[MCOH-EH] ] Re: 1. Flu Vaccine Status Indicators (PRATER, DEANNA) 2. Re: Flu Vaccine Status Indicators (Tara Dockery)
Tara Dockery
tdockery at oceanbeachhospital.com
Thu Oct 10 08:15:15 PDT 2019
Darlene, would you be willing to share your current flu module education set so I may be able to glean some information from it for our module?
Thank you,
Tara
Tara Lee Dockery, IP, MT(ASCP), BS | Infection Preventionist and Employee Health
Ocean Beach Hospital and Medical Clinics
174 1st Ave North | P.O. Box H | Ilwaco |WA | 98624
Phone: 360.642.6307 | Cell : 509-760-7397 | Fax: 360-642-6309 |tdockery at oceanbeachhospital.com
www.oceanbeachhospital.com
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Darlene Sims
Sent: Wednesday, October 9, 2019 4:26 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] ] Re: 1. Flu Vaccine Status Indicators (PRATER, DEANNA) 2. Re: Flu Vaccine Status Indicators (Tara Dockery)
CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders.
Good evening,
I am director of Employee Health
Services for a system of 5000 plus employees, not including contract staff, volunteers or LIPs.
Our system has a mandatory Flu vaccine policy that states proof of vaccine provided to EH , receive vaccine through Employee Health (EH) or file declination in EH, including medical/religious exemption requests by a set deadline annually. Those who decline are required to wear mask when w/i 6 ft of a patient once flu season has been declared by our system Infection Prevention and Quality executive.
Annually, EH creates and updates a flu module with the policy requirements, expectations, compliance, CDC recommendations, flu symptoms, CDC guidelines for RTW after diagnosed with the Flu, CDC VIS and masking guidelines. In addition, the module is followed b post test and an acknowledgment to the policy, the requirements, compliance expectations and information sent to department managers. This is sent out via our education online portal.
If an employee has a concern, they are referred to EH and our employee reparations team where each situation is reviewed. Our policy was reviewed by legal prior to establishing.
EH is careful not share any medical information surrounding the decline of any vaccines. Flu vaccine declination lists are not posted for viewing by co-workers, other department Managers or customers, as well as we do not post a sign for visitors stating yellow mask is an indicator staff has not received vaccine.
Please do not hesitate to contact me.
Thank you,
Darlene Sims, MSN, FNP-C
Director, Infirmary Employee Health services
251-435-3377
> On Oct 9, 2019, at 5:41 PM, "mcoh-eh-request at mylist.net" <mcoh-eh-request at mylist.net> wrote:
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> 1. Re: [EXTERNAL] Re: Flu Vaccine Status Indicators
> (PRATER, DEANNA)
> 2. Re: Flu Vaccine Status Indicators (Tara Dockery)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 9 Oct 2019 20:40:38 +0000
> From: "PRATER, DEANNA" <deanna.prater at bayareahospital.org>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [EXTERNAL] Re: Flu Vaccine Status Indicators
> Message-ID: <fea4dca19be84eb2974f54d91efe4147 at EXCH2.bahad.local>
> Content-Type: text/plain; charset="utf-8"
>
> The vaccinate or mask policy is purely for Infection Control.
>
> From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Swift, Melanie
> D., M.D., M.P.H. via MCOH-EH
> Sent: Wednesday, October 09, 2019 13:35
> To: MCOH-EH <mcoh-eh at mylist.net>
> Cc: Swift, Melanie D., M.D., M.P.H. <Swift.Melanie at mayo.edu>
> Subject: Re: [MCOH-EH] [EXTERNAL] Re: Flu Vaccine Status Indicators
>
> CAUTION: This email originated outside of Bay Area Hospital. Do not click links or open attachments unless you recognize the sender and know the content is safe.
>
> I think an indication of policy compliance should be adequate for occupational purposes, and need not indicate vaccination status. While it may not technically be a HIPAA violation, it is private information (medical/religious exemption, vaccination, declination, whatever meets compliance criteria) and really shouldn?t be necessary to share with patients and coworkers. Masks may be worn for a variety of reasons (e.g. afebrile respiratory symptoms, even a cold sore) and the use of a mask needn?t indicate vaccination status. That said, I do think that blanket ?vaccinate or mask? policies are more about coercion than infection control. Probably legal, doesn?t make it a good idea.
> Also just my 2 cents.
> Melanie Swift, MD, M.P.H.
> Sent from my iPhone
>
>
> On Oct 9, 2019, at 3:16 PM, Cockrum, MD David S <dcockrum at frhs.org<mailto:dcockrum at frhs.org>> wrote:
> ?
> I?m not a lawyer, and I haven?t stayed at a Holiday Inn Express recently, but?I tend to agree with Cathy?s legal interpretation. The badge sticker is related to activities required for employment, which is essentially outside the sphere of HIPAA. If HIPAA were applied in its purest form, we couldn?t ask non-immunized employees to wear masks since this would also be an indicator of a personal medical choice. Additionally flu shots are a vital part of the Infection Control program, which is a standard related to protecting public health ? again, beyond the scope of HIPAA.
>
> Just my two devalued cents?
>
> David
>
> DAVID?
>
>
> COCKRUM
>
> ,
>
> MD
>
>
>
> Physician
>
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> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of
> Reichen, Catherine
> Sent: Wednesday, October 9, 2019 3:02 PM
> To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: Re: [MCOH-EH] Flu Vaccine Status Indicators
>
>
> This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. If you suspect the content of this email is malicious, please forward the email to abuse at frhs.org<mailto:abuse at frhs.org> .
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>
> Deb,
>
> That is interesting. Our HR employee rights lawyer told us that this is not a HIPPA violation. We use different colored stickers with the year on them to indicate vaccination and declination (without the wording of ?I got my flu shot? on them). Our policy states that they have to have a sticker by Dec 1 and they must be placed on the front of the badge for identification of compliance.
>
> Cathy
>
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of
> da.sampson via MCOH-EH
> Sent: Wednesday, October 09, 2019 3:53 PM
> To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Cc: da.sampson <da.sampson at yahoo.com<mailto:da.sampson at yahoo.com>>
> Subject: Re: [MCOH-EH] Flu Vaccine Status Indicators
>
> Hello Anne
> Several years ago legal counsel at another medical center in NH indicated that placing a sticker on an ID badge for flu vaccination was not a great idea since this is a public acknowledgment of individual medical information and could be challenged as a HIPAA violation regardless of facility policies.
> Just a thought.
>
> Deb Sampson
>
>
>
> Sent from my Verizon, Samsung Galaxy smartphone
>
> -------- Original message --------
> From: Anne Mills <amills at crhc.org<mailto:amills at crhc.org>>
> Date: 10/9/19 4:23 PM (GMT-04:00)
> To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Flu Vaccine Status Indicators
>
> Hello,
>
> We recently transitioned to a influenza vaccine policy that requires masking for non-vaccinated health care personnel. We use badge stickers as status indicators. I am curious how others have made this work. We are a regional medical center with multiple, off-site primary care and specialty practices. We have many non-employed credentialed providers who participate in this program.
>
> Flu vaccine is provided in Employee Health Services and department-based, "Flu Vaccine Ambassadors". However, there are so many others that vaccinate elsewhere, or are in departments without an Ambassador.
>
> We have not been able to identify an efficient means to deploy stickers. Your experiences are welcomed.
>
> Anne
>
>
>
>
> Anne C. Mills, MSN, RN, COHN-S
> Concord Hospital
> Director Employee Health Services
> | ? (603) 230-1962| 7 (603) 227-7126
> | amills at crhc.org<mailto:amills at crhc.org>
>
> ----------------------------------------- CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution, copying or reliance upon the contents of this email and attachments is strictly prohibited. If you have received this communication in error or are not the intended recipient, please notify the sender by replying to this email and destroy all copies of this communication and any attachments. To contact Glens Falls Hospital, or for a copy of our privacy practices, please visit us on the Internet at https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.glensfallshospital.org&c=E,1,xwFav9s-6qhquVpB74Wy7BJlTh9Kxa3mGIowLbwDlmszZkVJWLsbNRFARdtfQ7nBr0lVW6uiZoqJZFYf7fsvGJXD0F_VG-J2X5QBW7EcNg,,&typo=1<https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.glensfallshospital.org&c=E,1,svdsnmSBw3JHBQWuvcg1oxLOY0ZJlGYsxgetfxWlPvOMaGFdVpzxH4iX3uyk5XEc9C25fUmZ1JbChLqw3s2RMIFfRchD4cPdgILEb9aDvs1HpQ,,&typo=1>.
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> ------------------------------
>
> Message: 2
> Date: Wed, 9 Oct 2019 22:41:13 +0000
> From: Tara Dockery <tdockery at oceanbeachhospital.com>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Flu Vaccine Status Indicators
> Message-ID:
>
> <MWHPR11MB1966811B1423C8F4811C669BB3950 at MWHPR11MB1966.namprd11.prod.ou
> tlook.com>
>
> Content-Type: text/plain; charset="utf-8"
>
> Our facility had a nurse that wanted to start a class action lawsuit
> last year because she felt her personal beliefs were HIPAA protected, and that if we asked her to wear a mask when she administered Chemotherapy because she hadn?t had a flu vaccine that it would be a violation of her right to privacy if she would have to tell the patients she wears the mask because she didn?t get the flu vaccine. We then had to take it to the lawyers to be sure, and they told us that our cute little ?promotional badges that advertise flu vaccines to patient and visitors by saying ?I got my flu shot? were the ones that were in violation? so we had to stop asking that to be a marker for who does and doesn?t need to mask, and that if we changed to some buttons that said ?get your flu shot? and made them optional to wear (all the admitting staff demanded them, as they wanted it known as the first person who greets a patient or visitor) that we would be ok, and if our masking policy were written with safety as its focus, and put the owness on managers to monitor their staff for compliance, then we would be ok legally.
>
> We had to amend our policy, for fear of such lawsuit, to state they had to wear the masks in patient care areas or when working with or talking to patients. I guess the whole hubbub is they can take a mask off when walking in the hallways as long as not with or talking to a patient, but put them on in the rooms, care areas, or at the desk as visitors and patients often come up and ask questions at the desk?
>
> Either way, its been eye opening?
>
> Tara
>
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of
> Reichen, Catherine
> Sent: Wednesday, October 9, 2019 1:02 PM
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Flu Vaccine Status Indicators
>
>
> CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders.
> Deb,
>
> That is interesting. Our HR employee rights lawyer told us that this is not a HIPPA violation. We use different colored stickers with the year on them to indicate vaccination and declination (without the wording of ?I got my flu shot? on them). Our policy states that they have to have a sticker by Dec 1 and they must be placed on the front of the badge for identification of compliance.
>
> Cathy
>
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of
> da.sampson via MCOH-EH
> Sent: Wednesday, October 09, 2019 3:53 PM
> To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Cc: da.sampson <da.sampson at yahoo.com<mailto:da.sampson at yahoo.com>>
> Subject: Re: [MCOH-EH] Flu Vaccine Status Indicators
>
> Hello Anne
> Several years ago legal counsel at another medical center in NH indicated that placing a sticker on an ID badge for flu vaccination was not a great idea since this is a public acknowledgment of individual medical information and could be challenged as a HIPAA violation regardless of facility policies.
> Just a thought.
>
> Deb Sampson
>
>
>
> Sent from my Verizon, Samsung Galaxy smartphone
>
> -------- Original message --------
> From: Anne Mills <amills at crhc.org<mailto:amills at crhc.org>>
> Date: 10/9/19 4:23 PM (GMT-04:00)
> To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Flu Vaccine Status Indicators
>
> Hello,
>
> We recently transitioned to a influenza vaccine policy that requires masking for non-vaccinated health care personnel. We use badge stickers as status indicators. I am curious how others have made this work. We are a regional medical center with multiple, off-site primary care and specialty practices. We have many non-employed credentialed providers who participate in this program.
>
> Flu vaccine is provided in Employee Health Services and department-based, "Flu Vaccine Ambassadors". However, there are so many others that vaccinate elsewhere, or are in departments without an Ambassador.
>
> We have not been able to identify an efficient means to deploy stickers. Your experiences are welcomed.
>
> Anne
>
>
>
>
> Anne C. Mills, MSN, RN, COHN-S
> Concord Hospital
> Director Employee Health Services
> | ? (603) 230-1962| 7 (603) 227-7126
> | amills at crhc.org<mailto:amills at crhc.org>
>
> ----------------------------------------- CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution, copying or reliance upon the contents of this email and attachments is strictly prohibited. If you have received this communication in error or are not the intended recipient, please notify the sender by replying to this email and destroy all copies of this communication and any attachments. To contact Glens Falls Hospital, or for a copy of our privacy practices, please visit us on the Internet at https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.glensfallshospital.org&c=E,1,hBI1N_oIdhsXANwFq49kgO6WZw0rCBfZFYyxQ9_Wotrk-xAa3JkXgFciSYwnA6Z6ywIRVhy1Au9QLS_EKXNe-dc5iTsSry0noBg_sT_U&typo=1<https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.glensfallshospital.org&c=E,1,6Bk79JQHSDQFNN1UwPS70PazIhkPdrt00r8yiM0hc8Md96le8_2epghw9zf32rCFFFYr2UU03_XjOVG3kzT2BJXgJzgYTO-ww4yT9pZM&typo=1>.
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