[MCOH-EH] Affiliated Ambulatory Clinics performing Pre-employment physicals in Epic

[efia james]

Hi Angeli,

I found the article cited below to be very helpful regarding EHR
implementation.

*Fazen LE, Martin BE 4th, Isakari M, Kowalski-McGraw M, McLellan RK, Ahsan
R, Berenji M. Occupational Electronic Health Records: Recommendations for
the Design and Implementation of Information Systems in Occupational and
Environmental Medicine Practice-ACOEM Guidance Statement. J Occup Environ
Med. 2024 Nov 1;66(11):e614-e627. doi: 10.1097/JOM.0000000000003236. Epub
2024 Sep 26. PMID: 39378367.*

Efia

On Fri, Oct 17, 2025 at 11:28 PM Angeli Mancuso via MCOH-EH <
mcoh-eh at mylist.net> wrote:

> Hi all,
>
>
>
> I’ve been away from the Employee Health game for a few years and find
> myself back in the deepend in the midst of an Epic build for occupational
> health services. We are starting with our own pre-hires and evaluating if
> we want to expand services to other area employers. We are not purchasing
> the Occ Med module of Epic.
>
>
>
> I’m in California – which may add to the complexity here.
>
>
>
> Can someone point me to the regulation that states that medical provider
> cannot perform pre-employment physicals using the regular medical record
> for a patient? Our Urgent Care providers are anxious about seeing any
> medical history that the post-offer patient does not disclose themselves.
> Are they to go solely off what the employee says is their history or can
> they see “the full picture” of the health of the new hire?
>
>
>
> Things may have changed since I was in this game before Epic was so
> prolific.
>
>
>
> Thanks for the guidance.
>
>
>
> *Angeli Mancuso, RN* *|*
> *Cottage Health *Manager, Workforce Development
> Interim Director, Employee Health & Safety
> Retain | Recruit | Reimagine
> 805-319-0359, Ext. 48928
> a1mancus at sbch.org
>
>
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