We supply test kits for staff.  If they 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@mylist.net> on behalf of mcoh-eh-request@mylist.net <mcoh-eh-request@mylist.net>
Sent: Tuesday, September 5, 2023 5:30 PM
To: mcoh-eh@mylist.net <mcoh-eh@mylist.net>
Subject: EXTERNAL: MCOH-EH Digest, Vol 258, Issue 86
 
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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@gmail.com>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Covid
Message-ID:
        <CAEFKb7ha=udx4v44AKFknm8r=3_b9YBL+t0zKgGBV=KSAehDpQ@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@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@gmail.com>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Subject: [MCOH-EH] Covid
Message-ID:
        <CAEFKb7gGkjo9153gM2cg+4U_6Xf6S9URVN_FSq1WJ-h1Ux7csg@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
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------------------------------

Message: 3
Date: Tue, 5 Sep 2023 22:16:06 +0000
From: "Behrman, Amy" <behrman@pennmedicine.upenn.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] [External]  Covid
Message-ID:
        <MN2PR04MB55016B41FF3627EF4170FECA80E8A@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@mylist.net> on behalf of Charles Hackett <dickenshackett@gmail.com>
Sent: Tuesday, September 5, 2023 7:21 AM
To: MCOH/EH <mcoh-eh@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



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

Message: 4
Date: Tue, 5 Sep 2023 22:20:55 +0000
From: "Leibu, Rachel" <Rachel.Leibu@atlantichealth.org>
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] [External]  Covid
Message-ID:
        <BL3PR16MB4353A524E53E198429CF0ACDF2E8A@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@mylist.net> On Behalf Of Behrman, Amy
Sent: Tuesday, September 5, 2023 6:16 PM
To: MCOH/EH <mcoh-eh@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@mylist.net<mailto:mcoh-eh-bounces@mylist.net>> on behalf of Charles Hackett <dickenshackett@gmail.com<mailto:dickenshackett@gmail.com>>
Sent: Tuesday, September 5, 2023 7:21 AM
To: MCOH/EH <mcoh-eh@mylist.net<mailto:mcoh-eh@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



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

Message: 5
Date: Tue, 5 Sep 2023 18:49:28 -0400
From: Charles Hackett <dickenshackett@gmail.com>
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] [External] Covid
Message-ID:
        <CAEFKb7gyFVMw1oF50CjzZHO3WgB1U6FkM7hQgoCvBEqZdTrZkg@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@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@mylist.net> on behalf of Charles Hackett
> <dickenshackett@gmail.com>
> *Sent:* Tuesday, September 5, 2023 7:21 AM
> *To:* MCOH/EH <mcoh-eh@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@mylist.net
> To become a subscriber, or to change your subscription options (turn off
> email while you're on vacation, etc):   https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.mcoh-eh.net&c=E,1,nJwby12A84UGWJ5HQETW7ywyKzEO76iSs32PmNfQi6FmXT5hc-blZRyyahPW2XS3Fp1y7mYeTnVW1FeNDrREO3KTg4ti_XAKKKvD8sJSX8pNnIIVNyA,&typo=1
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> ---------------------------------------
> Send administrative requests to: drjoe@meditrax.com
> ---------------------------------------
> When replying to a message, PLEASE delete all footers, and all messages to
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>
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------------------------------

Subject: Digest Footer

---------------------------------------
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@mylist.net
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MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
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------------------------------

End of MCOH-EH Digest, Vol 258, Issue 86
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