[MCOH-EH] Epic to replace Occupational Health software?

[Miriam Alexander]

you should and could use ReadySet for your pre-employment health assessment
it is built for that;.  ReadySet should not hold any personal medical
records (defined as any medical care that is not related to a
work-related injury/illness or affects the employees ability to complete
the tasks of their job. ; that should all be in EPIC.  ReadySet should be
used to manage all your work-related injuries.  All the case management and
OSHA logs can be managed in ReadySet.

 We only have the employer based instance of ReadySet so our providers use
it to document all of our care of work-related health care. Its not great
but it works and then feeds all the WC case management and OSHA log stuff;
Using their IIE is designed for that purpose.  I think that you are not
fully using the ReadySet capabilities and you need to talk with your
"customer success manager" at Cority to better understand the product that
you have.  Our own experience working with Cority to maximize what ReadySet
can do for us has been very unpleasant but it sounds like you really could
get alot more very positive attributes out of the product that you have.
 You need to get your attorneys to look more carefully at all the firewalls
that are built between ReadySet and personal medical records that are held
in EPIC.   One of ReadySets selling point, like the other occ health EMRS
(like OHM) is their ability to keep personal medical records away from
occupational health records.  We in fact do NOT go into our hospitals emr
system (we use Cerner) without written authorization from employees to do
so.  We have an authorization at the time of pre-placement exam that our
attorneys "wrote" to give us maximum flexibility and to protect employees
medical records.

I am told that Cority has a product that is much better for "caring for
work-related injuries from a provider perspective and a billing perspective
but we don't bill our employer for any of the care we provide to our
employees so we haven't

I know that IT will tell you what they told you; assuming you use ReadySet
for managing your pre-placement exams, your work-related injuries; WC case
management, and OSHA stuff; plus have portals for supervisors and employees
and HR and safety I have never seen a system that does what we need in an
onsite occupational health clinic to be able to do.  Also, ReadySet has the
ability to accept feeds from your laboratory and send information to your
WC insurance carrier.   I cannot speak to EPIC's stand alone product but we
have just done what we think is an exhaustive look at the market and other
than stand alone occ health EMR's no one meets the needs (the HR companies
will tell you that their software that your HR group may be using will do
it;  This Fall we sat through hours and hours of demo's and I can assure
you they don't!!)

Miriam Alexander, MD, MPH
Medical Director Employee Health and Wellness
Lifebridge Health
2431 W. Belvedere Ave Suite 54
Baltimore, MD 21215

---------- Forwarded message ---------
From: Angeli Mancuso via MCOH-EH <mcoh-eh at mylist.net>
Date: Sat, Dec 6, 2025 at 5:40 AM
Subject: [MCOH-EH] Epic to replace Occupational Health software?
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Angeli Mancuso <a1mancus at sbch.org>


If any of you use Epic for employee/occupational health, do you also have a
secondary software or can Epic “do it all?”



We have a new CIO who is claiming we can build everything in Epic and pull
in data from our HRIS and payroll systems to cover everything our current
EH/OH software accomplishes.



Current state:

   - Employee Health uses ReadySet for their EH/OH software
   - Pre-employment physicals are completed at 1 of 2 places:
      - Urgent Care’s owned by our organization: to maintain compliance of
      EH records being separate from personal medical records, the
documentation
      is completed *on paper* and our EH team manually uploads into
      ReadySet.
      - 3rd party occupational health clinic (unaffiliated with our
      organization) who documents all aspects of the visit in OHM; our EH team
      has access to log in and download results from a portal to
manually upload
      into ReadySet



I’m struggling to see how an Epic build can cover:

   - OSHA logs (this is maintained in our EH/OH software)
   - Workers Comp case management (exploring if our TPA can provide us with
   something instead)
   - Risk stratification for annual health maintenance (our HRIS holds the
   info of what risk categories each job title falls into and feeds our
   current EH/OH software)



I’d love to hear how others have implemented Epic at their organizations
and if you were able to get rid of all other ancillary software.



For context: we are a health system with multiple locations in 3 counties
in California.



Kindly,
Angeli

*Angeli Mancuso, RN* *|*
*Cottage Health *Manager, Workforce Development
also providing leadership to Employee Health & Safety
Retain | Recruit | Reimagine
805-319-0359, Ext. 48928
a1mancus at sbch.org
Book a meeting with me
<https://outlook.office.com/bookwithme/user/92cc56ebc5ac4b8cb5feb7495313bcb2@sbch.org/meetingtype/SVRwCe7HMUGxuT6WGxi68g2?anonymous&ep=mcard>


------------------------------

CH Disclaimer: This electronic mail message is intended exclusively for the
individual or entity to which it is addressed. This message, together with
any attachment, may contain confidential and privileged information. Any
views, opinions or conclusions expressed in this message are those of the
individual sender and do not necessarily reflect the views of Cottage
Health, its subsidiaries or affiliates. This document may also contain
information covered under the Health Insurance Portability and
Accountability Act (HIPAA, PL 104-191) and implementing regulations and
must be protected in accordance with those provisions. Re-disclosure
without patient consent or as otherwise permitted by law is prohibited. Any
unauthorized review, retransmission, use, printing, copying, retention,
disclosure, distribution or the taking of any action in reliance upon this
information by persons or entities other than the intended recipient is
strictly prohibited and may be unlawful. If you have received this message
in error, please immediately advise the sender by reply email message to
the sender and delete all copies of this message from your system without
copying.
---------------------------------------
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
To become a subscriber, or to change your subscription options (turn off
email while you're on vacation, etc):   http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to
ensure the list remains a free resource for the occupational health
community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe at meditrax.com
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to
which you're NOT replying.


-- 
Miriam Alexander
(410) 206-0579
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20251207/015b3d76/attachment-0001.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 10235 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20251207/015b3d76/attachment-0001.png>