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