1. Do you refer employees with positive results for evaluation? Yes
2. Are they required to go for eval? Yes. Evaluation & consultation is mandatory. For example, a positive (non-new hire) may continue to work if CXR negative and no TB symptoms after providing an appointment date with State Dept of Health/ ID. If they fail to keep appointment, they may be removed from work until evaluation appointment addressed.
3. If treatment is recommended, does the employee have the option of refusing treatment? Yes; after evaluated by occupational health. If they choose treatment, we offer directly observed treatment in occupational health.
4. If treatment is refused by the employee, are there consequences associated with refusal? If the employee stops treatment after starting or is non-compliant with the treatment regimen, they need evaluated by the treating facility & occupational health. They may be temporarily removed from work until evaluated for symptoms. The eventual result may be refusing treatment, but after proper evaluation.

Sajjad A. Savul, MD, MS, FACOEM
Medical Director
Bayhealth Occupational Health

Dover Office:
1275 S State Street
Dover, DE 19901
Ph.: (302) 678-1303
Milford Office:
301 Jefferson Avenue
Milford, DE 19963
Ph.: (302) 430-5705

From: "Jenkins, Maribeth" <mjenkins@hendrickhealth.org>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Date: 04/04/2016 08:59 AM
Subject: Re: [MCOH-EH] Question about requiring TB medications for employees
Sent by: "MCOH-EH" <mcoh-eh-bounces@mylist.net>

Same here as well

Maribeth Jenkins, MSN, RN, LMT, CWC
Employee Wellness Manager
Hendrick Medical Center
1900 Pine Street
Abilene, TX 79601
Phone: (325) 670-3010
Fax: (325) 670-3051
mjenkins@hendrickhealth.org
www.ehendrick.org

From: MCOH-EH [mailto:mcoh-eh-bounces+mjenkins=hendrickhealth.org@mylist.net] On Behalf Of Budnick, Lawrence
Sent: Monday, April 04, 2016 7:53 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question about requiring TB medications for employees

Exactly the same here as at Penn.

Lawrence D. Budnick, MD, MPH
Director, Occupational Medicine Service
Associate Professor of Medicine
Rutgers University - New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107
tel 973.972.2900
fax 973.972.2904
lawrence.budnick@rutgers.edu

CONFIDENTIALITY NOTICE: This email communication may contain private, confidential, or legally privileged information intended for the sole use of the designated and/or duly authorized recipient(s). If you are not the intended recipient or have received this email in error, please notify me immediately by email and permanently delete all copies of this email, including all attachments without reading them. If you are the intended recipient, please secure the contents in a manner that conforms to all applicable state and/or federal requirements related to privacy and confidentiality of such information. Thank you.

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Amy Behrman
Sent: Sunday, April 03, 2016 11:02 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Question about requiring TB medications for employees

1. Yes
2. Strongly encouraged and facilitated, but not required
3. Yes
4. No consequences

Amy Behrman,MD
University of Pennsylvania
215-662-3192

On Apr 1, 2016, at 4:38 PM, Kathy.Dayvault@dekalbmedical.org wrote:
I am hoping to hear from folks who work in healthcare facilities that are considered high risk for TB.

I am wondering how you manage employees with positive Skin or IGRA tests (all positives not just conversions after a specific exposure) who have received recommendations for treatment for latent TB.

Here are my questions:

1. Do you refer employees with positive results for evaluation?
2. Are they required to go for eval
3. If treatment is recommended, does the employee have the option of refusing treatment?
4. If treatment is refused by the employee, are there consequences associated with refusal?
Consequences could include disciplinary action, removal from duty, termination or not allowing the employee to work in high risk areas.

I appreciate your time and feedback!

Thanks,

Kathy Dayvault, RN, BSN, MPH, COHN-S/CM
Manager, Occupational Health and Safety
WorksWell Onsite
Dekalb Medical 2701 North Decatur Road
Decatur, GA 30033
ph: 404.501.4972 Fax:404-501-2045
kathy.dayvault@dekalbmedical.org

CONFIDENTIALITY NOTICE: This e-mail, including attachments, is for the sole use of the individual(s) to whom it is addressed, and may contain confidential and privileged information, including HIPAA protected PHI. Any unauthorized review, use, disclosure, distribution, or reproduction is prohibited. If you have received this e-mail in error, please notify the sender by reply e-mail and destroy this message and its attachments in its entirety.
<Dayvault_Kathy.vcf>
---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe@meditrax.com
---------------------------------------

This message has been scanned and no issues discovered. Clickhereto report this email as spam
--------------------------------------- The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO. List membership is free, but only subscribers may post to the list. To post send messages to: mcoh-eh@mylist.net To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.netMediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community. --------------------------------------- List archives (public):http://mylist.net/archives/mcoh-eh/--------------------------------------- Send administrative requests to: drjoe@meditrax.com ---------------------------------------

CONFIDENTIALITY NOTICE: The information contained in this e-mail message and any attachment(s) is intended only for
the confidential use of the intended recipient(s) named above. This e-mail message and any attachment(s) may contain
confidential health information or other confidential information that is legally privileged and exempt from disclosure under
applicable law. If the reader of this e-mail message is not the intended recipient or the employee agent responsible for
delivering it to the intended recipient, you should be aware that any dissemination, distribution, copying or action taken in
reliance on the content of this e-mail message or any attachment(s) is strictly prohibited. If this e-mail has been received in error, please notify our Risk Management Department at 302-744-7431 and delete or otherwise destroy the original message, any attachment(s) and copies. Thank you for your cooperation.