[MCOH-EH] [EXTERNAL] TB screening for high risk facility

[Thanassi, Wendy]

Yes Palo Alto VA does QFT on hire and annually for those at risk. Many
papers show that this is the least expensive and most cost-efficient
approach. Yes 2-4 visits for busy people is frustrating! Onboarding is a
week faster, we run them in-house on standard ELISA machines. The cost
to us is $19/test. It saves OH SO MUCH time too.

 

We have people report straight to the lab with their badge; there's a
standing order that all employees can get a TB test as a walk-in.

 

Wendy

 

Wendy Thanassi MA, MD

National Project Lead, Tuberculosis

Office of Patient Care Services, Occupational Health 10P4Z

U.S. Department of Veterans Affairs

Washington, DC 20420

 

Chief, Occupational Health

3801 Miranda Avenue

Palo Alto VAHCS

Palo Alto, CA 94304

Wendy.Thanassi at va.gov <mailto:Wendy.Thanassi at va.gov> 

650-493-5000 x 65214

 

 

Providing the best Occupational Medicine Care Anywhere-for VHA Employees
and Veterans

VHAOccupationalEnviroMedConsult at va.gov
<mailto:VHAOccupationalEnviroMedConsult at va.gov>   or 
https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults
<https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults> 

 

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: [EXTERNAL] [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

p: 503 346-0186 | f: 503-494-4457

My office hours are: M-F 7:00 AM - 3:30 PM

 

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