[MCOH-EH] For cause/reasonable suspicion testing after hours

Diane Shaw diane.shaw at tuality.org
Wed Jul 20 07:41:16 PDT 2016
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Our lab staff are trained to do the collections 24/7.


Diane M. Shaw, RN, BSN, CIC, COHN-S
Tuality Healthcare
Employee Health Services
335 S.E. 8th Ave
Hillsboro, OR 97123
Phone: 503.681.1444
Fax: 503.681.4170
Tues.-Fri. 0730-1700 hours


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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Tuesday, July 19, 2016 8:13 AM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 251, Issue 173

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Today's Topics:

   1.  Projected/Actual Savings from Early Return to Work Programs
      (Leibu, Rachel)
   2.  For cause/reasonable suspicion testing after hours (Upfal, Mark)
   3. Re:  For cause/reasonable suspicion testing after hours
      (Spivey, Christine)
   4. Re:  For cause/reasonable suspicion testing after hours
      (Swift, Melanie)


----------------------------------------------------------------------

Message: 1
Date: Tue, 19 Jul 2016 14:26:52 +0000
From: "Leibu, Rachel" <Rachel.Leibu at atlantichealth.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Projected/Actual Savings from Early Return to Work
	Programs
Message-ID:
	<8F1973C6BEE52541BA2B9E01E9D4169799A70F61 at PSEX03.ahsys.org>
Content-Type: text/plain; charset="utf-8"

Does anyone have a method for calculating cost savings (projected or actual) realized from allowing employees with both personal and work related injuries and illnesses to return to work on restricted/transitional duty.  Thanks for your help.

Rachel Leibu, MD, MBA, MS
Medical Director Occupational Medicine Service Atlantic Health System
973-971-5440

************************************************************************************************************************************************************************************************************************************************* Morristown Medical Center, located in Morristown, NJ, is a nationally-ranked regional medical center and a recognized leader in cardiovascular medicine, orthopedics and nursing. The hospital was recognized by U.S. News & World Report as a top hospital nationwide for cardiology and heart surgery, geriatrics, orthopedics and pulmonology. Morristown Medical Center also ranked as a ?Best Regional Hospital? for neurology and neurosurgery, as well as gastroenterology & GI Surgery, gynecology, nephrology and urology. Morristown Medical Center?s Gagnon Cardiovascular Institute performs more cardiac surgeries than any other hospital in New Jersey, placing its cardiac program in the top two percent in the country. The Atlantic Orthopedic Institute at Morri  stown Medical Center does the highest volume of joint and spine surgeries in New Jersey. In 2014, the hospital was re-designated a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition by American Nurses Credentialing Center for facilities that provide acute care services, a distinction awarded to less than five percent of U.S. hospitals. Morristown Medical Center is certified as a Level I Regional Trauma Center by the American College of Surgeons, and designated a Level II Trauma Center by the state of New Jersey. Morristown Medical Center is part of Atlantic Health System (www.atlantichealth.org), one of the leading non-profit health care systems in New Jersey. *************************************************************************************************************************************************************************************************************************************************


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Message: 2
Date: Tue, 19 Jul 2016 11:05:07 -0400
From: "Upfal, Mark" <mupfal at dmc.org>
To: "'MCOH/EH'" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] For cause/reasonable suspicion testing after hours
Message-ID:
	<9EE8412E15F7E148AAA54922744E618D034DEFD05BF5 at MAIL03.dmcnt1.local>
Content-Type: text/plain; charset="us-ascii"

At our institution, Occ Health Services is a M-F 7am-5pm operation, and the ED provides our back up after hours for workplace injuries.  However, it is difficult for them to provide qualified, trained collectors for forensic drug and alcohol testing.  Thus, we are working on other options, and would like to benchmark with what others are doing.  So, I'm interested in knowing what your institution does for nights/weekends when a medical center employee is being evaluated for cause/reasonable suspicion.  Which of the following applies at your institution, and how happy are you with how that works?

(a) The ED provides for specimen collection (if so, how has that been working out with CCF, collection QA, etc?)

(b) We send employees to a nearby 24/7 occ health clinic outside our medical center

(c) Our medical center provides occ health services 24/7

(d) We have occ health staff on call 24/7 to come in for collection

(e) We have trained collectors available on site at our medical center from other departments (e.g. an administrative supervisor)

(f) We have an outside mobile service come on site to perform collections

(g) We do not test after hours, and refer the individual to OHS the next business day.

(h) Other?

Mark

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: 3
Date: Tue, 19 Jul 2016 15:10:18 +0000
From: "Spivey, Christine" <cspivey at CCGH.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after
	hours
Message-ID:
	<CC163D9A9192C245BFAE30D8E314C10A0BDAB5F9 at CGHEXCHANGE.CCGH.org>
Content-Type: text/plain; charset="us-ascii"

Our house supervisors are trained to administer if needed on weekends or nights.
Christine
[Email Signature LOGO]

Christine Spivey BSN, RN
Employee Health / Worker's Compensation
Carteret Health Care
3500 Arendell Street, Morehead City, NC 28557
Office: 252 808-6480  |  Fax:  252 808-6676  |  cspivey at ccgh.org

Confidentiality Notice:  This email, including any attachments, contains CONFIDENTIAL information.  The information is intended only for the use of the individual(s) or entity named above.  If you are not the intended recipient, you are notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this email is not permissible.  If you have received this email in error, please notify the sender immediately by replying email and destroy all copies of the original message



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Tuesday, July 19, 2016 11:05 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] For cause/reasonable suspicion testing after hours

At our institution, Occ Health Services is a M-F 7am-5pm operation, and the ED provides our back up after hours for workplace injuries.  However, it is difficult for them to provide qualified, trained collectors for forensic drug and alcohol testing.  Thus, we are working on other options, and would like to benchmark with what others are doing.  So, I'm interested in knowing what your institution does for nights/weekends when a medical center employee is being evaluated for cause/reasonable suspicion.  Which of the following applies at your institution, and how happy are you with how that works?

(a) The ED provides for specimen collection (if so, how has that been working out with CCF, collection QA, etc?)

(b) We send employees to a nearby 24/7 occ health clinic outside our medical center

(c) Our medical center provides occ health services 24/7

(d) We have occ health staff on call 24/7 to come in for collection

(e) We have trained collectors available on site at our medical center from other departments (e.g. an administrative supervisor)

(f) We have an outside mobile service come on site to perform collections

(g) We do not test after hours, and refer the individual to OHS the next business day.

(h) Other?

Mark

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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Message: 4
Date: Tue, 19 Jul 2016 15:12:03 +0000
From: "Swift, Melanie" <melanie.swift at Vanderbilt.Edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after
	hours
Message-ID:
	<984BE23843F0DE4EBE652D6EE07600BE636DCE39 at ITS-HCWNEM104.ds.vanderbilt.edu>
	
Content-Type: text/plain; charset="us-ascii"

Option F

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Tuesday, July 19, 2016 10:05 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] For cause/reasonable suspicion testing after hours

At our institution, Occ Health Services is a M-F 7am-5pm operation, and the ED provides our back up after hours for workplace injuries.  However, it is difficult for them to provide qualified, trained collectors for forensic drug and alcohol testing.  Thus, we are working on other options, and would like to benchmark with what others are doing.  So, I'm interested in knowing what your institution does for nights/weekends when a medical center employee is being evaluated for cause/reasonable suspicion.  Which of the following applies at your institution, and how happy are you with how that works?

(a) The ED provides for specimen collection (if so, how has that been working out with CCF, collection QA, etc?)

(b) We send employees to a nearby 24/7 occ health clinic outside our medical center

(c) Our medical center provides occ health services 24/7

(d) We have occ health staff on call 24/7 to come in for collection

(e) We have trained collectors available on site at our medical center from other departments (e.g. an administrative supervisor)

(f) We have an outside mobile service come on site to perform collections

(g) We do not test after hours, and refer the individual to OHS the next business day.

(h) Other?

Mark

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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