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2017 Annual Certification for Renaissance SNF Privileges

Dear Colleague,

The District of Columbia Department of Health regulations for nursing facilities requires annual "free from communicable diseases" certification for practitioners who attend patients in this environment. You currently hold privileges in Sibley's Renaissance Unit and to meet this requirement we are asking you to complete this quick attestation.

As an alternative to the attestation, you may provide documentation of having a PPD placed and read. The reading should not have occurred prior to April 1, 2017. Please fax the document to the Medical Staff Office at 202.537.4965. Documentation must be received by July 7, 2017.  Failure to certify, will result in voluntary resignation of Renaissance privileges.

Should you determine that Renaissance privileges are no longer needed, you may voluntarily resign these privileges. Please email jrein3@jhmi.edu with this notification.

Thank you for your assistance in meeting this regulatory requirement.

Sincerely,
Lawrence Ramunno, MD MPH
VP Medical Affairs, Chief Medical Officer


Attestation Form

Fields marked with « are required.
DC DOH Municipal Regulations for Nursing Facilities §3207(h) requires facilities to: "Ensure that attending medical professionals who treat residents in the facility have …..Initial and annual certifications of their freedom from communicable disease." Symptoms associated with communicable diseases may include persistent cough, coughing bloody sputum, unexplained weight loss, fever/chills, loss of appetite, night sweats, shortness of breath, chest pain.