[MCOH-EH] TB screening for high risk facility

[Hudson, T. Warner]

We are high risk at UCLA do QFT on hire since summer 2011 and then all stay on QFT annually while legacy employees still are doing PPDs annually.  This was decided because of lab capacity and phlebotomy capacity.  We make individual exceptions and use QFT for exposures to Cases.  About 17,000 TB tests/year for health system not including campus.

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 Elena Riker
Sent: Thursday, September 15, 2016 12:05 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] TB screening for high risk facility

We are a "high risk" facility for TB so we do a 2 step TST on hire then one annually.  We have about 8000-10000 people who need this per year.  Can anyone in a high risk facility tell me how you manage this?  Does anyone do all IGRAs?  Does anyone do IGRA on hire, then TST annually?  We are looking at ways to do our onboarding differently to ensure staff are compliant before starting work.  Seems like asking employees to come 4 times for a 2 step TST preplacement is a lot to ask.  We are considering making everything due prior to starting, but just one TST required to start, then hope we capture their 2nd TST after they start - seems like this may cause problems....thoughts/ideas appreciated!  Elena


Elena Riker, CMA
Clinic Operations Supervisor
Occupational Health - OHSU
riker at ohsu.edu<mailto:riker at ohsu.edu>
p: 503 346-0186 | f: 503-494-4457
My office hours are: M-F 7:00 AM - 3:30 PM


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