[MCOH-EH] Joint Commission request for non-employed physician COVID vaccine documentation

[Ashley Hildreth]

Additional question along this line......Has anyone been asked or what will you say if asked, "what process to do you have for ensuring the implementation of additional precautions, intended to mitigate the transmission and spread of COVID-19, for all staff who are not fully vaccinated for COVID-19"

Ashley M. Hildreth, MSN, RN, CEN, SANE
Corporate Director of Quality/PSO
990 Ribaut Road
Beaufort, SC 29902
Phone (843)522-5004
Cell (843)694-3051
Fax ( 843)522-5809

[BHlogo]
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From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Jennifer Carr
Sent: Thursday, October 27, 2022 6:19 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Joint Commission request for non-employed physician COVID vaccine documentation

WARNING:  This email originated outside of our company Beaufort Memorial DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe.
We have not had surveyors ask for this. However our process of proving vaccination status and exemptions did include considerations for anyone who provides car within our facility.
Jennifer

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From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Radke, Laura L. M.D. <laura.radke at froedtert.com<mailto:laura.radke at froedtert.com>>
Sent: Wednesday, October 26, 2022 12:37:16 PM
To: 'MCOH-EH' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Joint Commission request for non-employed physician COVID vaccine documentation


Wondering if anyone else has experienced JCAH requesting vaccine documentation for LIP (licensed independent providers) working in your facilities as part of the survey process.  As these are not employees, we do not keep these records in our occupational health department.  These individuals would fall under the medical staff credentialing department and would have records there.  We have had three surveys this year with no requests for this information and now on the 4th they are asking for this and citing CMS regulation as the reason they require it.



Laura L Radke, MD

Adjunct Assistant Professor of Medicine

Medical Director, F&MCW Occupational Health Services

Phone: 262-253-8197 | Fax: 262-253-5152 Cell Phone: 414-530-0723

E-mail: laura.radke at froedtert.com<mailto:laura.radke at froedtert.com>

Froedtert & the Medical College of Wisconsin Workforce Health / North Hills Health Center

Building B First Floor

W129 N7055 Northfield Dr.

Menomonee Falls, WI 53051




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