# Urgent Care & Walk-In Clinic Quality Management System

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.*