[MCOH-EH] centralized employee health

Cindy Hansen Chansen at mhg.com
Wed Jan 25 16:43:20 PST 2017
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Our organization has been and is currently going through this type of growth.  We tb test (by mantoux) via a blitz fashion.  We have a massive blitz and get 95% of our staff (3600 or so) done during the month of march.  This allows me to maximize my resources.  I only have 2 full time nurses and myself full time nurse manager.  However, I use 3 PRN nurses that work for me during blitz events to roam to off sites.  We make one round to place and one round to read the tests.  We do not do blood testing d/t the cost as we currently do not have a machine in house to do it thus it is a costly send out.  I have done ROI but lab not ready to
Jump yet.  We went electronic one year ago December so still working through making our blitz events more efficient but it works for us because then all year we aren't tracking compliance.....we can focus on our day to day on boarding, BBF follow up, and injury Mgmt which we do all inhouse.

Thanks!!
Cindy
Chansen at mhg.com

Sent from my iPhone

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> Today's Topics:
>
>   1.  Growing Pains for Centralized Employee Health (Weaver  Meredith)
>   2. Re:  Growing Pains for Centralized Employee Health
>      (Thrasher, Terri)
>   3. Re:  [EXTERNAL] Growing Pains for Centralized Employee Health
>      (Thanassi, Wendy)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 25 Jan 2017 20:58:17 +0000
> From: "Weaver  Meredith" <weaverm at wvumedicine.org>
> To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Growing Pains for Centralized Employee Health
> Message-ID:
>    <1281DAFA0298594E94534568B2F5A551014B826774 at NT-EX2.wvuhs.com>
> Content-Type: text/plain; charset="us-ascii"
>
> We are facing the challenges of providing employee health services to healthcare system that is growing a very rapid pace.  New clinics, off-site locations, and departments are being added monthly, if not weekly.  I have two questions for the group.
>
>
> 1.      One of our greatest challenges is in administering our tuberculosis testing program.  We currently place PPDs based upon the designated month for the employee's department.  It is becoming more and more difficult to manually update and maintain a list that is then tied to our electronic employee health record.  How do you administer your TB program? Do you designate testing by department by month, by the employee's birth date, etc.?  What challenges or advantages have you seen with your particular program method?
>
> 2.      If your healthcare system has gone through or is going through rapid growth, how have you managed providing fitness for duty testing and exposure management follow up to your off-site employees? Do you outsource, contract with other hospitals, travel, etc.?
>
>
> / Meredith R. Weaver, SHRM-CP
> Manager, Employee Health
> WVU Medicine
> PO Box 8120
> Morgantown, WV 26506-8120
> Phone: 304-598-4000 ext. 77719
> Clinic: 304-598-4160
> Fax: 304-598-4957
> weaverm at wvumedicine.org<mailto:weaverm at wvumedicine.org>
> WVUMedicine.com
>
>
> [WVUM WellBeing Logo]
>
>
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> ------------------------------
>
> Message: 2
> Date: Wed, 25 Jan 2017 21:07:01 +0000
> From: "Thrasher, Terri" <Terri.Thrasher at cchmc.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Growing Pains for Centralized Employee Health
> Message-ID: <1r3dnra77wgh1vm1a9kllm9f.1485378419140 at email.android.com>
> Content-Type: text/plain; charset="utf-8"
>
> We require all to do an annual tb symptom and risk questionaire.   it's electronic and loads into our database.
>
> Then only select dept and job title do an annual tb QFT
> Both of these changes help a lot.
>
> We use a vendor for FFD.
>
> We use an account med group with multiple locations/ED's /urgent care for injury mgt.   they are on one group and if they follow our protocols
>
>
> We have a 24/7 hotline where you call your injury to or your exposure and they triage your need and we refer you to the right place if you need to be seen
>
>
> Sent from my Verizon 4G LTE smartphone
>
>
> -------- Original message --------
> From: Weaver Meredith <weaverm at wvumedicine.org>
> Date: 1/25/17 3:59 PM (GMT-05:00)
> To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Growing Pains for Centralized Employee Health
>
> We are facing the challenges of providing employee health services to healthcare system that is growing a very rapid pace.  New clinics, off-site locations, and departments are being added monthly, if not weekly.  I have two questions for the group.
>
>
> 1.      One of our greatest challenges is in administering our tuberculosis testing program.  We currently place PPDs based upon the designated month for the employee?s department.  It is becoming more and more difficult to manually update and maintain a list that is then tied to our electronic employee health record.  How do you administer your TB program? Do you designate testing by department by month, by the employee?s birth date, etc.?  What challenges or advantages have you seen with your particular program method?
>
> 2.      If your healthcare system has gone through or is going through rapid growth, how have you managed providing fitness for duty testing and exposure management follow up to your off-site employees? Do you outsource, contract with other hospitals, travel, etc.?
>
>
> / Meredith R. Weaver, SHRM-CP
> Manager, Employee Health
> WVU Medicine
> PO Box 8120
> Morgantown, WV 26506-8120
> Phone: 304-598-4000 ext. 77719
> Clinic: 304-598-4160
> Fax: 304-598-4957
> weaverm at wvumedicine.org<mailto:weaverm at wvumedicine.org>
> WVUMedicine.com
>
>
> [WVUM WellBeing Logo]
>
>
> ________________________________
>
> Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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> ------------------------------
>
> Message: 3
> Date: Wed, 25 Jan 2017 22:22:04 +0000
> From: "Thanassi, Wendy" <Wendy.Thanassi at va.gov>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [EXTERNAL] Growing Pains for Centralized
>    Employee Health
> Message-ID:
>    <1C146C062A1C154EB3FC66642F006D63025ED71B at VAPNWMSGD51S01.vha.med.va.gov>
>
> Content-Type: text/plain; charset="us-ascii"
>
> Hello,
> You elucidate well some of the problems with PPD and solutions that are gained by using a 1-stop, electronically captured blood test (IGRA). In January 2009 we switched all TB surveillance testing to QuantiFERON and our workload decreased precipitously, our onboarding delays dropped in parallel, and tracking was no longer an issue.
>
> Every PAVA employee and volunteer has a standing order for a QFT at-will. They are sent an email to report DIRECTLY to the lab (we don't even place an order) on their birth month (but can go any time) and the lab will draw the QFT. I has worked beautifully for the pat 8 years.
>
> Wendy
> Chief, OH
> Palo Alto VA
>
> National Led, TB
> VHA OH
> Washington DC
>
> From: MCOH-EH [mailto:mcoh-eh-bounces+wendy.thanassi=va.gov at mylist.net] On Behalf Of Weaver Meredith
> Sent: Wednesday, January 25, 2017 12:58 PM
> To: 'mcoh-eh at mylist.net'
> Subject: [EXTERNAL] [MCOH-EH] Growing Pains for Centralized Employee Health
>
> We are facing the challenges of providing employee health services to healthcare system that is growing a very rapid pace.  New clinics, off-site locations, and departments are being added monthly, if not weekly.  I have two questions for the group.
>
>
> 1.       One of our greatest challenges is in administering our tuberculosis testing program.  We currently place PPDs based upon the designated month for the employee's department.  It is becoming more and more difficult to manually update and maintain a list that is then tied to our electronic employee health record.  How do you administer your TB program? Do you designate testing by department by month, by the employee's birth date, etc.?  What challenges or advantages have you seen with your particular program method?
>
> 2.       If your healthcare system has gone through or is going through rapid growth, how have you managed providing fitness for duty testing and exposure management follow up to your off-site employees? Do you outsource, contract with other hospitals, travel, etc.?
>
>
> / Meredith R. Weaver, SHRM-CP
> Manager, Employee Health
> WVU Medicine
> PO Box 8120
> Morgantown, WV 26506-8120
> Phone: 304-598-4000 ext. 77719
> Clinic: 304-598-4160
> Fax: 304-598-4957
> weaverm at wvumedicine.org<mailto:weaverm at wvumedicine.org>
> WVUMedicine.com
>
>
> [WVUM WellBeing Logo]
>
> ________________________________
>
> Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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