Health Screening - Licensed Independent Practitioner

Are non-employed physicians and other licensed independent practitioners included in the health screening requirements to prevent the transmission of infectious diseases?

Any examples are for illustrative purposes only
  • For employees, and others to whom the HR standards apply, health screenings are a requirement. For non-employed physicians and other licensed independent practitioners, screenings must be made available in some cases, but each organization may decide whether these screenings are mandatory if not required by state law/local regulatory requirements. The health status of an applicant for medical staff privileges is also addressed in the HR chapter (AHC, OBS) or MS chapter (HAP and CAH).
  • Treatment or referral must be initiated if the organization becomes aware of any individual, including non- employed physicians and other licensed independent practitioners, who "have, or are suspected of having, an infectious disease that puts others at risk".  (Action is needed only if the organization becomes aware of such an exposure).
  • Treatment or referral is initiated if the organization becomes aware of any individual, including non- employed physicians and other licensed independent practitioners, who "have been occupationally exposed to an infectious disease".  (Action is needed only if the organization becomes aware of such an exposure).
When making a decision as to how to address these issues, organizations are encouraged to consider the following factors:
  • The use of evidence-based national guidelines, such as the CDC, or, in the absence of such guidelines, expert consensus to develop an organizational plan for developing guidelines to prevent disease transmission in healthcare settings.
  • Many states require such screenings for all healthcare workers, including physicians and licensed independent practitioners.
  • Biologically, all persons providing services in healthcare organizations are equally capable of transmitting disease.
  • Legal and ethical considerations exist related to potential outbreak situations.
Last updated on March 16, 2021
Manual: Ambulatory
Chapter: Infection Prevention and Control IC

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