Our EMR is connected to our HRIS system but some separations do not show until the end of the pay period the termination happens.

There are many groups in the organizatio0n that need to know this information so HR sends out a separation spreadsheet every Friday to the group (IS, Security, parking, etc.)

Patricia Higazi MSN RN COHN

Occupational Health Director

Children's Hospital of The King's Daughters

Norfolk, Virginia

Tel: 757 668 7491

Fax: (757) 668 8775

Email: patricia.higazi@chkd.org

Upcoming PTO April 2^nd – 10th

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of David S. Cockrum via MCOH-EH
Sent: Wednesday, March 18, 2026 3:56 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: David S. Cockrum <David.S.Cockrum@hitchcock.org>
Subject: [MCOH-EH] Termination Surveillance

External:

Fellow Med Ctr Leaders-

We are trying to get our heads around our various surveillance programs, and in particular how to capture termination evaluations. Whether termination is sudden (“you’re fired”) or advance notice (“I’m retiring in 6 months”), there is no automatic notification to Employee Health of the plan for termination so we are unable to capture the employee to perform whatever surveillance action is needed at term.

What kind of tools or tricks have you developed locally to address this? I know I need to work with our HR and help them understand the regulatory compliance aspect, but until they finish their current HRIS transition, I don’t anticipate any headway.

Thanks in advance for any thoughts or advice!

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

Dartmouth Hitchcock Medical Center

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