Emergency Department Visit-Severity Algorithm for Immediate Care Clinic Visits

These results demonstrate that immediate care clinics deliver predominantly non-emergent care as intended (81% vs 45% in the ED), potentially reducing ED crowding and validating current clinician- and patient-initiated referral practices. High rates of repeat ICC visits (47%) and follow-up with primary care physicians (41%) within the same healthcare system suggest these facilities foster care continuity while providing accessible, non-emergent care alternatives. However, user disparities persist as self-pay and uninsured patients show lower overall ICC use, while uninsured and publicly insured individuals present with emergent conditions more frequently than privately insured patients. These findings inform care-seeking education and health service delivery while highlighting the need to improve ICC accessibility across insurance types to optimize efficiency and patient outcomes.

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Publication Details

Journal
Western Journal of Emergency Medicine
Published
2025-12-20
DOI
https://doi.org/10.5811/westjem.47360
Primary Topic
Emergency and Acute Care Studies
Type
article
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article

Emergency Department Visit-Severity Algorithm for Immediate Care Clinic Visits

Luther Walls, Talar Markossian, Michael Cirone, Beatrice D. Probst et al.
Western Journal of Emergency Medicine
Emergency and Acute Care Studies
article

Emergency Department Visit-Severity Algorithm for Immediate Care Clinic Visits

Luther Walls, Talar Markossian, Michael Cirone, Beatrice D. Probst, Jacy E. Neczypor
article en

Abstract

These results demonstrate that immediate care clinics deliver predominantly non-emergent care as intended (81% vs 45% in the ED), potentially reducing ED crowding and validating current clinician- and patient-initiated referral practices. High rates of repeat ICC visits (47%) and follow-up with primary care physicians (41%) within the same healthcare system suggest these facilities foster care continuity while providing accessible, non-emergent care alternatives. However, user disparities persist as self-pay and uninsured patients show lower overall ICC use, while uninsured and publicly insured individuals present with emergent conditions more frequently than privately insured patients. These findings inform care-seeking education and health service delivery while highlighting the need to improve ICC accessibility across insurance types to optimize efficiency and patient outcomes.

Western Journal of Emergency MedicineVol. 27(1)
Loyola University Medical Center (US), Illinois College (US), Chicago Department of Public Health (US), Loyola University Chicago (US), University of Illinois Chicago (US), Advocate Christ Medical Center (US)
Openalex Percentile: Top 43%
Emergency and Acute Care Studies
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Emergency Department Visit-Severity Algorithm for Immediate Care Clinic Visits — Luther Walls, Talar Markossian, et al. · Western Journal of Emergency Medicine (2025) | TGRS Research Map | TGRS