[MCOH-EH] Covid

Charles Hackett dickenshackett at gmail.com
Thu Sep 7 08:37:42 PDT 2023
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Thank you all for your input
Has anyone declared that you have a staffing crisis and that covid +ve can
work with a mask etc.
Our system with support of IC is moving in that direction.
We are saying have you followed the mitigation strategies of the cdc?
And wrote us a letter saying that sick employees are allowed to work
Charlie

On Thu, Sep 7, 2023 at 11:19 AM Deanna Prater <dprater at luhonline.com> wrote:

> We supply test kits for staff.  If they r report a positive test, they are
> off for at least 7 days, not more than 10 per CDC Healthcare guidance.  EH
> sends a standardized email the outlines the RTW guidance.  This includes
> info about WC and testing should they feel it is related to a work exposure.
>
> All of this is on the honor system based on when they report symptoms
> started and what the results of their home tests are.  When they do report
> a positive test, I have a scripted email I send to their manager with a
> HIPAA disclosure.  This explains when they might be expected to return to
> work.  I wouldn't be opposed to allowing staff return on day 7 regardless
> of test results if we got to the point in which staffing is short.
>
> Deanna Prater
> Director of Infection Control, Employee Health & Safety
> Lower Umpqua Hospital
> 600 Ranch Road
> Reedsport, Oregon 97467
> Office:  (541) 271-6323
> Fax:  (541) 271-6353
>
> *“If you change the way you look at things, the things you look at
> change.”*
>
> ------------------------------
> *From:* MCOH-EH <mcoh-eh-bounces+dprater=luhonline.com at mylist.net> on
> behalf of mcoh-eh-request at mylist.net <mcoh-eh-request at mylist.net>
> *Sent:* Tuesday, September 5, 2023 5:30 PM
> *To:* mcoh-eh at mylist.net <mcoh-eh at mylist.net>
> *Subject:* EXTERNAL: MCOH-EH Digest, Vol 258, Issue 86
>
> Send MCOH-EH mailing list submissions to
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> Today's Topics:
>
>    1. Re:  Covid (Charles Hackett)
>    2.  Covid (Charles Hackett)
>    3. Re:  [External]  Covid (Behrman, Amy)
>    4. Re:  [External]  Covid (Leibu, Rachel)
>    5. Re:  [External] Covid (Charles Hackett)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Tue, 5 Sep 2023 11:02:12 -0400
> From: Charles Hackett <dickenshackett at gmail.com>
> To: "MCOH/EH" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Covid
> Message-ID:
>         <CAEFKb7ha=udx4v44AKFknm8r=3_b9YBL+t0zKgGBV=
> KSAehDpQ at mail.gmail.com>
> Content-Type: text/plain; charset="utf-8"
>
> I should have also asked. Are you testing your employees?
>
>
> On Tue, Sep 5, 2023 at 7:21?AM Charles Hackett <dickenshackett at gmail.com>
> wrote:
>
> > Good morning.
> > What is your process for employees that are sick with Covid?
> > We have been following the CDC guidance but using a 5 day, 24 hour
> symptom
> > free etc. The one for critical staffing even though that has passed.
> > We are receiving a great deal of push back because of an uptick in our
> > employees testing positive with Covid and perceived staffing angst
> > Do you require them to call employee health?
> > If so, what guidance are you following for return to work?
> > If they are not required how are you managing RTW?
> > Are you using a self report system without needing a human being to
> review?
> > Are you now treating this as any respiratory infection?
> > As always
> > Thank you
> > Charlie
> >
> > *Charles D Hackett, MD, MPH*
> > Medical Director, Employee and Occupational Health, Lifespan
> > Chief Community and Family Medicine, Rhode Island Hospital
> > Clinical Assistant Professor of Family Medicine, Brown University
> >
> >
> >
> >
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> >
>
> ------------------------------
>
> Message: 2
> Date: Tue, 5 Sep 2023 07:21:24 -0400
> From: Charles Hackett <dickenshackett at gmail.com>
> To: "MCOH/EH" <mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Covid
> Message-ID:
>         <
> CAEFKb7gGkjo9153gM2cg+4U_6Xf6S9URVN_FSq1WJ-h1Ux7csg at mail.gmail.com>
> Content-Type: text/plain; charset="utf-8"
>
> Good morning.
> What is your process for employees that are sick with Covid?
> We have been following the CDC guidance but using a 5 day, 24 hour symptom
> free etc. The one for critical staffing even though that has passed.
> We are receiving a great deal of push back because of an uptick in our
> employees testing positive with Covid and perceived staffing angst
> Do you require them to call employee health?
> If so, what guidance are you following for return to work?
> If they are not required how are you managing RTW?
> Are you using a self report system without needing a human being to review?
> Are you now treating this as any respiratory infection?
> As always
> Thank you
> Charlie
>
> *Charles D Hackett, MD, MPH*
> Medical Director, Employee and Occupational Health, Lifespan
> Chief Community and Family Medicine, Rhode Island Hospital
> Clinical Assistant Professor of Family Medicine, Brown University
> -------------- next part --------------
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> >
>
> ------------------------------
>
> Message: 3
> Date: Tue, 5 Sep 2023 22:16:06 +0000
> From: "Behrman, Amy" <behrman at pennmedicine.upenn.edu>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [External]  Covid
> Message-ID:
>         <
> MN2PR04MB55016B41FF3627EF4170FECA80E8A at MN2PR04MB5501.namprd04.prod.outlook.com
> >
>
> Content-Type: text/plain; charset="us-ascii"
>
> Good evening - happy to share our current approach in brief:
>
> We use an opt-in self-report system for HCP to report COVID-19 symptoms,
> exposures, and positive tests (from outside labs or from home tests).  The
> reports are actively monitored by a small team of CRNPs. Although much of
> the communication (on isolation, testing, and RTW) is automated, there is a
> clinician available to answer questions and address unusual situations in
> real time.   PCR testing is free and easily accessible for employees
> through a self-scheduling link or with CRNP assistance. We continue to
> track employee absences due to COVID-19 and to trace contacts when possible.
>
> 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> on behalf of Charles Hackett <
> dickenshackett at gmail.com>
> Sent: Tuesday, September 5, 2023 7:21 AM
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: [External] [MCOH-EH] Covid
>
> Good morning.
> What is your process for employees that are sick with Covid?
> We have been following the CDC guidance but using a 5 day, 24 hour symptom
> free etc. The one for critical staffing even though that has passed.
> We are receiving a great deal of push back because of an uptick in our
> employees testing positive with Covid and perceived staffing angst
> Do you require them to call employee health?
> If so, what guidance are you following for return to work?
> If they are not required how are you managing RTW?
> Are you using a self report system without needing a human being to review?
> Are you now treating this as any respiratory infection?
> As always
> Thank you
> Charlie
>
> Charles D Hackett, MD, MPH
> Medical Director, Employee and Occupational Health, Lifespan
> Chief Community and Family Medicine, Rhode Island Hospital
> Clinical Assistant Professor of Family Medicine, Brown University
>
>
>
> -------------- next part --------------
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> https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmylist.net%2farchives%2fmcoh-eh%2fattachments%2f20230905%2f802f2808%2fattachment-0001.htm&c=E,1,Km0l0ao3jd5jwunDP57ohHemvQDWEPtfWECcvq6rBWtBAxIQ5oPkjZG5GfLLYxodsReaPsI8ysPlXnDwoYaI00Br4URM_c01kXwYT7C6UVfCZa2dSgKZOVa8&typo=1
> >
>
> ------------------------------
>
> Message: 4
> Date: Tue, 5 Sep 2023 22:20:55 +0000
> From: "Leibu, Rachel" <Rachel.Leibu at atlantichealth.org>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [External]  Covid
> Message-ID:
>         <
> BL3PR16MB4353A524E53E198429CF0ACDF2E8A at BL3PR16MB4353.namprd16.prod.outlook.com
> >
>
> Content-Type: text/plain; charset="us-ascii"
>
> We have a process very similar to the one Amy describes below.
>
> Rachel Leibu, MD, MBA, MS, FACOEM
> Medical Director Occupational Medicine Services
> Atlantic Health System
> Clinical Assistant Professor, Sidney Kimmel Medical College
> at Thomas Jefferson University
>
> Office 973-829-4277
> Cell 973-886-6708
>
> From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Behrman, Amy
> Sent: Tuesday, September 5, 2023 6:16 PM
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [External] Covid
>
> WARNING: This message originated from outside of Atlantic Health System.
> Any attachments or links should be carefully considered before proceeding.
> Messages from our business partners still need to be reviewed and should
> not be opened if suspicious.
>
> Please use the report phishing button to report a questionable email.
>
>
> Good evening - happy to share our current approach in brief:
>
> We use an opt-in self-report system for HCP to report COVID-19 symptoms,
> exposures, and positive tests (from outside labs or from home tests).  The
> reports are actively monitored by a small team of CRNPs. Although much of
> the communication (on isolation, testing, and RTW) is automated, there is a
> clinician available to answer questions and address unusual situations in
> real time.   PCR testing is free and easily accessible for employees
> through a self-scheduling link or with CRNP assistance. We continue to
> track employee absences due to COVID-19 and to trace contacts when possible.
>
> 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 Charles Hackett <
> dickenshackett at gmail.com<mailto:dickenshackett at gmail.com>>
> Sent: Tuesday, September 5, 2023 7:21 AM
> To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: [External] [MCOH-EH] Covid
>
> Good morning.
> What is your process for employees that are sick with Covid?
> We have been following the CDC guidance but using a 5 day, 24 hour symptom
> free etc. The one for critical staffing even though that has passed.
> We are receiving a great deal of push back because of an uptick in our
> employees testing positive with Covid and perceived staffing angst
> Do you require them to call employee health?
> If so, what guidance are you following for return to work?
> If they are not required how are you managing RTW?
> Are you using a self report system without needing a human being to review?
> Are you now treating this as any respiratory infection?
> As always
> Thank you
> Charlie
>
> Charles D Hackett, MD, MPH
> Medical Director, Employee and Occupational Health, Lifespan
> Chief Community and Family Medicine, Rhode Island Hospital
> Clinical Assistant Professor of Family Medicine, Brown University
>
>
>
> -------------- next part --------------
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> https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmylist.net%2farchives%2fmcoh-eh%2fattachments%2f20230905%2fe17ff2d7%2fattachment-0001.htm&c=E,1,0UdpZGXMllLfW1LwxSNtyMUwJvayhlMEI1owSmu_TI9Sv92kcALNPbzpx4BcIlvuoAzA1pv1xZZKEurtOJvq32_emExxtCL_EQAvxxWvCskXgVdW0jW2IPhcDg,,&typo=1
> >
>
> ------------------------------
>
> Message: 5
> Date: Tue, 5 Sep 2023 18:49:28 -0400
> From: Charles Hackett <dickenshackett at gmail.com>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [External] Covid
> Message-ID:
>         <
> CAEFKb7gyFVMw1oF50CjzZHO3WgB1U6FkM7hQgoCvBEqZdTrZkg at mail.gmail.com>
> Content-Type: text/plain; charset="utf-8"
>
> Thank you very much!
> Are the CRNPs part of the employee/ occupational health team?
> Charlie
>
> On Tue, Sep 5, 2023 at 6:17 PM Behrman, Amy <
> behrman at pennmedicine.upenn.edu>
> wrote:
>
> > Good evening - happy to share our current approach in brief:
> >
> > We use an opt-in self-report system for HCP to report COVID-19 symptoms,
> > exposures, and positive tests (from outside labs or from home tests).
> The
> > reports are actively monitored by a small team of CRNPs. Although much of
> > the communication (on isolation, testing, and RTW) is automated, there
> is a
> > clinician available to answer questions and address unusual situations in
> > real time.   PCR testing is free and easily accessible for employees
> > through a self-scheduling link or with CRNP assistance. We continue to
> > track employee absences due to COVID-19 and to trace contacts when
> > possible.
> >
> > 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> on behalf of Charles
> Hackett
> > <dickenshackett at gmail.com>
> > *Sent:* Tuesday, September 5, 2023 7:21 AM
> > *To:* MCOH/EH <mcoh-eh at mylist.net>
> > *Subject:* [External] [MCOH-EH] Covid
> >
> > Good morning.
> > What is your process for employees that are sick with Covid?
> > We have been following the CDC guidance but using a 5 day, 24 hour
> symptom
> > free etc. The one for critical staffing even though that has passed.
> > We are receiving a great deal of push back because of an uptick in our
> > employees testing positive with Covid and perceived staffing angst
> > Do you require them to call employee health?
> > If so, what guidance are you following for return to work?
> > If they are not required how are you managing RTW?
> > Are you using a self report system without needing a human being to
> review?
> > Are you now treating this as any respiratory infection?
> > As always
> > Thank you
> > Charlie
> >
> > *Charles D Hackett, MD, MPH*
> > Medical Director, Employee and Occupational Health, Lifespan
> > Chief Community and Family Medicine, Rhode Island Hospital
> > Clinical Assistant Professor of Family Medicine, Brown University
> >
> >
> >
> > ---------------------------------------
> > The MCOH-EH List has always been moderated by members of the ACOEM
> Medical
> > Center Occupational Health Section. It is currently moderated by Joe
> > Fanucchi MD FACOEM.
> > List membership is free, but only subscribers may post to the list.
> > To post send messages to: mcoh-eh at mylist.net
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> ------------------------------
>
> Subject: Digest Footer
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> The MCOH-EH List has always been moderated by members of the ACOEM Medical
> Center Occupational Health Section. It is currently moderated by Joe
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> List membership is free, but only subscribers may post to the list.
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> MediTrax / Occupational Health Systems, Inc. provides financial support to
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> The MCOH-EH List has always been moderated by members of the ACOEM Medical
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