[MCOH-EH] Academic/MCOH - who pays for OH services for University-employed attendings working in hospital?

[Radke, Laura L. M.D.]

We have a joint agreement between the medical school and the health system.  IOH provides all of the services listed below for faculty, staff, residents and students.  Our current agreement takes a look back at the past year and assigns the percentage of services used to each entity.  That entity then pays that percentage of total expenses to the IOH department.  We do also supply worker’s compensation nurse case managers to the medical school and attend regular claims management meetings with their carrier.

Things have become more complicated lately with opening of satellite medical school branches in other parts of the state.  We are currently looking at the agreement and deciding if we should restructure to a pay for service or pay per member type of arrangement.

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



From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Behrman, Amy
Sent: Thursday, January 5, 2023 11:56 AM
To: 'mcoh-eh at mylist.net' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Academic/MCOH - who pays for OH services for University-employed attendings working in hospital?

In our setting, these services are covered under Medical Center policies, and costs are covered by the Medical Center. Conversely, in our system, the Medical Center and University use different WC TPAs/carriers, so expenses outside employee health services are handled quite diffe ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌


[https://alert-dg01.redatatech.com/onprem_security_warning_fetch?r=0&dep=GO%2FZnJksMCG7eglxV789IA%3D%3DvB%2BP1gV6tMew1ZoJARHsFY%2FBrNaqUb%2Fip%2BjnzwiNLeFdLm2bNW4PgyufTeniBe1SBYIeku8oLUZKRaVNLDTReOUOUXsdkhhzOBJarj71ZF%2FyDmA1E10HZfonPAzgV5g59LuKEzwvYaCcIq4INvngt6TEAk7OiixahB03mLdI0wzFtBMZBm4vsM9C%2FTA3KRod5175XXsyYbWVIx5IATsm98I%2BTFLpUbpZTN39cV6hdSQJn5nV9w0Ai0RtM4APwurrQOr36LyKZCf885WCxNl0iYW2VnEyuhaw8Ujc7pLR968LeCA4NKglHyvSv%2FEL0%2BDas6eg8%2F57OWLwV3GgUTlG9sFSa1cLrSU1TEKGx2LIWH%2BS7QcKNBEBFGu7Q5QJFVC5U4F3JNRLUH7MiCec1P65LvQfIiCn55%2FDMSJsmU9iIWvmqMzw8cCdPOInk4usrhbNe8rF3WBrJd9o51cNOBmr3qzHCYDahpSy4nogL51kWsKGMi3zp1kB6A8nF3Gb1Iuk5FhRSM5QR4yeYOjckmCU3lC3hv3pGpwY92yKv8v6Z42jOVMQdcuYHjske7%2Fg1UBs8Q1X%2FwD2LccB5DFLbiYPjAItCpSqk6zAAVBoyiguricKqvlkwx29LM0qq4c%2FcUXbrwf2XiwGZlhW9F3z1gCv3DrDNW3zrB0ESyb5NguCI%2BsLQkTO7Q9SHiH0y%2BKacD2ot%2FLdw3vG%2Fa1qFFwo2n79Y%2BHOsvG%2BFhLsT42J9T4S%2FTWZRF6k0qtEu8bB6T3eKOoyCb55gZNGWsBHzJqoDpU5uEaQqy15nAJQK%2FbsNJIHyRLxs%2BkuBsQ4E%2F9HYfTeLCMWl%2B1xsbI61JkpTfRExYQymEofxfGOXdjIrX7hueTS5WI%3D]

In our setting, these services are covered under Medical Center policies, and costs are covered by the Medical Center.

 Conversely, in our system, the Medical Center and University use different WC TPAs/carriers, so expenses outside employee health services are handled quite differently for the 2 groups.

Hope that's helpful and Happy New Year to MCOH!  Amy

Amy J Behrman, MD, FACP, FACOEM
Division Chief, Occupational Medicine
Professor, Perelman School of Medicine
University of Pennsylvania
3400 Spruce St
Philadelphia, PA  19104
________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Cloeren, Marianne <MCloeren at som.umaryland.edu<mailto:MCloeren at som.umaryland.edu>>
Sent: Wednesday, January 4, 2023 11:30 AM
To: 'mcoh-eh at mylist.net' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [External] [MCOH-EH] Academic/MCOH - who pays for OH services for University-employed attendings working in hospital?


Quick poll – apologies if previously addressed. I had no need to pay attention to this issue until recently.



For those of you working in University or Hospital employee health services in settings where the University and the medical center are separate corporate entities, who pays for the employee health services needed by University-employed faculty caring for patients in the medical center? E.g. these:

- preplacement screening

- TB screening

- immunization verification and provision if needed

- respirator clearance, fit testing and training

- blood borne pathogen exposure evaluation, treatment if needed

- annual flu vaccine provision, tracking, enforcement (required)

- COVID vaccine (required)

- FFD coordination (sort of) and referral to EAP

- COVID testing and response, assistance with isolation and quarantine



Thank you!



Marianne



Marianne Cloeren, MD, MPH, FACOEM, FACP

Pronouns she/her/hers

Associate Professor of Medicine

University of Maryland School of Medicine

Division of Occupational and Environmental Medicine

UMB Public Health Officer

mcloeren at som.umaryland.edu<mailto:mcloeren at som.umaryland.edu>

Office 410-328-2637

Cell 443-466-0033

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