University Health Services

1. University Health Services David Marder, MD, MPH

2. Mission and Vision University Health Services (UHS) services the University of Illinois at Chicago Medical Center, the academic faculty and staff at the University of Illinois at Chicago, and various private companies.

3. Goal The goal of the UHS department is to promote the health of the employee, by recommending, implementing and evaluating surveillance/health screening programs and by implementing health promotion education and activities to maintain and/or enhance the health of the worker, improve worker productivity and comply with the regulatory standards.

4. Clinic Information Location: 835 S. Wolcott Room E-144 Hours: M/T/Th/F: 7am-4pm, W: 7am-3pm Phone: 312-996-7420

5. Services New Hire Physicals/Screen • Titers • QuantiFERON TB-Intube • Vision/screen/color vision • UDS • Vaccinations—Tdap

6. Services (cont’d) TB Surveillance • QuantiFERON TB-Intube • Annual Surveillance -April • Semi Annual- October and April ED, Internal Med, Pathology, Surgical, Pediatrics • Notification of surveillance will be sent by your Residency Coordinators

7. Services (cont’d) BBP exposures • Immediate reporting of incidents-review card in orientation packet • Follow up monitoring at UHS • Offsite exposures • Needlestick Prevention Committee—root cause/trends/prevention

8. Services (cont’d) Work injury/illness • Case management of injury/illness • ED after UHS clinic hours • Incident forms • W/C office • Choice of provider

9. Services (cont’d) Fitness for Duty • Returning from illness/injury • Infectious/communicable diseases • Restricted duty • Substance abuse

10. Services (cont’d) Emergency Management • Disaster planning • Hospital Disaster Vaccination Response Team (HDVRT) Travel Immunizations

11. Services (cont’d) Employee Assistance • Internal EAP: Geri Biamonte at 996-3588 • Mental Health Benefit: Magellan • Benefit is on the back of your insurance card Access and Equity • ADA issues • Dispute Resolution

12. Services (cont’d) Environmental Health and Safety Office (EHSO) • Ergonomic evaluations • Emergency hazards: chemical, biological, or other call Ext. 6-SAFE

13. Services (cont’d) Mandatory June Respiratory Fit Testing • Your Residency Coordinator will send a notification in May with the date and time • Make up sessions will be offered every other Tuesday at 12:45pm in the hospital • Registration is required for the make up sessions. Please call UHS to register at x67420

14. Services (cont’d) OHSI Referrals- Dr. Susan Buchanan • Residency program focus • Referral procedure

15. The Impaired Employee and Fitness for Duty FY 11

16. University of Illinois at Chicago . . . is committed to assisting and retaining valued employees who may be stressed, impaired or may have problems that affect their performance whether related to emotional, physical, or substance abuse issues.

17. ‘Impairment’ is defined as… “…any condition that interferes with the ability to perform job duties in a safe manner or provide customer service due to the use or misuse of alcohol, legal or illegal substances, or a mental or physical condition as determined by a psychiatrist, psychologist, or other healthcare professional trained in the identification of such”.

18. If there is a ‘Reasonable Suspicion’ of impairment… …there is an obligation to refer the individual for an evaluation if you suspect their activities or behaviors may affect their ability or capacity to perform their identified duties and/or other roles as assigned.

19. ‘Reasonable Suspicion’ is defined as An impression, based on observations of appearance, behavior, speech or body odor that an individual’s capacity is impaired. Examples: • marked mood changes or instability • inappropriate behavior • excessive absenteeism • poor clinical judgment • obvious smell of alcohol Note: All complaints, allegations or concerns that are part of a referral will be evaluated for credibility.

20. Referrals… • Can be made confidentially by any faculty, staff, employee, administrator, patient, or family member who is concerned about an employees’ health, well being or capacity to perform their duties or roles as assigned especially if it may affect a safe work environment. • Referring parties are encouraged to follow the proper chain of command when feasible.

21. Referral Options for Reasonable Suspicions or Self Referral A Referral May Be Made to: • University Health Services Dr. David Marder, Medical Director or Rebecca Mischak APN/CNP, COHN-S/CM at 312/996-7420 OR • Employee Assistance Program Geri Biamonte, Employee Assistance Practitioner at 312/996-3588

22. Goals of University Health Services & the Employee Assistance Program • Act as an advocate for employees, staff, and/or practitioners who are stressed or impaired. • Assist with rehabilitation, rather than discipline, to aid in retaining or regaining optimal functioning.

23. If Safety is at Risk… • Based on investigative findings by University Health Services and the Employee Assistance Program, the individual may be removed from duty to ensure safety of the institution and the individual. • Appropriate corrective action includes strict adherence to any state or federally mandated reporting requirements.

24. Next Steps in Recovery… • The employee will be referred to the appropriate professional internal/external resources for diagnosis and treatment. • The safety of patients, other employees, as well as the safety of the individual will be monitored until the rehabilitation process, to include compliance with after care, is complete.

25. Keep in Mind. . . The goal of the Fitness for Duty Program is successful treatment and ongoing follow-up management as prescribed.

26. Contacts University Health Services • Dr. David Marder, Medical Director • Rebecca Mischak APN/CNP, COHN-S/CM • 312/996-7420 Employee Assistance Program • Geri Biamonte, Employee Assistance Practitioner • 312/996-3588