{"id":1020,"date":"2025-09-13T05:13:15","date_gmt":"2025-09-13T05:13:15","guid":{"rendered":"https:\/\/yourcprmd.com\/thenuquifoundation\/?p=1020"},"modified":"2025-09-13T05:13:15","modified_gmt":"2025-09-13T05:13:15","slug":"capstone-project-proposal-how-to-successfully-establish-urgent-cares-in-california","status":"publish","type":"post","link":"https:\/\/yourcprmd.com\/thenuquifoundation\/capstone-project-proposal-how-to-successfully-establish-urgent-cares-in-california\/","title":{"rendered":"Capstone Project Proposal:\u00a0 Delivering Effective and Comprehensive Start-Up Resources to Medical Providers \u2013 Physicians or Physician-Controlled Entities \u2013 who want to Successfully Establish Urgent Care Clinics in the State of California"},"content":{"rendered":"

Capstone Project Proposal:<\/strong>\u00a0<\/strong><\/h1>\n

Delivering Effective and Comprehensive Start-Up Resources to Medical Providers \u2013 Physicians or Physician-Controlled Entities \u2013 who want to Successfully Establish Urgent Care Clinics in the State of California<\/strong><\/h1>\n

Capstone Project Proposal: How To Successfully Establish Urgent Cares in California<\/h2>\n

Author: Ryan Nuqui, MD<\/h2>\n

Course: SPHHS 681 \u2013 The PHP MPH Capstone; Fall 2025<\/h2>\n

University of Massachusetts, Amherst (UMass)<\/h2>\n

Date Posted: September 12, 2025<\/h2>\n

Background<\/u><\/strong><\/h3>\n
    \n
  • Context and outline of the problem to be studied and the topic to be addressed<\/strong>\n
      \n
    • Project\u2019s goals: <\/strong>Delivering effective and comprehensive start-up resources to medical providers \u2013 physicians or physician-controlled entities \u2013 who want to successfully establish urgent care clinics in the State of California.<\/li>\n
    • Scope & Feasibility:<\/strong>\n
        \n
      • Statement of the questions to be raised: <\/strong>regulatory requirements; financial and economic considerations; location and market-analysis; staffing, operations, and clinical protocols; infrastructure, facility design, and technology; quality, safety, and patient experience standards; reimbursement, insurance, and payer\u2010relations challenges; legal, liability, and risk management issues; financing and investment models; public health, community need, and policy factors<\/li>\n
      • Problems to be solved:<\/strong> regulatory complexity and variance; high startup & operational cost; payer mix uncertainty and reimbursement challenges; identifying underserved markets; recruitment and retention of qualified clinical and support staff; ensuring quality and safety; ensuring quality and safety; financial viability; managing risk, liability, and legal compliance; and sustainability over the long term<\/li>\n
      • Objectives of the study: <\/strong>map out the regulatory, legal, and licensing requirements specific; develop a detailed financial model; identify key criteria for selecting optimal locations; define the necessary staffing, clinical services, facility design, and technology infrastructure; analyze the insurance and payer contracting landscape; assess potential legal and risk management structures; evaluate different financing, investment, and partnership models; and provide recommendations or a roadmap for stakeholders (healthcare entrepreneurs, hospital systems, policymakers)<\/li>\n<\/ul>\n<\/li>\n
      • Methods:<\/strong>\n
          \n
        • Research Design: <\/strong>employ a mixed-methods approach, integrating both qualitative and quantitative methods; structured into four major phases\n
            \n
          • Phase I: Regulatory and Legal Analysis<\/strong>\n
              \n
            • Objective: <\/strong>Understand licensing, zoning, construction, and healthcare regulations governing urgent care centers in California.<\/li>\n<\/ul>\n<\/li>\n
            • Phase II: Financial and Operational Feasibility Study<\/strong>\n
                \n
              • Objective:<\/strong> Estimate startup and operational costs, identify revenue streams, and evaluate financial models.<\/li>\n<\/ul>\n<\/li>\n
              • Phase III: Market and Location Analysis<\/strong>\n
                  \n
                • Objective: <\/strong>Identify key indicators of successful urgent care locations and assess potential markets across California.<\/li>\n<\/ul>\n<\/li>\n
                • Phase IV: Operational Planning and Best Practices<\/strong>\n
                    \n
                  • Objective: <\/strong>Determine facility design, staffing models, clinical protocols, and technology infrastructure for urgent care.<\/li>\n<\/ul>\n<\/li>\n
                  • Integration of Findings<\/strong>\n
                      \n
                    • Best practice models<\/li>\n
                    • Step-by-step implementation roadmap<\/li>\n
                    • Key success factors and pitfalls<\/li>\n
                    • Sample budget and timeline<\/li>\n<\/ul>\n<\/li>\n
                    • Anticipated Limitations and Challenges:<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                        \n
                      • \n
                          \n
                        • \n
                            \n
                          • \n
                              \n
                            • \n
                                \n
                              • Data Availability<\/li>\n
                              • Regulatory Variability<\/li>\n
                              • Stakeholder Access<\/li>\n
                              • Cost Estimation Uncertainty<\/li>\n
                              • Policy Changes<\/li>\n
                              • Time and Scope Constraints<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n
                              • Significance<\/strong>\n
                                  \n
                                • Healthcare accessibility, system efficiency, community development, and informed investment<\/strong>\n
                                    \n
                                  • Meeting Community Health Needs<\/strong><\/li>\n
                                  • Supporting Program Effectiveness and Strategic Health Planning<\/strong><\/li>\n
                                  • Professional and Organizational Development<\/strong><\/li>\n
                                  • Contribution to the Literature<\/strong><\/li>\n
                                  • Long-Term Impact<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                                      \n
                                    • Case study: Calcity Urgent Care<\/strong> at 8100 California City Blvd, California City, CA 93505 will be one of the case studies in the capstone project.<\/li>\n
                                    • Relevant literature supporting the topic: <\/strong>Attached are the relevant literature supporting the topic.<\/li>\n<\/ul>\n

                                      Statement of the Questions to be Raised<\/u><\/strong><\/h3>\n
                                        \n
                                      1. What are the regulatory requirements<\/strong> in California for setting up and licensing an urgent care clinic?\n
                                          \n
                                        • What state, county, and local health department permits are needed?<\/li>\n
                                        • What building codes, safety standards, ADA (Americans with Disabilities Act) compliance, fire codes, etc., apply?<\/li>\n<\/ul>\n<\/li>\n
                                        • What are the financial and economic considerations<\/strong> involved?\n
                                            \n
                                          • What are startup costs (land, building\/lease, equipment, staffing)?<\/li>\n
                                          • What expected revenue models, reimbursement rates, payer mix (insurance, Medicare, Medicaid, self-pay)?<\/li>\n
                                          • What operating costs and break-even timelines are realistic?<\/li>\n<\/ul>\n<\/li>\n
                                          • What location and market\u2010analysis factors<\/strong> are critical for success?\n
                                              \n
                                            • How to identify underserved areas or health care deserts in California?<\/li>\n
                                            • What demographic, epidemiologic, transportation, and competition factors should be considered?<\/li>\n<\/ul>\n<\/li>\n
                                            • What staffing, operations, and clinical protocols<\/strong> are needed?\n
                                                \n
                                              • What clinical services will be offered (e.g., minor injuries, diagnostics, imaging, labs)?<\/li>\n
                                              • What staffing levels and types (physicians, nurse practitioners, PAs, lab techs, front desk, etc.) are required?<\/li>\n<\/ul>\n<\/li>\n
                                              • What infrastructure, facility design, and technology<\/strong> needs are required?\n
                                                  \n
                                                • What physical space, layout, medical equipment, and technology systems (EHR, telehealth, billing) are necessary?<\/li>\n
                                                • What supply chain and inventory management practices?<\/li>\n<\/ul>\n<\/li>\n
                                                • What quality, safety, and patient experience standards<\/strong> should be built in?\n
                                                    \n
                                                  • How to ensure patient safety, continuity of care, infection control, regulatory compliance?<\/li>\n
                                                  • What customer satisfaction or access metrics?<\/li>\n<\/ul>\n<\/li>\n
                                                  • What reimbursement, insurance, and payer\u2010relations challenges<\/strong> exist?\n
                                                      \n
                                                    • How to contract with payers, negotiate rates, manage billing and claims?<\/li>\n
                                                    • How does Medicaid (Medi\u2011Cal in California) participation work?<\/li>\n<\/ul>\n<\/li>\n
                                                    • What legal, liability, and risk management issues<\/strong> must be addressed?\n
                                                        \n
                                                      • Malpractice insurance, scope of practice, medical\u2010legal compliance, privacy (HIPAA), reporting obligations.<\/li>\n<\/ul>\n<\/li>\n
                                                      • What financing and investment models<\/strong> are viable?\n
                                                          \n
                                                        • What sources of capital (banks, investors, public grants)?<\/li>\n
                                                        • Are partnerships or joint ventures beneficial (e.g., with hospitals, physician groups)?<\/li>\n<\/ul>\n<\/li>\n
                                                        • How do public health, community need, and policy factors<\/strong> influence feasibility?\n
                                                            \n
                                                          • How do state policies (reimbursement, regulations, incentives) and local health needs affect demand and sustainability?<\/li>\n
                                                          • How do differences by region (rural vs urban) change the model?<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                                                            Problems to be Solved<\/u><\/strong><\/h3>\n
                                                              \n
                                                            1. Regulatory complexity and variance: <\/strong>Navigating differing rules across municipalities and counties and keeping up with California state laws.<\/li>\n
                                                            2. High startup & operational costs:<\/strong> Real estate, equipment, staffing, and maintaining compliance incur substantial costs.<\/li>\n
                                                            3. Payer mix uncertainty and reimbursement challenges<\/strong>, especially in underserved or low\u2010income communities.<\/li>\n
                                                            4. Identifying underserved markets:<\/strong> Ensuring demand and access justify the investment; avoid oversaturation.<\/li>\n
                                                            5. Recruitment and retention of qualified clinical and support staff,<\/strong> given workforce shortages in certain regions.<\/li>\n
                                                            6. Ensuring quality and safety<\/strong> while maintaining financial viability.<\/strong><\/li>\n
                                                            7. Balancing access and patient satisfaction with operational efficiency.<\/strong><\/li>\n
                                                            8. Managing risk, liability, and legal compliance,<\/strong> including insurance, malpractice, privacy, etc.<\/li>\n
                                                            9. Sustainability over the long term:<\/strong> market changes, policy shifts, competition, healthcare reform.<\/li>\n<\/ol>\n

                                                              Objectives of the Study<\/u><\/strong><\/h3>\n
                                                                \n
                                                              1. To map out the regulatory, legal, and licensing requirements specific<\/strong> to urgent care facilities in California, including differences by region.<\/li>\n
                                                              2. To develop a detailed financial model<\/strong> estimating startup costs, operational costs, revenue streams, and break\u2010even timelines for building and running urgent care centers in different settings (e.g., urban, suburban, rural).<\/li>\n
                                                              3. To identify key criteria for selecting optimal locations,<\/strong> including demographic, epidemiological, competitive, transportation, and community\u2010need data, to maximize access and utilization.<\/li>\n
                                                              4. To define the necessary staffing, clinical services, facility design, and technology infrastructure <\/strong>for efficient, safe, and patient\u2010centered urgent care operations.<\/li>\n
                                                              5. To outline best practices for quality assurance, patient safety, and customer experience, including metrics for measuring performance.<\/li>\n
                                                              6. To analyze the insurance and payer contracting landscape, <\/strong>especially Medi\u2010Cal, private insurers, and self\u2010pay, to ensure reimbursement viability.<\/li>\n
                                                              7. To assess potential legal and risk management structures,<\/strong> including liability, privacy, and scope of practice considerations.<\/li>\n
                                                              8. To evaluate different financing, investment, and partnership models,<\/strong> exploring what has worked in California and lessons learned.<\/li>\n
                                                              9. To provide recommendations or a roadmap for stakeholders (healthcare entrepreneurs, hospital systems, policymakers) <\/strong>on how to successfully plan, finance, build, and operate urgent care centers in California.<\/li>\n<\/ol>\n

                                                                Methodology Outline<\/u><\/strong><\/h3>\n
                                                                  \n
                                                                1. Research Design<\/strong>\n
                                                                    \n
                                                                  • This study will employ a mixed-methods approach, integrating both qualitative and quantitative methods <\/strong>to ensure a comprehensive understanding of the process of building urgent care centers in California. The methodology will be structured into four major phases.<\/strong><\/li>\n<\/ul>\n<\/li>\n
                                                                  • Phase I: Regulatory and Legal Analysis<\/strong>\n
                                                                      \n
                                                                    • Objective: Understand licensing, zoning, construction, and healthcare regulations governing urgent care centers in California.<\/strong>\n
                                                                        \n
                                                                      • Data Collection:<\/strong>\n
                                                                          \n
                                                                        • Review official documents and websites from:\n
                                                                            \n
                                                                          • California Department of Public Health (CDPH)<\/li>\n
                                                                          • Office of Statewide Health Planning and Development (OSHPD)<\/li>\n
                                                                          • Local zoning and planning departments<\/li>\n
                                                                          • California Building Standards Commission<\/li>\n<\/ul>\n<\/li>\n
                                                                          • Interviews or correspondence with regulatory bodies or healthcare law experts.<\/li>\n<\/ul>\n<\/li>\n
                                                                          • Analysis Method:<\/strong>\n
                                                                              \n
                                                                            • Legal content analysis<\/li>\n
                                                                            • Thematic synthesis of permitting and compliance processes<\/li>\n<\/ul>\n<\/li>\n
                                                                            • Deliverable:<\/strong>\n
                                                                                \n
                                                                              • A regulatory checklist and process map for starting an urgent care facility in California.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
                                                                                  \n
                                                                                1. Phase II: Financial and Operational Feasibility Study<\/strong>\n
                                                                                    \n
                                                                                  • Objective:<\/strong> Estimate startup and operational costs, identify revenue streams, and evaluate financial models.<\/strong>\n
                                                                                      \n
                                                                                    • Data Collection:<\/strong>\n
                                                                                        \n
                                                                                      • Industry reports (e.g., MGMA, Becker\u2019s Healthcare)<\/li>\n
                                                                                      • Existing urgent care case studies and benchmark data<\/li>\n
                                                                                      • Interviews with clinic owners, healthcare CFOs, and investors<\/li>\n
                                                                                      • Site-specific cost estimations (urban vs rural California)<\/li>\n<\/ul>\n<\/li>\n
                                                                                      • Analysis Method:<\/strong>\n
                                                                                          \n
                                                                                        • Financial modeling (e.g., Excel-based projections)<\/li>\n
                                                                                        • Sensitivity analysis (to simulate different scenarios)<\/li>\n<\/ul>\n<\/li>\n
                                                                                        • Deliverable:<\/strong>\n
                                                                                            \n
                                                                                          • A detailed financial feasibility report including cost estimates, ROI analysis, and funding recommendations.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
                                                                                              \n
                                                                                            1. Phase III: Market and Location Analysis<\/strong>\n
                                                                                                \n
                                                                                              • Objective: Identify key indicators of successful urgent care locations and assess potential markets across California.<\/strong>\n
                                                                                                  \n
                                                                                                • Data Collection:<\/strong>\n
                                                                                                    \n
                                                                                                  • Use GIS and demographic tools (e.g., U.S. Census, Esri, local health needs assessments)<\/li>\n
                                                                                                  • Collect data on competition (number and proximity of existing urgent cares, primary care offices, ERs)<\/li>\n
                                                                                                  • Community health rankings, transportation access, insurance coverage rates<\/li>\n<\/ul>\n<\/li>\n
                                                                                                  • Analysis Method:<\/strong>\n
                                                                                                      \n
                                                                                                    • Spatial analysis using GIS tools<\/li>\n
                                                                                                    • SWOT analysis for selected regions<\/li>\n<\/ul>\n<\/li>\n
                                                                                                    • Deliverable:<\/strong>\n
                                                                                                        \n
                                                                                                      • A location strategy report identifying high-potential underserved markets.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
                                                                                                          \n
                                                                                                        1. Phase IV: Operational Planning and Best Practices<\/strong>\n
                                                                                                            \n
                                                                                                          • Objective: Determine facility design, staffing models, clinical protocols, and technology infrastructure for urgent care.<\/strong>\n
                                                                                                              \n
                                                                                                            • Data Collection:<\/strong>\n
                                                                                                                \n
                                                                                                              • Review of urgent care guidelines (e.g., Urgent Care Association of America)<\/li>\n
                                                                                                              • Interviews\/surveys with medical directors, architects, EHR vendors, and healthcare HR managers<\/li>\n
                                                                                                              • Site visits to existing urgent care centers (if possible)<\/li>\n<\/ul>\n<\/li>\n
                                                                                                              • Analysis Method:<\/strong>\n
                                                                                                                  \n
                                                                                                                • Comparative case study analysis<\/li>\n
                                                                                                                • Process flow mapping<\/li>\n<\/ul>\n<\/li>\n
                                                                                                                • Deliverable:<\/strong>\n
                                                                                                                    \n
                                                                                                                  • A blueprint document outlining facility layout, workflow models, staffing plans, and IT systems.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
                                                                                                                      \n
                                                                                                                    1. Integration of Findings<\/strong>\n
                                                                                                                        \n
                                                                                                                      • All findings from the four phases will be synthesized into a comprehensive strategic guide or white paper. The synthesis will include:\n
                                                                                                                          \n
                                                                                                                        • Best practice models<\/strong><\/li>\n
                                                                                                                        • Step-by-step implementation roadmap<\/strong><\/li>\n
                                                                                                                        • Key success factors and pitfalls<\/strong><\/li>\n
                                                                                                                        • Sample budget and timeline<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                                                                                                                          Anticipated Limitations or Challenges<\/u><\/strong><\/h3>\n
                                                                                                                            \n
                                                                                                                          1. Data Availability:<\/strong>\n
                                                                                                                              \n
                                                                                                                            • Proprietary or non-public data from private urgent care businesses may limit financial or performance comparisons.<\/li>\n
                                                                                                                            • Incomplete or outdated public health data may affect market analysis.<\/li>\n<\/ul>\n<\/li>\n
                                                                                                                            • Regulatory Variability:<\/strong>\n
                                                                                                                                \n
                                                                                                                              • Local zoning and permitting rules vary widely across counties and municipalities in California, which may complicate standardization of recommendations.<\/li>\n<\/ul>\n<\/li>\n
                                                                                                                              • Stakeholder Access:<\/strong>\n
                                                                                                                                  \n
                                                                                                                                • Scheduling interviews with busy professionals (clinic owners, regulators, investors) may delay the data collection process.<\/li>\n<\/ul>\n<\/li>\n
                                                                                                                                • Cost Estimation Uncertainty:<\/strong>\n
                                                                                                                                    \n
                                                                                                                                  • Construction and labor costs vary across the state and may fluctuate due to inflation or market conditions.<\/li>\n<\/ul>\n<\/li>\n
                                                                                                                                  • Policy Changes:<\/strong>\n
                                                                                                                                      \n
                                                                                                                                    • Future changes in healthcare policy, insurance reimbursements, or licensing requirements could impact the relevance of findings.<\/li>\n<\/ul>\n<\/li>\n
                                                                                                                                    • Time and Scope Constraints:<\/strong>\n
                                                                                                                                        \n
                                                                                                                                      • Depending on project timeline, depth of analysis may need to be limited for each phase.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                                                                                                                                        Significance<\/u><\/strong><\/h3>\n

                                                                                                                                        The proposed study holds critical significance for healthcare accessibility, system efficiency, community development, and informed investment<\/strong> in California\u2019s healthcare infrastructure. The insights and outcomes anticipated from this project will contribute meaningfully across several domains:<\/p>\n

                                                                                                                                          \n
                                                                                                                                        1. Meeting Community Health Needs<\/strong>\n
                                                                                                                                            \n
                                                                                                                                          • California faces persistent disparities in access to timely, affordable care\u2014especially in rural, underserved, and lower-income urban areas. By identifying practical steps to establish urgent care centers, this study directly supports efforts to:\n
                                                                                                                                              \n
                                                                                                                                            • Alleviate Emergency Room (ER) overcrowding, by offering a more cost-effective and accessible alternative for non-life-threatening conditions.<\/li>\n
                                                                                                                                            • Improve healthcare access in areas with limited primary care capacity or long wait times.<\/li>\n
                                                                                                                                            • Address health equity, by prioritizing expansion in medically underserved communities.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
                                                                                                                                                \n
                                                                                                                                              1. Supporting Program Effectiveness and Strategic Health Planning<\/strong>\n
                                                                                                                                                  \n
                                                                                                                                                • The roadmap and recommendations developed in this project can guide:\n
                                                                                                                                                    \n
                                                                                                                                                  • Healthcare entrepreneurs and health systems seeking to expand services efficiently.<\/li>\n
                                                                                                                                                  • Public health departments and policymakers, enabling better planning and resource allocation for regional healthcare development.<\/li>\n
                                                                                                                                                  • Insurance payers, helping them understand how to partner effectively with urgent care centers as part of a broader continuum of care.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
                                                                                                                                                      \n
                                                                                                                                                    1. Professional and Organizational Development<\/strong>\n
                                                                                                                                                        \n
                                                                                                                                                      • This project will also contribute to professional development by:\n
                                                                                                                                                          \n
                                                                                                                                                        • Equipping healthcare administrators, planners, and investors with a grounded understanding of operational, legal, and financial aspects of launching an urgent care facility in California.<\/li>\n
                                                                                                                                                        • Bridging the knowledge gap between clinical care delivery and business strategy in outpatient care settings.<\/li>\n<\/ul>\n<\/li>\n
                                                                                                                                                        • For organizations and professionals pursuing value-based care model, this study provides a template for scalable, community-based care delivery that aligns with both clinical and financial goals.<\/li>\n<\/ul>\n<\/li>\n
                                                                                                                                                        • Contribution to the Literature<\/strong>\n
                                                                                                                                                            \n
                                                                                                                                                          • There is a limited body of comprehensive, California-specific literature that consolidates the legal, operational, financial, and community planning aspects of launching urgent care centers. This study:\n
                                                                                                                                                              \n
                                                                                                                                                            • Aggregates and synthesizes existing regulatory and market data, making it more accessible to practitioners.<\/li>\n
                                                                                                                                                            • Builds an annotated framework of best practices and real-world case studies.<\/li>\n
                                                                                                                                                            • Establishes a repeatable model that can be adapted across regions within the state, and potentially in other states with similar healthcare landscapes.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
                                                                                                                                                                \n
                                                                                                                                                              1. Long-Term Impact<\/strong>\n
                                                                                                                                                                  \n
                                                                                                                                                                • Ultimately, the study will contribute to healthcare system resilience and adaptability by:\n
                                                                                                                                                                    \n
                                                                                                                                                                  • Encouraging decentralized, high-access points of care that can flexibly respond to population health needs.<\/li>\n
                                                                                                                                                                  • Supporting economic development through healthcare facility construction, job creation, and ongoing local service provision.<\/li>\n
                                                                                                                                                                  • Informing future policy regarding urgent care regulations, Medicaid expansion, telehealth integration, and community health investments.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                                                                                                                                                                    Case Study<\/u><\/strong><\/h3>\n
                                                                                                                                                                      \n
                                                                                                                                                                    • Case study:<\/strong>\n
                                                                                                                                                                        \n
                                                                                                                                                                      • Calcity Urgent Care<\/strong> at 8100 California City Blvd, California City, CA 93505 will be one of the case studies in the capstone project.<\/li>\n
                                                                                                                                                                      • The project goals, scope and feasibility, methods and significance<\/strong> among other important topics to be addressed of the capstone project may be explored and examined.<\/li>\n
                                                                                                                                                                      • The proposed case study may hold critical significance for healthcare accessibility, system efficiency, community development, and informed investment<\/strong> in California\u2019s healthcare infrastructure.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                                                                                                                                                                        References<\/u><\/strong><\/h3>\n
                                                                                                                                                                          \n
                                                                                                                                                                        1. American Academy of Urgent Care Medicine. (n.d.). Starting an urgent care center. https:\/\/aaucm.org\/start-an-urgent-care-center\/<\/li>\n
                                                                                                                                                                        2. California Department of Public Health (CDPH). (2023). Licensing and certification program. https:\/\/www.cdph.ca.gov\/Programs\/CHCQ\/LCP<\/li>\n
                                                                                                                                                                        3. California Health and Human Services Agency. (2023). Medi-Cal managed care and reimbursement policies. https:\/\/www.chhs.ca.gov\/<\/li>\n
                                                                                                                                                                        4. California Office of Statewide Health Planning and Development (OSHPD). (2022). Healthcare construction and design review process. https:\/\/hcai.ca.gov\/construction-finance\/<\/li>\n
                                                                                                                                                                        5. California State Board of Equalization. (2023). Tax considerations for healthcare businesses in California. https:\/\/www.cdtfa.ca.gov\/<\/li>\n
                                                                                                                                                                        6. Centers for Medicare & Medicaid Services (CMS). (2023). Medicare payment policies for urgent care centers. https:\/\/www.cms.gov\/<\/li>\n
                                                                                                                                                                        7. Health Resources and Services Administration (HRSA). (2023). Health professional shortage areas (HPSA) and medically underserved areas (MUA). https:\/\/data.hrsa.gov\/<\/li>\n
                                                                                                                                                                        8. Jones, E., & Rosenberg, M. (2021). Urgent care centers and their role in improving access to care: A review of the literature. Journal of Ambulatory Care Management, 44(2), 135\u2013142. https:\/\/doi.org\/10.1097\/JAC.0000000000000365<\/li>\n
                                                                                                                                                                        9. Kaufman Hall. (2023). 2023 Hospital and health system financial outlook report. https:\/\/www.kaufmanhall.com\/<\/li>\n
                                                                                                                                                                        10. National Association for Ambulatory Care (NAAC). (2022). Urgent care industry benchmarks and best practices. https:\/\/www.naac.org\/<\/li>\n
                                                                                                                                                                        11. Rosen, A., & Hatch, S. (2020). Business planning for urgent care: Navigating startup costs, staffing, and location. Healthcare Financial Management Journal, 74(3), 40\u201349.<\/li>\n
                                                                                                                                                                        12. Urgent Care Association (UCA). (2023). Benchmarking report: Urgent care center operations and performance. https:\/\/www.ucaoa.org\/<\/li>\n
                                                                                                                                                                        13. S. Census Bureau. (2023). American Community Survey: California demographic and health insurance data. https:\/\/www.census.gov\/<\/li>\n<\/ol>\n

                                                                                                                                                                           <\/p>\n","protected":false},"excerpt":{"rendered":"

                                                                                                                                                                          Capstone Project Proposal:\u00a0 Delivering Effective and Comprehensive Start-Up Resources to Medical Providers \u2013 Physicians or Physician-Controlled Entities \u2013 who want to Successfully Establish Urgent Care Clinics in the State of California Capstone Project Proposal: How To Successfully Establish Urgent Cares in California Author: Ryan Nuqui, MD Course: SPHHS 681 \u2013 The PHP MPH Capstone; Fall<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1020","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/posts\/1020","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/comments?post=1020"}],"version-history":[{"count":1,"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/posts\/1020\/revisions"}],"predecessor-version":[{"id":1021,"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/posts\/1020\/revisions\/1021"}],"wp:attachment":[{"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/media?parent=1020"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/categories?post=1020"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yourcprmd.com\/thenuquifoundation\/wp-json\/wp\/v2\/tags?post=1020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}