Thrasher, Terri Terri.Thrasher at cchmc.org
Fri Jan 20 03:35:32 PST 2017

Wendy can you direct us to the publication?

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thanassi, Wendy
Sent: Thursday, January 19, 2017 6:56 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] EHRs for OH

Annual.. for serial testing program comparisons. We also included doing No Testing in the analysis!


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Thursday, January 19, 2017 1:13 PM
Subject: [EXTERNAL] Re: [MCOH-EH] EHRs for OH

Thanks Wendy

Did you complete your Markov analysis of 8 strategies of using IGRA or TST at new hire or annual Tb testing?


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thanassi, Wendy
Sent: Thursday, January 19, 2017 2:10 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] EHRs for OH

Palo Alto VA is in the process of purchasing and HER, likely the OHM program from Underwriter's Laboratory. VA San Diego has had success with it. It does everything it is supposed to do for OH, including >1,300 different reports. It will be housed on VA servers so security is maximized.


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Dr Joe Fanucchi
Sent: Wednesday, January 18, 2017 5:18 PM
Subject: [EXTERNAL] Re: [MCOH-EH] [External] EPIC

On 1/18/2017 1:56 PM, [name redacted] wrote:
We are using Cerner as our EMR for Employee Health.  We ended up using a one lifetime encounter for our EH visits and our WC creates a new encounter for each injury/illness based on DOI.  WC then discharges them when the case is closed, although she does have the ability to re-open it, if needed.

We are able to share information on immunizations throughout the system, so for flu, if you got it at the MD's office we could see it and if EH adm the vaccine, the MD's office can see it.


This is an excellent example of what I noted in a post just a few minutes ago regarding HIPAA compliance. If you store PHI in a database such as Cerner, it is almost always available to anyone who can log into Cerner. Although most employees may not care if a nursing supervisor knows they got the flu vaccine, others may be a little sensitive about their Hep B (or Hep C, or HIV) titers being readily available to coworkers -- including their ex who works in the pediatric nursery. Our legal advisors confirm this could open up the hospital to a potentially costly EEOC lawsuit.

You should ALWAYS check with your HIPAA compliance officer before storing PHI in an electronic database which is widely accessible.


Joe Fanucchi
Joe Fanucchi MD FACOEM
President and Medical Director
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