftercare
+│   ├── POCT-Records/          # Point-of-care testing logs
+│   └── Training/              # Competency assessments
+├── Policies/                  # Facility policies
+├── Work-Instructions/         # Step-by-step procedures
+└── Templates/                 # Document templates
+```
+
+## Document Numbering Convention
+
+- **POL-XXX**: Policies
+- **SOP-PF-XXX**: Patient Flow SOPs
+- **SOP-CP-XXX**: Clinical Protocol SOPs
+- **SOP-PRC-XXX**: Procedure SOPs
+- **SOP-DX-XXX**: Diagnostic SOPs
+- **SOP-SAF-XXX**: Safety SOPs
+- **WI-XXX**: Work Instructions
+- **FRM-XXX**: Forms and Records
+
+## 🤖 AI-Powered Assistance
+
+This repository includes **AtomicAI**, your urgent care QMS assistant. Mention `@atomicai` in any issue or pull request to:
+
+- Draft triage and patient flow procedures
+- Create clinical treatment protocols
+- Generate procedure SOPs for common urgent care procedures
+- Develop discharge instruction templates
+- Create emergency transfer protocols
+- Review documents for accreditation compliance
+
+### Example Prompts
+
+- "@atomicai create an SOP for ESI triage in urgent care"
+- "@atomicai draft a laceration repair protocol with suturing technique"
+- "@atomicai write a chest pain evaluation and transfer protocol"
+- "@atomicai create discharge instructions for ankle sprain"
+- "@atomicai develop a point-of-care strep testing procedure"
+- "@atomicai create an occupational injury documentation form"
+
+## Getting Started
+
+1. **Establish Triage Protocols** - Implement acuity-based patient flow
+2. **Define Clinical Pathways** - Create chief complaint-based protocols
+3. **Set Up Procedure Standards** - Document common urgent care procedures
+4. **Implement POCT Program** - Configure point-of-care testing QC
+5. **Train Staff** - Use competency assessment forms
+
+## Key Documents to Create First
+
+1. **Triage Protocol** - Acuity assessment and flow decisions
+2. **Chest Pain/ACS Protocol** - High-risk complaint management
+3. **Laceration Repair SOP** - Wound care and suturing procedure
+4. **Fracture/Splinting Protocol** - Immobilization and referral
+5. **Transfer to ED Protocol** - Emergency transfer criteria and process
+6. **POCT Quality Control SOP** - Point-of-care testing requirements
+7. **Discharge Instruction Library** - Condition-specific aftercare
+
+## Special Considerations for Urgent Care
+
+### Patient Flow
+- Walk-in vs. scheduled appointments
+- Triage and acuity assessment
+- Wait time management
+- Left without being seen (LWBS) tracking
+- Throughput optimization
+
+### Clinical Scope
+- Chief complaint-based protocols
+- Scope of practice limitations
+- Transfer and referral criteria
+- High-risk complaint management
+- Pediatric-specific considerations
+
+### Procedures
+- Wound care and suturing
+- Fracture management and splinting
+- Abscess I&D
+- Foreign body removal
+- Injection techniques
+
+### Safety and Compliance
+- Emergency equipment and medications
+- Infection control (isolation, PPE)
+- Controlled substance management
+- Medical record documentation
+- Quality metrics (door-to-provider, LWBS)
+
+---
+
+*This template is maintained by AtomicQMS. For questions, open an issue in this repository.*