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School of Medicine
Division of Occupational and Environmental Medicine
Johns Hopkins Division of Occupational & Environmental Medicine (DOEM) is dedicated to providing a full range of occupational health care services to business, industry and their employees. DOEM provides onsite occupational medicine services for over twenty years. The Division has a growing number of employers with sites in many states. In addition, the Division strives to identify research opportunities to improve the health and productivity of employees for both internal and external initiatives.
For more information about Johns Hopkins Onsite Healthcare services go to: http://www.johnshopkinssolutions.com/solution/onsiteclinics/
- Dispense over the counter and prescription medications with pre-established standing orders
- Provide support and case management for both work-related and non-work related conditions to reduce illness & absence
- Coordinate second opinions for employees absent due to workers' comp or disability
- Coordinate and plan health education seminars and general wellness events
- Provide referrals to primary care physician or specialist
- Perform on-site physical assessments as required by employer
- Provide crisis management/intervention, as needed
- Provide general medical advice to the client's Human Resources and Safety/Risk Management Departments
- Provide ROI calculations monthly
Johns Hopkins has an extensive nurse and physician assistant recruiting network. This network identifies mid-level practitioners that are medically competent and possess excellent interpersonal skills. Successful candidates are then interviewed by the client to determine if the provider is a good fit for the organization. Once this has been established, the candidate who meets the standards set by the client and Johns Hopkins is hired and trained in occupational care management techniques.
Johns Hopkins insures that all mid-level practitioners are practicing high quality medical care using a proprietary program within an electronic patient record (EPR) system to do so. All diagnostic and treatment data generated by the mid-level providers, such as clinic notes, treatment plans, etc., are entered into the EPR as patients are seen. A subset of this information is abstracted daily and reviewed by practitioners at Johns Hopkins. Any deviations from accepted medical practices are flagged and mid-level providers are informed of these immediately and corrections to their practices are made. In the sixteen years that Hopkins has been involved in providing these services, there have only been four instances where a deviance has occurred where corrective action has been necessary.
Assessment of Benefits to Clients
To access the cost benefit ratio or return on investment of onsite occupational medicine services, Johns Hopkins has created a web based platform that continuously monitors each mid-level practitioner's performance in this domain. This web interface is imbedded into the electronic patient record software and ROI calculated as patients are seen. Each of our clients utilizes a slightly different approach to calculating the ROI. However, the common feature of all calculations revolves around the difference in the expense of the onsite mid=level provide versus the cost of medical services in the local community. These data are reviewed monthly to determine how successful the practitioner is in reducing medical care costs for the client.
901 Dulaney Valley Road, Suite 110
Towson, Maryland 21204
Edward J. Bernacki, M.D., M.P.H. - Professor of Medicine, Executive Director of Health, Safety & Environment and Director of the Division of Occupational Medicine, Department of Medicine
Amy S. Alfriend, RN, MPH, COHN-S/CM - Assistant Director
Lachelle Couplin - Administrative Coordinator
Xuguang (Grant) Tao, MD, Ph.D., CTR - Associate Professor Division of Environmental and Occupational Medicine, Johns Hopkins School of Medicine Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health