[MCOH-EH] [EXTERNAL] Growing Pains for Centralized Employee Health

[Thrasher, Terri]

We haven't had a large exposure in a long time.
We have been doing TST at exposure and TST and QFT at 12 weeks.

Terri L. Thrasher RN MSN
Sr. Director HR Professional Services
Employee Health, Occupational Safety, Environmental Health, Workers Compensation, 803-SAFE, Injury Management, Non CCHMC Badging, Early Education and Childcare Center
3333 Burnet Ave
Cincinnati Ohio 45229  MLC 9006
513-636-6240



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thanassi, Wendy
Sent: Thursday, January 26, 2017 1:08 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [EXTERNAL] Growing Pains for Centralized Employee Health

Tim, to your questions:
At Palo Alto VA

For those who have made the switch, what do you do for exposures?

-          Baseline and 12- week QFT follow-up

We have had exposures that have affected large numbers of staff and patients.  Do you do QFT tests on all them?

-          Yes



Do you use TST's at all in these situations?

-          No



have heard anecdotes of late converters w/ QFT

-          We re-test 12 weeks later, that's plenty of time





From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sampson, Deborah
Sent: Thursday, January 26, 2017 7:53 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] [EXTERNAL] Growing Pains for Centralized Employee Health



Deborah A. Sampson, PhD, APRN, COHN-S, FAANP
Director
Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

[cid:image002.png at 01D12056.31ABE440]


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Tim Crump
Sent: Thursday, January 26, 2017 10:42 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] [EXTERNAL] Growing Pains for Centralized Employee Health

Hi Dr Thanassi and everyone, we are exploring switching from TST's to QFT for our annual screening.  For those who have made the switch, what do you do for exposures? Baseline then 6 week follow-up with IGRA. Lab gets the order and employees show up when they can, we check their name off a master sheet. Notify manager if no test received by us in 7 days  We have had exposures that have affected large numbers of staff and patients.  Do you do QFT tests on all them?  YES Do you use TST's at all in these situations?  NO Do you use the same timeline for post-exposure testing as with the TST?  More or lessI have heard anecdotes of late converters w/ QFT.  Rare and happens less with TSPOT than QGOLD - take a look at CDC guidance on this topic- they have excellent guidance on the pros and cons of IGRA and the different IGRAs.Thanks for any guidance and wisdom!  Best, Tim


Tim Crump, MSN, FNP
Tim Crump, MSN, FNP
Family Nurse Practitioner
Occupational Health
Healthcare Human Resources

Oregon Health & Science University
3181 SW Sam Jackson Park Rd
Mail code: UHN 89
Portland, OR 97239-3098
Department Phone: 503-494-5271
Office Phone: 503-346-1152
Fax: 503-494-4457
Email: crumpt at ohsu.edu<mailto:crumpt at ohsu.edu>

Tues, Thurs, Fri, 8-4:30

[cid:3381310330_334556]

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thanassi, Wendy
Sent: Wednesday, January 25, 2017 2:22 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [EXTERNAL] Growing Pains for Centralized Employee Health

Hello,
You elucidate well some of the problems with PPD and solutions that are gained by using a 1-stop, electronically captured blood test (IGRA). In January 2009 we switched all TB surveillance testing to QuantiFERON and our workload decreased precipitously, our onboarding delays dropped in parallel, and tracking was no longer an issue.

Every PAVA employee and volunteer has a standing order for a QFT at-will. They are sent an email to report DIRECTLY to the lab (we don't even place an order) on their birth month (but can go any time) and the lab will draw the QFT. I has worked beautifully for the pat 8 years.

Wendy
Chief, OH
Palo Alto VA

National Led, TB
VHA OH
Washington DC

From: MCOH-EH [mailto:mcoh-eh-bounces+wendy.thanassi=va.gov at mylist.net] On Behalf Of Weaver Meredith
Sent: Wednesday, January 25, 2017 12:58 PM
To: 'mcoh-eh at mylist.net'
Subject: [EXTERNAL] [MCOH-EH] Growing Pains for Centralized Employee Health

We are facing the challenges of providing employee health services to healthcare system that is growing a very rapid pace.  New clinics, off-site locations, and departments are being added monthly, if not weekly.  I have two questions for the group.


1.       One of our greatest challenges is in administering our tuberculosis testing program.  We currently place PPDs based upon the designated month for the employee's department.  It is becoming more and more difficult to manually update and maintain a list that is then tied to our electronic employee health record.  How do you administer your TB program? Do you designate testing by department by month, by the employee's birth date, etc.?  What challenges or advantages have you seen with your particular program method?

2.       If your healthcare system has gone through or is going through rapid growth, how have you managed providing fitness for duty testing and exposure management follow up to your off-site employees? Do you outsource, contract with other hospitals, travel, etc.?


 / Meredith R. Weaver, SHRM-CP
Manager, Employee Health
WVU Medicine
PO Box 8120
Morgantown, WV 26506-8120
Phone: 304-598-4000 ext. 77719
Clinic: 304-598-4160
Fax: 304-598-4957
weaverm at wvumedicine.org<mailto:weaverm at wvumedicine.org>
WVUMedicine.com


[WVUM WellBeing Logo]

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