[MCOH-EH] MCOH Staffing Benchmarks

[Sally Foster-Chang]

Benchmarks for staffing Occupational Health clinics are hard to find.

Papers from the early 2000’s  suggest one physician full time provider for
5,000 employees with at least three full time occupational health nurses,
one of whom can be a nurse practitioner ( or PA). But this was long before
COVID and the requirements expanded drastically! I have references if
anyone is interested, but did not include them since they are so dated.

 If you are providing primary care also,  there should be one  additional
provider for every 1,000 patients. This assumes a provider sees 20
patients, on average, every day. This comes out to over 4,200 visits per
year and does not take into account email and heavy tracking and
documentation requirements.

This might be a good task for an ACOEM committee-figuring out what makes
reasonable sense in terms of staffing in the current environment. When I
tracked my volume in a prior hospital based occupational health clinic, my
number of visits was five times that of the primary care providers, but the
visits were generally less complex.

If anyone has any evidence-based information on this issue, please share!
Sally Foster-Chang, DNP, ANP-BC,COHN-S

On Thu, Nov 9, 2023 at 2:51 PM Massaro, Marie T via MCOH-EH <
mcoh-eh at mylist.net> wrote:

> There may be information on the AAOHN or AOHP websites.
>
>
>
> Sincerely,
>
> Marie
>
>
>
> *From:* MCOH-EH <mcoh-eh-bounces+marie.massaro=baycare.org at mylist.net> *On
> Behalf Of *David S. Cockrum via MCOH-EH
> *Sent:* Wednesday, November 8, 2023 11:57 AM
> *To:* MCOH-EH <mcoh-eh at mylist.net>
> *Cc:* David S. Cockrum <David.S.Cockrum at hitchcock.org>
> *Subject:* [MCOH-EH] MCOH Staffing Benchmarks
>
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> Does anyone know of any benchmarks for staffing MCOH clinics? Our
> institution hired a consultant on staffing benchmarks, but obviously the
> consultant had no idea what an MCOH clinic does – they suggested two nurses
> for the entirety of our 13k employees! I reviewed the ACOEM MCOH guidance
> paper from 2019, saw nothing in there, and have not found much on internet
> searches. Curious if anyone staffs their clinics based on a benchmark, or
> just best assessment of workload?
>
>
>
> Thanks,
>
>
>
> David
>
>
>
> *David S. Cockrum, MD, MPH*
> He/Him/His
>
> Medical Director & Section Chief
>
> Occupational & Environmental Medicine
> Department of Medicine
>
> Tel (603) 653-3881 | Fax (603) 650-0930
> Dartmouth-Health.org
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> *Dartmouth Hitchcock Medical Center*
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