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Consensus Statement on Urgent Care Centers and Retail Clinics in Acute Care of Children

Saidinejad, Mohsen, MD, MBA*; Paul, Audrey, MD, PhD; Gausche-Hill, Marianne, MD; Woolridge, Dale, MD§; Heins, Alan, MD; Scott, William Russell, MD; Friesen, Phillip, DO#; Rayburn, David, MD, MPH**; Conners, Gregory, MD, MPH, MBA††; Petrack, Emory, MD‡‡; Horeczko, Timothy, MD, MSCR*; Stoner, Michael, MD§§; Edgerton, Elizabeth, MD, MPH∥∥; Joseph, Madeline, MD¶¶

Section Editor(s): Rutman, Lori E. MD, MPH; Feature Editor

doi: 10.1097/PEC.0000000000001656
Original Research-QI

This article provides recommendations for pediatric readiness, scope of services, competencies, staffing, emergency preparedness, and transfer of care coordination for urgent care centers (UCCs) and retail clinics that provide pediatric care. It also provides general recommendations for the use of telemedicine in these establishments. With continuing increases in wait times and overcrowding in the nation's emergency departments and the mounting challenges in obtaining timely access to primary care providers, a new trend is gaining momentum for the treatment of minor illness and injuries in the form of UCCs and retail clinics. As pediatric visits to these establishments increase, considerations should be made for the type of injury or illnesses that can be safely treated, the required level training and credentials of personnel needed, the proper equipment and resources to specifically care for children, and procedures for safe transfer to a higher level of care, when needed. When used appropriately, UCCs and retail clinics can be valuable and convenient patient care resources.

From the *David Geffen School of Medicine at UCLA, Harbor UCLA Medical Center, The Los Angeles Biomedical Research Institute, Torrance, CA;

Department of Emergency Medicine, Mount Sinai, New York, NY;

Los Angeles County EMS Agency, Santa Fe Springs, CA;

§University of Arizona, Tucson, AZ;

Hospitals and Clinics, Children's Mercy Hospitals and Clinic, Kansas City, MO;

Department of Emergency Medicine, Medical University of South Carolina, Charleston, SC;

#Department of Emergency Medicine, Dell Children’s Medical Center of Central Texas, Austin, TX;

**Tufts Medical Center, Floating Hospital for Children, Somerville, MA;

††Department of Emergency Medicine, Children's Mercy Hospitals & Clinics, Kansas City, MO;

‡‡Department of Emergency Medicine, Tufts University School of Medicine, Floating Hospital for Children, Boston, MA;

§§Section of Emergency Medicine, Nationwide Children’s Hospital, Columbus, OH;

∥∥Division of Child, Adolescent, and Family Health, Health Resources and Services Administration (HRSA), Rockville, MD;

¶¶Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL.

Disclosure: The authors declare no conflict of interest.

This article is prepared by the authors in collaboration with the Pediatric Emergency Medicine Committee of the American College of Emergency Physicians.

Reprints: Mohsen Saidinejad, MD, MBA, David Geffen School of Medicine at UCLA, Harbor UCLA Medical Center, The Los Angeles Biomedical Research Institute, 1000 W. Carson St, Box 21, Torrance, CA 90502 (e-mail: msaidinejad@labiomed.org).

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