Starting a pre-employment physical exam screening program can be difficult. Mobile Health has the tools and services to make the process easier to manage. This slide reviews some of the best practices for screening many New York State home health workers.

1. Best practices for safety and compliance

2.  What are the federal, state, county, and local
physical exam regulations your industry must
follow?
 What are the specific and unique business
needs your business has to address?
 What are areas of you business operations
that can be improved by a more robust
employee screening program?

3. These are the requirements for home health
aides and personal care aides as specified in
NY DOH 766.11
 A physical exam
 A tuberculosis screening
 Titers or vaccines for measles and rubella
 A drug screening

4.  Vital Signs
◦ Height
◦ Weight
◦ Body Mass Index (BMI)
◦ Blood Pressure
◦ Respiration Rate
 Past Medical Illness
 Past Medical History
 Past Surgical History
 Allergies
 Social History

5.  Most tuberculosis screenings are done
through a PPD implant on the arm.
 The PPD must be read within 48-72 hours
after administering
 The results are determined based on the size
of the induration.
 Positive results require a X-Ray follow-up
 QuantiFERON blood screening is also
available.

6.  A titer is a test of the person’s immunity to a
specific disease.
 A vaccine creates immunity to a specific
disease.
 Generally a titer is done first, and if needed
the individual is vaccinated.
 Individuals are never scheduled to receive a
titer and vaccine on the same visit.

7.  Mobile Health recommends an 8-Panel
forensic urine drug test.
 Tests for:
◦ Amphetamine
◦ Cocaine
◦ Opiates
◦ Phencyclidine
◦ Marijuana
◦ Barbiturate
◦ Benzodiazepine
◦ Methadone

8.  Mobile Health simplifies the process with a
proprietary combination of medical centers
and online administration.
 Clients can manage the individual’s
appointments as well as health records
online.
 Corporate accounts available for multi-user
accounts and invoiced billing.