[MCOH-EH] Rapid drug screening DAILY quaility checks starting 1/1/16

[Hudson, T. Warner]

Key is to keep employment –related drug and alcohol tests out of the medical record otherwise by policy and practice treated as forensic and not medical tests.

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 at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Jim Garb
Sent: Friday, December 04, 2015 3:03 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Rapid drug screening DAILY quaility checks starting 1/1/16

This was a topic of discussion among colleagues at the NECOEM meeting today.  From the employment law perspective, pre-placement drug screening is not a medical test, and it is not done on patients.  So technically, I‘m not sure that JCAHO has purview over pre-placement drug tests.  Maybe Bob Swotinsky or Donna Smith could offer their opinions on this.  For cause or follow up testing would be in a different category, and those could be sent out.

Jim

James Garb, MD FACOEM
Occupational Medicine Consulting
Cape Cod, MA

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Employee Health
Sent: Friday, December 04, 2015 9:34 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Rapid drug screening DAILY quaility checks starting 1/1/16

Good Morning,

I was wondering for those who use rapid drug screening, what are your doing as of 1/1/16 in regards to the JACHO new regulation that the quality control checks must be done daily?  Using two kits a day (every day a test is performed) just for  quality control will definitely increase costs.  I attached the information received from Joint Commission that our lab forwarded to me.

Both are highlighted in scan
QSA.02.10.01-c 3 addresses the daily checks.
QSA.02.04.01 addresses the alternative of developing a IQCP plan.


So have you changed to send out testing only?

Did you develop a IQCP plan?  If so, how did you go about doing that?


Thank you for any help or advice, it is greatly appreciated!


Employee Health
Grand View Health
700 Lawn Avenue
Sellersville, PA 18960
215-453-4016
215-453-4748 (fax)
employeehealth at gvh.org<mailto:employeehealth at gvh.org>

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