Set Up an Urgent Care Clinic That Actually Sees Success

Urgent care is medical care that requires prompt attention but is not life-threatening. It includes illnesses and injuries like dehydration, allergies, sinus infections, fever (without rashes), non-severe headaches, etc.

Urgent care clinics are a critical link between emergency and primary care. They are essentially walk-in clinics that barely require appointments and are dedicated to treating patients as soon as possible.

Currently, more than 10,000 urgent care clinics operate in the United States. As per statistics, the industry revenue has grown at a CAGR of 3.1% over the past five years and is expected to total $46.7 billion in 2024.

One of the primary stimuli behind this development is COVID-19, which brought the significance of on-demand care to the forefront. Also, due to increased awareness about preventive care, cost-effectiveness, and short wait times, the popularity of urgent care has shown an unprecedented spike.

As far as setting up an urgent care clinic is concerned, there could be many reasons why you want to do it. You might want to feed your entrepreneurial spirit, invest in this financially viable market, or simply want to serve the community’s needs.

No matter what the purpose is, knowing the path always makes it easier. In this write-up, we will share insights into how to build an urgent care clinic that actually lives up to your expectations.

Begin With Market Research

The urgent care market is saturated, with so many players entering it. According to the UCA member survey, 89.4% of the U.S. population is within a 20-minute drive of an urgent care facility.

Executing thorough market research will help you stand out in this competitive landscape. It enables you to:

  • Interpret, gather, and analyze healthcare data
  • Identify unmet patient’s needs and barriers
  • Offer personalized care and enhance patient’s satisfaction
  • Understand demographics, their current needs and expectations
  • Assess the contenders and make well-informed decisions

Estimated timeline: 3 to 6 months

Formulate a Business Plan

Research highlights that firms with a business plan grow 30% faster than those that don’t have one. But what exactly is a business plan?

 A business plan is a blueprint, a roadmap, that helps you gather your thoughts and get a holistic picture of business objectives, strategies, challenges, and financial projections.

It familiarizes you with all aspects of running urgent care and lets you uncover hidden insights, such as whether the targeted location or population is up for one more urgent care clinic, whether your startup faces competition from independent clinics, how healthcare providers are likely to respond to your initiative, whether the initial set-up cost matches your estimation and more.

Here’s what you must include while writing your business plan:

  • Executive Summary : Summary of the entire proposal in 1 or 2 pages
  • Company Summary : Organizational structure and key players
  • Business Description : How your services differ from competitors
  • Market Analysis : An overview of targeted demographics and competitors
  • Marketing and Sales : How you plan to drive and retain customers

Estimated timeline: 1 to 3 months

Establish a Business Entity

Decide on the type of business you want to establish, whether a sole proprietorship, partnership, corporation, or limited liability company (LLC). Then, obtain an Employer Identification Number (EIN). This is a unique 9-digit number issued by the Internal Revenue Service (IRS), which you will need to open a business bank account, apply for business licenses, and file your tax returns.

Estimated timeline: 2 to 3 weeks

Secure Funding

To secure funding for your urgent care business, you have multiple options. Below are the most viable ones:

  • Apply for a term or lines of credit loan. You can also explore the options available with the U.S. Small Business Administration.
  • Seek investments from angel investors, private equity, or venture tycoons. Here, you also get industry acumen along with the capital.
  • Go for crowdfunding or government grants. There are several grants offered by state, federal, local government, and non-profit organizations like (HRSA) for healthcare projects. The best part is you don’t have to repay them.
  • Utilize your savings. Look for sources like retirement accounts or home equity loans.

Estimated timeline: 3 to 6 months

Find the Perfect Location

More than 70% of urgent care clinics are functioning in suburban areas. But before finalizing the location, you must answer certain questions. Such as:

  • What are the minimum visits you need to be profitable, and can the density/demographics of the location fulfill it?
  • Is the area visible enough and frequently seen by people for their day-to-day activities?
  • What is the status of nearby healthcare facilities, how many urgent care clinics are operational there, and do they provide specialized care such as pediatrics?

Also, sidestep crowded zones. For example, New York-Newark-Jersey City NY-NJ-PA has over 484 urgent care clinics while the count in Los Angeles-Long Beach-Anaheim CA goes up to 411.  

Estimated timeline: 3 to 6 months

Acquire Registration and License

To register your urgent care clinic, get in touch with your state secretary or equivalent agency to know about the requirements. In areas with strong Corporate Practice of Medicine (CPOM) laws, you will need to form a PC or PLLC, which must be owned by licensed physicians.

Further, ensure your clinic is registered with the National Provider Identifier (NPI) to facilitate medical billing and compliance. If your clinic offers X-ray services or a pharmacy on-site, you will also need to apply for an X-ray permit or obtain a state pharmacy license.

Estimated time: 2 to 4 months

Network with Payers and Providers

Networking with local healthcare facilities, primary care, and specialty-focused centers is essential to get referral visits. It provides collaborative care and steady cash flow.

Also, ensure that your clinic and its providers are credentialed with insurance companies by gathering necessary documentation like medical licenses, proof of education and training, board certifications, professional liability insurance, and submitting applications.

Make a list of all the insurers you want to enroll with and negotiate contracts to establish reimbursement rates using data on your practice’s performance and market rates. Don’t forget to register your providers with the Centers for Medicare & Medicaid Services as they make up a significant portion of the patient population. 

Estimated timeline: 3 to 6 months.

Equip With Essential Utilities

Ensure that your urgent care facility is equipped with necessary diagnostic and administrative tools, such as ECG machines, EHR systems, surgical instruments, patient monitors, billing and inventory management software, and telemedicine platforms.

Procure personal protective equipment (PPE), housekeeping items, and medications crucial for daily operations and emergency preparedness.

Estimated timeline: 5 to 10 weeks

Choose the Right Vendor

The quality of urgent care depends on the quality of medical equipment, which in turn relies on the quality of the vendor you partner with. To choose the right vendor with the right set of experience and expertise:

  • Initiate with a Google or KLAS research
  • Concentrate on innovative capabilities
  • Peek into their customer support
  • Take a glance at EHR certifications

Read in detail here.

Estimated timeline: 4 to 6 weeks

Hire the Right Staff

Ahead of hiring, be clear with the expectations and decide on the hiring process, such as who will take an interview, how many technical and non-technical rounds will be there, what parameters you will evaluate the candidate, and what the CTC range for each profile will be.

Explore your professional network and physician associations. Take advantage of career fairs and conferences to find the candidates that best meet your conditions.

While hiring, nursing practitioners or providers are generally at the tip of our fingers. But you must not forget that supporting staff and front desk administration is equally important and deserves an ample amount of time and consideration in the hiring process.

Estimated timeline: 2 to 4 months

In Conclusion

Many times, we tend to believe that we will have a decent number of patient visits as soon as we open the clinic. But this is not the case. Just having a physical clinic presence doesn’t guarantee patient visits, not even the break-even patient count.

Thus, maintaining an online presence is a must to ensure that we at least have a break-even patient count to start with. According to Google, search drives nearly three times as many visitors to hospital sites as non-search visitors.

Here’s what your online presence strategy should look like:

  • 3 to 6 months before opening : Create a professional website, set up social media profiles, and start sharing informative content.
  • 2 to 4 months before opening : Begin networking with local physicians.
  • 1 to 3 months before opening : Launch targeted online campaigns.
  • 1 to 2 months before opening : Host health fairs to raise awareness.
  • 1 month before opening : Start a content marketing campaign.
  • 2 weeks before opening : Send out press releases.
  • 1 week before opening : Start e-mail marketing campaigns.
  • Opening day : Host a grand opening event.  
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