Demanding Medical Records

I have a situation where executive/management wants to demand that any employee who took a sick day since 2000 provide medical records for every sick day taken. Although we have a business necessity for some medical information, I am concerned that this goes to far any possible violates the ADA.

Does anyone have a policy that requires medical documentation for every sick day taken? If so, how did you implement it so as to not violate the ADA? Any thoughts, comments, and guidance would be greatly appreciated. Thanks...

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  • [font size="1" color="#FF0000"]LAST EDITED ON 05-12-04 AT 09:01AM (CST)[/font][br][br]No employer can legally demand 'medical records' for any reason that I know of. This is one of the most bizarre things I've heard of in an employment context. The retroactive aspect of it makes it even more bizarre.

    (edit) And, by the way, tell us what business necessity you feel you have for an employee's medical records, ever.
  • Making it retroactive to 2000 is silly- who has medical excuses from then, what doc would make them retroactive and even if they could, who would want to track that? This goes way too far in my opinion. If you make it "starting now" you need a medical excuse, think of how much more your employees will have to go to the doctor (bad for medical costs) and how much more it will cost if they decide it's easier to come to work sick (and spread their germs so everyone gets sick).

    Sick time is there to be taken. Frankly, sometimes what employees are sick of is work.

    The most common rule I've seen is that for absences over 3 days in length require a medical excuse. That seems a reasonable standard to me.

    >I have a situation where executive/management
    >wants to demand that any employee who took a
    >sick day since 2000 provide medical records for
    >every sick day taken. Although we have a
    >business necessity for some medical information,
    >I am concerned that this goes to far any
    >possible violates the ADA.
    >
    >Does anyone have a policy that requires medical
    >documentation for every sick day taken? If so,
    >how did you implement it so as to not violate
    >the ADA? Any thoughts, comments, and guidance
    >would be greatly appreciated. Thanks...



  • Maybe I misunderstood the original post. I took him at his word when he said 'medical records'. That's quite different from an employee being required to present a 'doctor's excuse' for every work day missed. Although they seem to be about equally as idiotic.
  • In this case mgmt wants the employees to obtain the medical records and provide them. Failure to provide the medical records would be considered insubordnation and the employee may be terminated. They do not wish to accept a mere doctor's excuse. The business necessity if based upon the need to know that the employee is capable of performing their duties. This employee group happens to be corporate aircraft pilots. Seems way off base to me...
  • We require a doctor's note for any absence over three days, or if a pattern of absence exists, e.g. the rabid pro football fan who takes a sick day every Monday during the season. If a pattern exists we require a note for every absence. As to the notion of providing medical records back to 2000, it's one of the more ridiculous Management ideas I've heard in a while.
  • Tell this executive that the request is so bizzare, and ludicris that you are contemplating having him go for a reasonable suspicion drug test.
    WHat does you policy call for?
    My $0.02 worth!
    DJ The Balloonman
  • I have to agree w/ Don D that this is one of the more bizarre ideas I've seen.

    What possible "business necessity" could you have to see every employee's medical records for every sick day they've taken? You might want to worry about HIPAA, as well as ADA on this.... not to say the effect on employee morale: sounds a lot like living in a "gestapo" state.

    Another consideration is: you set yourself up for anyone who's fired to come back claiming they were fired because they were sick (ADA-qualifying disability aside), if the company has been sticking its nose in their medical records.

    For our part, NAFCU normally does not require a Dr's note for sick days, and never demands to see anyone's medical records, even for disability insurance claims. We have only in rare circumstances (twice in the 4+ yrs I've been here)required an employee to submit a Dr's note for sick days-- and these were temporary disciplinary situations (EEs who had problems with excessive absenteeism and abuse of sick leave policy.)

    I hope you succeed in persuading the boss that this is a really BAD idea!

    Best of Luck,
  • Your employer is no more entitled to it's pilots' medical records than trucking companies or the owners of barge lines. Passing an annual physical required by the FAA is one thing. The employer demanding actual medical records is another. Sounds to me like you need to call an attorney with the FAA. Aren't the pilots required to present evidence that they've passed an annual physical in order to retain their license?
  • Yes, and all of these pilots currently hold class one medical clearances. Just because the pilot took a couples of sick days, did not cause the pilot to loose their medical clearances. Mgmt want to classify this as a "safety" issue. I think it is an attempt to create and attendance control policy, which we do not currenly have. Needless to say, I am stressed...
  • It sounds to me like ya'll are trying to determine whether your employees can meet the physical requirements of the job. Is this correct? If yes, going FORWARD, you can have every employee go to a medical facility that provides WORK STEPS. This program determines a person's ability to perform the physical requirements of a specific job. It is costly though....usually $100-$125 per person. Also, it can save you in work comp costs should an issue come up down the road.

    If "the boss" wants medical records, aside from this reason, he is asking for trouble.
  • So you're saying that your boss is going to fire people who refuse to provide their FULL medical histories back to 2000? In spite of the fact that they already have to provide an FAA exam. Is that correct? Hmmmm, the legal ramifications here could be quite broad, depending upon the creativity of the attorney(s) involved. This is so stupid it's breathtaking. If your boss wants to set an attendence policy, why not just churn out one of the garden variety types already mentioned?
  • Well, I do remember having the sniffles sometime in June, 2000 and I guess it was on the 17th if you say so, but for the life of me I can't remember whether I went to the doctor or not. Gotta go now, I have a plane to fly.
  • I agree with everyone above. This is truly bizarre. On top of which, everyone (including your boss) has a some point been out because they were sick for a day and not seen the doctor.
  • For me the question is: When does the medical information become too much?

    I understand an employers need for very limited medical information for sick leave usage. I have a hard time understanding the need for information over a year old.

    I also see the employees side. Employees have laws in place that protect their medical information. However when the employee under threat of termination, obtains the medical records and releases them, it seems the very law that protects employee medical records goes away. Primarily because the employee "voluntarily" provided medical records to a third party.

    Has anyone run into a situation like this?

    I'm still stressing...
  • How do you figure 'voluntarily' if someone is threatened with termination if they don't produce private, confidential information. The practice is illegal, period. An employer does not have the right to have someone's private medical information. Why are you stressed? The laws are pretty straightforward. If you have airplanes, then you have at least one attorney employed there or on retainer. Get him to transfer the stress from you to the owner.
  • "Dandy Don": Are you not overlooking the professional license standard for an annual physical for which the company would pay the cost for the physical exam to insure the airplane driver like my 18 wheel professional driver, has an up to date physical exam on file.

    Back in my retail HR days, I supervised 3 full time pilots and one on call pilot; all had to keep their their physical exams current (a check up)and like my truck drivers today, I keep the company copy of the physical exam on file and ready for audit by appropriate people. Unless changed the FAA propably still requires an annual flight physical by a certified FAA flight physician. Our pilots would fly our airplanes in for maintenance in Oklahoma/Kansas area and while there they would also get their flight physicals done and then provide my office with a copy.

    Now for the rest of the employees to provide medical record in this litigation world of today is down right dumb!

    OINK, OINK here piggie, here

    PORK
  • Are you sure this guy isn't just snoopy? Sheeesh - not even the FMLA requires that an employee release medical records, state a diagnosis on the medical certification, or even see a doctor for every absence for a chronic serious health condition!

    If you were to be in possession of full medical records on an employee, ANY adverse employment action could be suspect of being based on information in that medical record. Besides, how are you going to keep up on it - request the doctor's notes for every office visit related to an employee absence? Well, why not go the next step - get full medical records on every employee, regardless of their attendance record, to find out in advance if they've got a condition that might cause them to miss work in the future, and start basing promotions and salary increases on the potential for future attendance problems!

    Good grief!
  • I agree with DonD let your legal people handle the owner. With the new HIPPA laws I wouldn't touch this one.
  • Ask your executive/management if they want to 'trade' medical records for the keys to the company, because someone whose medical records they insist on having are going to own it one day........

  • Is your exe/mgr a physician? If not, how, or who will review the med records once you have them to determine whatever it is you want to determine? Seems to me once you have the records, you will need a dr, or a battery of specialists to make judegments regarding the legitimacy of ees use of sick time based on the informatin in the medical records. And, as someone esle said, once you have the informationm, now it is tough to claim ignorance of the information in making other legitimate decisions. This gets my nomination for worst mgmt decision of the decade!
  • Spoke with the attorneys that represent our company, who advised that the law isn't really clear when it comes to demanding the employee obtain medical records then provide them to the company under threat of termination. Having said that they also advised that the law is much clearer when it comes to how much medical information an employer should receive. I've gathered my info and meet with the executives/management this afternoon to discuss further. I'm thinking if a employees uses less than 3 days sick time, no medical note required. If an employee uses more than 3 days sick time a doctor's excuse is required. I'm suggesting the doctor's excuse not contain any diagnosis, prescription information or other details. The excuse merely would state that the employee was under the doctor's care. Any thoughts?


  • much more reasonable, enforcable and antagonistic than the previous plan
  • It's just like an attorney to say, "Well, the law isn't real clear on that." A totally meaningless statement. What the man is paid for is his advice to the company that might help keep them solvent. I'm going to nominate your attorney for the alternate dunce award, right up there with your executive. I have never in my life seen a 'doctor's excuse' that contains a prescription, a diagnosis or confidential medical information. You're going to find that the physician is the only sane player in your scenario.

  • JIMLEGAL: Maybe we just do not understand the exact purpose or thing that the upper level management is trying to accomplish! Is there a hidden agenda?

    We do want to know when someone is sick at home or in the hospital because we send flowers to those in the hospital and check up on those who are reported sick at home: our purpose is to stay on top of the 5 days of absence of a potential FMLA qualifying circumstance or a termination event should an employee not qualify for FMLA or personal time off without pay in order to get well and return back to work.

    We had one three weeks ago break his leg, while playing baseball (sand lot ball) in the neighborhood. He did not qualify for FMLA, we allowed him to use up his vacation time, his sick time, and gave him two weeks of personal time off withour pay, the manager wanted to anything and everything to keep this young man on the payroll. We reached our outer limits and two days before he was to be terminated he talked his physician to release him to limited duty. He returned to work on a crutch, a plastic take on and take off cast, and was happy to be there. All of this and I did not need anything more than the physician's excuse to tell us he was still under his treatment plan and final release.

    The less medical information you need or expect the less you will have to get audited.

    PORK
  • That is much more reasonable. A doctor's excuse is just a note with xyz was under my care from x to y date and the standard suggested is reasonable.

    Please don't make your pilots mad- road rage is bad enough without riling up "air rage" in the cockpit. ;)
  • First of all, I'd be very concerned about how much information I had on file and who has access.

    However, that being said, I would obviously be interested if a pilot were prescribed some type of medication that would make him/her unfit for duty.

    I'd ask for a physician's excuse and some type of fitness for duty release for absences of more than three days for those employees who are in positions where the safety of others may be in jeopardy.

    Our rules require employees to inform us if they are taking any medication (prescription or OTC that might inhibit their ability to operate equipment, etc.). If they are otherwise okay to work, we temporarily reassign them to work that does not involve operating equipment.

    More than that could put you in breach of privacy rules.
  • Several hours of debate and persuasion resulted in the following:

    A recent case Fountain v. New York Dep't of Corr. Servs., 190 F.Supp2d 335 (N.D.N.Y.2002), aff'd in part and vacate and remanded in part by Conroy v. New York State Dept. of Correctional Services, 333 F.3d 88 (2nd Cir. N.Y. June 18, 2003).
    Addressing sick leave and required production of medical information is similar to our situation.

    After contacting different labor attorney firms in Texas, we have learned that this is a "research" issue. Now we are seeking to hire a labor attorney in Texas with some ADA experience to contrast what mgmt/executive would like to do and what they actually lawfully can do.

    My thanks to everyone who on this forum who responded. As usual your input was extremely helpful.




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