Screening transfers in a large health care system is a challenge, but is important for the reason mentioned below, as well as many others. At my last place of employment, Employee Health received notification from Recruitment of all transfers from one job to a different job category (i.e. not, for example, for a nurse transferring from the night shift to the day shift or for a secretary in one department going to be a secretary in another department), and we performed a chart review to make sure their immunizations and TST were up to date, they had been offered the Hep B vaccine if appropriate, and they didn’t have any ongoing job restrictions or health problems we were aware of that might be problematic in the new position. If any issues were found, then we would require an EHS visit before the transfer could be finalized. Otherwise, we would clear them based on the paper review. With the typical 2 week notice required to transfer, that usually gave us enough time to accomplish this without causing delays. We screened about 1,000 transfers a year this way. It was a lot of work, but I think it was very worthwhile. It also served as a nice ongoing quality check on our immunization and TST programs.
James Garb, MD FACOEM
Medical Director, Occupational Health Services
Cape Cod Healthcare
Hyannis, MA
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Hudson, T. Warner
Sent: Friday, December 12, 2014 12:37 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] [This might be SPAM] MCOH-EH Digest, Vol 249, Issue 7
If no documentation of 2 vaccines at least 28 d apart or protective titer, we do vaccinate or restrict from patient area work. It is amazing how often after that people are able to find the documentation or accept the vaccine. Our issue is that if you are in a non patient area, later you can transfer to a patient area and we have no system to catch these.
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231 ID 27132
E-mail twhudson@mednet.ucla.edu
Website www.ohs.uclahealth.org
From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu@mylist.net] On Behalf Of Cassano Victoria
Sent: Friday, December 12, 2014 8:48 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] [This might be SPAM] MCOH-EH Digest, Vol 249, Issue 7
For those hospitals that require proof either by vaccine hx or titer, if someone is not immune do you then require the vaccine?
We follow CDC recommendations, but if someone is not immune we don't make getting vaccinated mandatory.
We do counsel that they may not be able to work with certain patients or in certain areas, such as mother/baby but we can't force someone to be vaccinated except if they work on mother/baby as Mass law requires it.
Supervisors are notified of any staff who are not immune to one of the 4.
Wondering if anyone makes them sign a declination with consequences spelled out?
Sent from my Verizon Wireless 4G LTE smartphone
-------- Original message --------
From: "Jeff Jacobs, MD"
Date:12/11/2014 2:42 PM (GMT-05:00)
Subject: Re: [MCOH-EH] [This might be SPAM] MCOH-EH Digest, Vol 249, Issue 7
MMR- proof of 2 vaccines or positive titer
Vz- proof of 2 vaccines or positive titer
There is no difference in our requirements between types of incoming employees. MDs, NPs, PAs, Nurses, non-clinical staff all require proof of MMRV immunity on hire. Older employees were presumably cleared when they started but we do not have that info in our EHS computer system. When we see longer-standing employees for clearance (recently Ebola teams) or surveillance we try to update their records and will offer either titers or vaccines if needed but there is no requirement that they do so.
jeff
Jeffrey A Jacobs, MD, MPH
Medical Director
Einstein LiveWell EHS
1303 Tabor Rd
Philadelphia, PA 19141
215-456-1084
FAX: 215-456-1840>>> <mcoh-eh-request@mylist.net> 12/11/2014 1:06 PM >>>
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Today's Topics:
1. MMR & VZ - proof of immunity (Upfal, Mark)
2. Re: MMR & VZ - proof of immunity (Hudson, T. Warner)
3. Re: MMR & VZ - proof of immunity (Hudson, T. Warner)
4. Re: MMR & VZ - proof of immunity (Kent, Susan K)
----------------------------------------------------------------------
Message: 1
Date: Thu, 11 Dec 2014 13:02:26 -0500
From: "Upfal, Mark" <mupfal@dmc.org>
To: "'MCOH/EH'" <mcoh-eh@mylist.net>
Subject: [MCOH-EH] MMR & VZ - proof of immunity
Message-ID:
<9EE8412E15F7E148AAA54922744E618D312D15@MAIL03.dmcnt1.local>
Content-Type: text/plain; charset="us-ascii"
For MMR & VZ, does your organization require proof of immunity for employees and staff? Are the requirements the same or different for new employees vs. newly credentialed physicians on medical staff?
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs
__________________________________________
This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.
This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
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Message: 2
Date: Thu, 11 Dec 2014 18:05:55 +0000
From: "Hudson, T. Warner" <TWHudson@mednet.ucla.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] MMR & VZ - proof of immunity
Message-ID:
<2134A5387858914BBE80D079ECF6880C3C78FE1B@SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
We require documentation of 2 MMR at least 28 days apart or protective titers for employees of the Health System. New house staff are the same. MDs employed by Health System are the same. Other faculty MDs are a group we do not have our arms around yet.
Warner
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231 ID 27132
E-mail twhudson@mednet.ucla.edu<mailto:twhudson@mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Upfal, Mark
Sent: Thursday, December 11, 2014 10:02 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] MMR & VZ - proof of immunity
For MMR & VZ, does your organization require proof of immunity for employees and staff? Are the requirements the same or different for new employees vs. newly credentialed physicians on medical staff?
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs<http://www.dmc.org/ohs>
__________________________________________
This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.
This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
________________________________
IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
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Message: 3
Date: Thu, 11 Dec 2014 18:06:24 +0000
From: "Hudson, T. Warner" <TWHudson@mednet.ucla.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] MMR & VZ - proof of immunity
Message-ID:
<2134A5387858914BBE80D079ECF6880C3C78FE53@SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
I meant to say same for VZ
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231 ID 27132
E-mail twhudson@mednet.ucla.edu<mailto:twhudson@mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>
From: Hudson, T. Warner
Sent: Thursday, December 11, 2014 10:06 AM
To: 'MCOH/EH'
Subject: RE: MMR & VZ - proof of immunity
We require documentation of 2 MMR at least 28 days apart or protective titers for employees of the Health System. New house staff are the same. MDs employed by Health System are the same. Other faculty MDs are a group we do not have our arms around yet.
Warner
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231 ID 27132
E-mail twhudson@mednet.ucla.edu<mailto:twhudson@mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Upfal, Mark
Sent: Thursday, December 11, 2014 10:02 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] MMR & VZ - proof of immunity
For MMR & VZ, does your organization require proof of immunity for employees and staff? Are the requirements the same or different for new employees vs. newly credentialed physicians on medical staff?
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs<http://www.dmc.org/ohs>
__________________________________________
This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.
This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
________________________________
IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
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Message: 4
Date: Thu, 11 Dec 2014 18:05:16 +0000
From: "Kent, Susan K" <KentS@empirehealth.org>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] MMR & VZ - proof of immunity
Message-ID:
<08F2F12E9D65C2438125A428E999AB3C010B682311@TN001WEXMBX006.US.chs.net>
Content-Type: text/plain; charset="us-ascii"
Proof if immunity to MMR and VZ required for employees - not required for medical staff
Susan Kent, RN, BSN | Employee Health | Worker Compensation | Leave of Absence | VALLEY HOSPITAL | ROCKWOOD HEALTH SYSTEM | 12606 East Mission Ave. | Spokane Valley, WA 99216 | Tel: 509.473.5744 | Fax: 509.473.5886 | kents@empirehealth.org
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Upfal, Mark
Sent: Thursday, December 11, 2014 10:02 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] MMR & VZ - proof of immunity
For MMR & VZ, does your organization require proof of immunity for employees and staff? Are the requirements the same or different for new employees vs. newly credentialed physicians on medical staff?
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs<http://www.dmc.org/ohs>
__________________________________________
This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.
This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
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End of MCOH-EH Digest, Vol 249, Issue 7
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