[MCOH-EH] Testing for Marijuana

Palfrey, John jpalfrey at CapeCodHealth.org
Fri May 10 08:41:52 PDT 2019


In Massachusetts, marijuana is now legal.  After careful  review, we amended our policy to remove marijuana from the list of substances tested (non-regulated, pre-placement). One unanticipated consequence was that the pricing for the same panel without marijuana was 38% higher.......

John C. Palfrey, PA-C
Director, Occupational Health Services
774-552-6108
 www.capecodhealth.org


        Expert physicians. Quality hospitals. Superior care. 


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Sent: Thursday, May 09, 2019 5:39 PM
To: mcoh-eh at mylist.net
Subject: [EXT] MCOH-EH Digest, Vol 254, Issue 135

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Today's Topics:

   1.  Does workplace drug testing for marijuana change when a
      state legalizes it? (Thorne, Craig)
   2. Re:  Does workplace drug testing for marijuana change when a
      state legalizes it? (Swift, Melanie D., M.D.)
   3. Re:  Does workplace drug testing for marijuana change when a
      state legalizes it? (Swift, Melanie D., M.D.)
   4. Re:  Does workplace drug testing for marijuana change when a
      state legalizes it? (Natalie Hartenbaum)


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

Message: 1
Date: Thu, 9 May 2019 19:39:23 +0000
From: "Thorne, Craig" <Craig.Thorne at YNHH.ORG>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Does workplace drug testing for marijuana change
	when a state legalizes it?
Message-ID:
	<975055F7B0C51B49B65EEC60EB45001F129C8721 at MBX13VP.YNHH.ORG>
Content-Type: text/plain; charset="us-ascii"

Good afternoon everyone,

I am curious if anyone can answer some of these questions relating to workplace drug testing for marijuana when a state legalizes it?


1.      Do Medical Centers remove marijuana from its panel (for non CDL/federal workers)

a.       Does such a panel even exist?

2.      If you are providing employee health services to external companies, do they (or can they) ask you to exclude marijuana from testing?

3.      Bonus question :) - How do law enforcement officers recognize and test for marijuana if a driver appears intoxicated?

Of course, any references would be greatly appreciated!

Thank you,

Craig Thorne, M.D.



This message originates from the Yale New Haven Health System. The information contained in this message may be privileged and confidential. If you are the intended recipient you must maintain this message in a secure and confidential manner. If you are not the intended recipient, please notify the sender immediately and destroy this message. Thank you.
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Message: 2
Date: Thu, 09 May 2019 19:52:24 +0000
From: "Swift, Melanie D., M.D." <Swift.Melanie at mayo.edu>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Does workplace drug testing for marijuana
	change when a state legalizes it?
Message-ID: <9ecfbe$blh1p4 at ironport10.mayo.edu>
Content-Type: text/plain; charset="us-ascii"

Hi Craig,
We actually ended up getting a lot of MRO questions, including this one, at our MCOH session at AOHC. We were lucky to have Doug Martin from the MRO Section in the audience, and he is a great resource. You might want to check with him, or Karl Auerbach, for an authoritative answer. I know Karl used to run an MRO listserv similar to this MCOH one, not sure if he still does.

Anyway what we learned is that some places are indeed removing marijuana from their preemployment screens, which you certainly can do if it is regulated testing. It may be a custom panel, but if so my money is on the testing labs offering this as a standard panel as demand rises!

Best,

Melanie

Melanie Swift, MD
Medical Director, Mayo Clinic Physician Health Center Senior Associate Consultant Assistant Professor of Medicine Division of Preventive, Occupational, and Aerospace Medicine Phone 507.284.2560 _______________________________ Mayo Clinic
200 First Street SW
Rochester, MN 55905
www.mayoclinic.org<http://www.mayoclinic.org/>


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thorne, Craig
Sent: Thursday, May 09, 2019 2:39 PM
To: 'mcoh-eh at mylist.net'
Subject: [EXTERNAL] [MCOH-EH] Does workplace drug testing for marijuana change when a state legalizes it?

Good afternoon everyone,

I am curious if anyone can answer some of these questions relating to workplace drug testing for marijuana when a state legalizes it?


1.      Do Medical Centers remove marijuana from its panel (for non CDL/federal workers)

a.       Does such a panel even exist?

2.      If you are providing employee health services to external companies, do they (or can they) ask you to exclude marijuana from testing?

3.      Bonus question :) - How do law enforcement officers recognize and test for marijuana if a driver appears intoxicated?

Of course, any references would be greatly appreciated!

Thank you,

Craig Thorne, M.D.



This message originates from the Yale New Haven Health System. The information contained in this message may be privileged and confidential. If you are the intended recipient you must maintain this message in a secure and confidential manner. If you are not the intended recipient, please notify the sender immediately and destroy this message. Thank you.
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Message: 3
Date: Thu, 09 May 2019 21:09:40 +0000
From: "Swift, Melanie D., M.D." <Swift.Melanie at mayo.edu>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Does workplace drug testing for marijuana
	change when a state legalizes it?
Message-ID: <9ecfbe$blhrkn at ironport10.mayo.edu>
Content-Type: text/plain; charset="us-ascii"

*unregulated testing*
Apologies for typo!


From: MCOH-EH [mailto:mcoh-eh-bounces+swift.melanie=mayo.edu at mylist.net] On Behalf Of Swift, Melanie D., M.D. via MCOH-EH
Sent: Thursday, May 09, 2019 2:52 PM
To: 'mcoh-eh at mylist.net'
Cc: Swift, Melanie D., M.D.
Subject: [EXTERNAL] Re: [MCOH-EH] Does workplace drug testing for marijuana change when a state legalizes it?

Hi Craig,
We actually ended up getting a lot of MRO questions, including this one, at our MCOH session at AOHC. We were lucky to have Doug Martin from the MRO Section in the audience, and he is a great resource. You might want to check with him, or Karl Auerbach, for an authoritative answer. I know Karl used to run an MRO listserv similar to this MCOH one, not sure if he still does.

Anyway what we learned is that some places are indeed removing marijuana from their preemployment screens, which you certainly can do if it is *UNREGULATED* testing. It may be a custom panel, but if so my money is on the testing labs offering this as a standard panel as demand rises!

Best,

Melanie

Melanie Swift, MD
Medical Director, Mayo Clinic Physician Health Center Senior Associate Consultant Assistant Professor of Medicine Division of Preventive, Occupational, and Aerospace Medicine Phone 507.284.2560 _______________________________ Mayo Clinic
200 First Street SW
Rochester, MN 55905
www.mayoclinic.org<http://www.mayoclinic.org/>


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thorne, Craig
Sent: Thursday, May 09, 2019 2:39 PM
To: 'mcoh-eh at mylist.net'
Subject: [EXTERNAL] [MCOH-EH] Does workplace drug testing for marijuana change when a state legalizes it?

Good afternoon everyone,

I am curious if anyone can answer some of these questions relating to workplace drug testing for marijuana when a state legalizes it?


1.      Do Medical Centers remove marijuana from its panel (for non CDL/federal workers)

a.       Does such a panel even exist?

2.      If you are providing employee health services to external companies, do they (or can they) ask you to exclude marijuana from testing?

3.      Bonus question :) - How do law enforcement officers recognize and test for marijuana if a driver appears intoxicated?

Of course, any references would be greatly appreciated!

Thank you,

Craig Thorne, M.D.



This message originates from the Yale New Haven Health System. The information contained in this message may be privileged and confidential. If you are the intended recipient you must maintain this message in a secure and confidential manner. If you are not the intended recipient, please notify the sender immediately and destroy this message. Thank you.
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Message: 4
Date: Thu, 9 May 2019 17:39:07 -0400
From: Natalie Hartenbaum <natah at comcast.net>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Does workplace drug testing for marijuana
	change when a state legalizes it?
Message-ID: <211414B0-09FB-4DD6-A015-FF08E1E7BF9D at comcast.net>
Content-Type: text/plain; charset="utf-8"

A lot of places are not testing for THC. In some locations testing in the pre employment setting is prohibited except in certain circumstances. 

> On May 9, 2019, at 5:09 PM, Swift, Melanie D., M.D. via MCOH-EH <mcoh-eh at mylist.net> wrote:
> 
> *unregulated testing*
> Apologies for typo!
>  
>  
> From: MCOH-EH 
> [mailto:mcoh-eh-bounces+swift.melanie=mayo.edu at mylist.net] On Behalf 
> Of Swift, Melanie D., M.D. via MCOH-EH
> Sent: Thursday, May 09, 2019 2:52 PM
> To: 'mcoh-eh at mylist.net'
> Cc: Swift, Melanie D., M.D.
> Subject: [EXTERNAL] Re: [MCOH-EH] Does workplace drug testing for marijuana change when a state legalizes it?
>  
> Hi Craig,
> We actually ended up getting a lot of MRO questions, including this one, at our MCOH session at AOHC. We were lucky to have Doug Martin from the MRO Section in the audience, and he is a great resource. You might want to check with him, or Karl Auerbach, for an authoritative answer. I know Karl used to run an MRO listserv similar to this MCOH one, not sure if he still does.
>  
> Anyway what we learned is that some places are indeed removing marijuana from their preemployment screens, which you certainly can do if it is *UNREGULATED* testing. It may be a custom panel, but if so my money is on the testing labs offering this as a standard panel as demand rises!
>  
> Best,
>  
> Melanie
>  
> Melanie Swift, MD
> Medical Director, Mayo Clinic Physician Health Center Senior Associate 
> Consultant Assistant Professor of Medicine Division of Preventive, 
> Occupational, and Aerospace Medicine Phone 507.284.2560 
> _______________________________ Mayo Clinic
> 200 First Street SW
> Rochester, MN 55905
> www.mayoclinic.org
>  
>  
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thorne, 
> Craig
> Sent: Thursday, May 09, 2019 2:39 PM
> To: 'mcoh-eh at mylist.net'
> Subject: [EXTERNAL] [MCOH-EH] Does workplace drug testing for marijuana change when a state legalizes it?
>  
> Good afternoon everyone,
>  
> I am curious if anyone can answer some of these questions relating to workplace drug testing for marijuana when a state legalizes it?
>  
> 1.      Do Medical Centers remove marijuana from its panel (for non CDL/federal workers)
> a.       Does such a panel even exist?
> 2.      If you are providing employee health services to external companies, do they (or can they) ask you to exclude marijuana from testing?
> 3.      Bonus question J ? How do law enforcement officers recognize and test for marijuana if a driver appears intoxicated?
>  
> Of course, any references would be greatly appreciated!
>  
> Thank you,
>  
> Craig Thorne, M.D.    
> 
> 
> 
> This message originates from the Yale New Haven Health System. The information contained in this message may be privileged and confidential. If you are the intended recipient you must maintain this message in a secure and confidential manner. If you are not the intended recipient, please notify the sender immediately and destroy this message. Thank you.
> ---------------------------------------
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