Latest Drugs Added to Panel Turn Up More Often in Positive DOT Tests

Latest Drugs Added to Panel Turn Up More Often in Positive DOT Tests

The U.S. Department of Transportation added four semisynthetic opioids to its drug testing panel on the first of this year. Now, just over 10 months later, those four—hydrocodone, hydromorphone, oxycodone, and oxymorphone—are turning up more often than their older counterparts when transportation professionals fail a drug test. New data from the Quest Diagnostics Drug Testing Index show that the positivity rate for them is “notably higher” than the positive rate seen for more traditional opiates. Prior to …

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Attention Occ Med Providers: FMCSA Loosens Up Rules on Diabetic Commercial Drivers

Attention Occ Med Providers: FMCSA Loosens Up Rules on Diabetic Commercial Drivers

With publication of the Federal Motor Carrier Safety Administration’s (FMCSA) new Qualification of Drivers; Diabetes Standard, drivers who have insulin-treated diabetes will no longer be barred from operating commercial motor vehicles (CMVs). Here’s what you need to really need to know if you offer occupational medicine services such as Department of Transportation physicals in your urgent care center: Certified Medical Examiners will rely on  physician input to determine whether to issue a Medical Examiner’s Certificate …

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Boom in ‘Company Doctors’ Could Be a Boon for Urgent Care/Occ Med Providers

Boom in ‘Company Doctors’ Could Be a Boon for Urgent Care/Occ Med Providers

The popularity of workplace medical practices has waxed and waned for ages, but with major employers like Amazon and Apple building actual on-site medical facilities for their workers, the “company doctor” may be entering a new golden age. According to a new report from Mercer, one-third of U.S. businesses with 5,000 or more employees and company-sponsored plans now have a general medical clinic on site. The idea is to lower medical costs and encourage optimal …

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New Quest Diagnostics Data Show Drug Use Among Workers Remains High

New Quest Diagnostics Data Show Drug Use Among Workers Remains High

It may come as no surprise to urgent care providers who offer occupational medicine services such as drug testing, but the overall rate of positive drug tests remains high across the board in the U.S. workforce according to new data from Quest Diagnostics. While fewer workers are testing positive for opiate use, results indicating use of cocaine, methamphetamine, and marijuana kept the positive test rate at 4.2%. That’s the same as it was in 2016—which …

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Beware Patients Who’ll Go to Great—Great—Lengths to Pass Drug Tests

Beware Patients Who’ll Go to Great—Great—Lengths to Pass Drug Tests

The opiate crisis and legalization of marijuana in some states has upped the ante for occupational medicine providers charged with conducting drug screens for workers and prospective employees. Patients who may be concerned about their own ability to pass a urine test don’t make it easy sometimes. Some have been known to try to substitute “clean” samples for their own questionable bodily fluids when they know they’re going to be tested. One woman in Denver, …

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Proposed Law Could Diminish Need for Workplace Drug Testing in California

Proposed Law Could Diminish Need for Workplace Drug Testing in California

As we’ve discussed here previously, the more widespread legalization of marijuana use around the country is presenting any number of challenges for urgent care providers who offer drug-testing services to occupational medicine customers. One wrinkle: Legalization does not necessarily affect regulations laid down by employers regarding employee use. Some legislators in California want to put a stop to that by enacting legislation that would protect workers from disciplinary action, including dismissal, for using marijuana. Assembly …

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Telemedicine Meets Occ Med Rehab in New Concentra Initiative in California

Telemedicine Meets Occ Med Rehab in New Concentra Initiative in California

Workers who need to rehab injuries can now do so without schlepping to a physical therapy practice under a new initiative just launched by Concentra in California. The “telerehab” program hooks up employees with workers comp claims with Concentra therapy clinicians from home or work, with the intention of improving compliance and speeding recovery and return to full function on the job. Presumably, the program will be expanded to others states if it’s successful.

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Foundation of Occupational Medicine in the Urgent Care Setting

Urgent message: Much has been written about the integration of occupational medicine into urgent care practice. However, doing so successfully requires consideration of many important factors. This is the first in a series of articles that will examine occupational medicine in the urgent care setting from the financial and practice management viewpoint, with the aim of guiding the urgent care decision-maker and practitioner in the best practices of business and clinical occupational medicine practice.  Max …

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Drug Screening Market Expected to See Healthy Growth Through 2022

Drug Screening Market Expected to See Healthy Growth Through 2022

New data show the market for companies that provide drug screen services—which would include urgent care operators who offer occupational medicine services—should grow at a 10.2% clip annually through 2022. By that time, the total market value would be $8.63 billion (up from $5.32 billion in 2017). The Drug Screening Market Report from ReportsnReports reasons that demand will continue to be driven by growing drug and alcohol consumption among workers, combined with increased enforcement of …

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Government Report: U.S. Needs Better Occupational Health and Safety Surveillance

Government Report: U.S. Needs Better Occupational Health and Safety Surveillance

The timing couldn’t be better for urgent care operators who offer occupational medicine services, as a new government report challenges various stakeholders to establish more robust health surveillance practices in the workplace. A Smarter National Surveillance System for Occupational Safety and Health in the 21st Center, published by the National Academies of Sciences, Engineering, and Medicine, calls for greater coordination among federal agencies and the states, as well as the creation of regional occupational safety …

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