Most Responsible Person (MRP)

Policy

Category: Control of Infectious Diseases
Subject: Most Responsible Person (MRP)
Division: Health Protection
Policy Number: CA.82.01.114
Effective Date: October 1, 2015

POLICY STATEMENT

It is the policy of Wellington-Dufferin-Guelph Public Health (WDGPH) to have one individual from the Control of Infectious Diseases (CID) Program, designated as the “Most Responsible Person” (MRP) during a normal business day.  The MRP is responsible for live answering the 4752 Outbreak Reporting Line and responding to urgent calls, complaints, emails, lab reports, or faxes on issues related to infectious diseases or infection control. The designated MRP will also review SharePoint data that is entered on the CID SharePoint site and respond to surveillance information that suggests a common exposure or disease pattern. All calls to the MRP, or actions taken by the MRP, must be documented in Excelicare, either in the call log or the appropriate client or facility file. 

SCOPE

This policy applies to all CID employees, the CID Manager, and CID Supervisor.

DEFINITIONS

Most Responsible Person (MRP) – The CID employee who is assigned for the shift (normally a half day) to answer calls to the 4752 reporting line. The MRP remains in the office to live answer extension 4752 and address urgent issues.

REFERENCES AND RELATED FORMS, POLICIES AND PROCEDURES

Corresponding Procedure:  CA.82.02.114 Most Responsible Person
CA.31.02.407 Outbreak Telephone Line Guidance Document
CA.50.01.101 and CA.50.02.101 Documentation Practices
CA.58.01.100 and CA.58.02.100 Privacy Governance
Infectious Diseases Protocols, Appendices A and B (as current, online version)
Disease specific advisory templates, (available on CID SharePoint)
Control of Communicable Diseases Manual (as current)
Red Book: Report of the Committee on Infectious Diseases (as current)
Control of Communicable Diseases Manual (Heymann, as current)
Best Practices documents (PIDAC)
Excelicare CID Desktop Reference
College of Nurses of Ontario Practice Guidelines: Telepractice
College of Nurses of Ontario Practice Standard:  Documentation
College of Nurses of Ontario Practice Standard: Confidentiality and Privacy: Personal Health Information

CONTACT FOR INQUIRIES

Manager, Control of Infectious Diseases and Tuberculosis 

APPROVED BY

Director, Health Protection 


Procedure

Category: Control of Infectious Diseases
Subject: Most Responsible Person (MRP
Division: Health Protection
Procedure Number: CA.82.02.114
Effective Date: October 1, 2015

PROCEDURE

  1. One Control of Infectious Diseases (CID) employee (PHN or PHI) will provide live half-day MRP coverage according to a rotational schedule set by the Program Supervisor.  They will arrange for alternate coverage in the event of scheduled holidays or meetings that conflict with their assignment.  In the event of unscheduled absences (e.g. illness), the CID Program Assistant (PA) will check the Outbreak Line (x4752) and notify the responsible office for investigation and follow-up.
  2. When a phone call reporting an infectious disease is received, the MRP will begin the follow-up of the case, and will transfer it to the appropriate office and CID team member as soon as possible, along with a detailed report and case notes.
  3. The MRP will document all case follow-up according to Agency and program documentation policies (CA. 50.01.101 and procedure CA.50.02.101 Documentation Practices, and policy CA.82.01.117 and procedure CA.82.02.117 Documentation) and according to any professional standards. Documentation will be done in the electronic health record Excelicare.
  4. The MRP will contact schools who report unusual or elevated absenteeism rates via the Health Analytics school surveillance program. CID PHNs or PHIs will phone schools that reported greater than 10% illness-related student absenteeism or greater than 20% total student absenteeism. The MRP will collect detailed illness information from the school and provide advice on infection prevention and control. 
  5. The MRP is also responsible for doing surveillance of Excelicare call logs for which calls suggest common exposures or clusters.  The MRP will notify the Manager or Supervisor of any clusters or common exposure sites identified.

RESPONSIBILITIES

CID Manager/Supervisor will:
  • Ensure employees are trained and oriented to all policies and procedures related to MRP duties;
  • Set and distribute a schedule for MRP; and
  • Will review policy and procedure for MRP, including confidentiality and documentation.
CID employees will:
  • Follow the schedule for MRP;
  • Perform all duties assigned to MRP and as listed above; and
  • Notify Manager or Supervisor of emerging public health issues or trends or patterns determined from the data on the SharePoint site.
  • Log in the assigned employee to the ICD/Call Pilot phone system according to CA.31.02.407 Outbreak/Infectious Disease Reporting Line guidance document;
  • Act as back up to the MRP position and answer the Outbreak Reporting Line (4752) when there is no coverage available from a PHI or PHN; and
  • Assist MRP with locating most recent advisories on SharePoint.

REFERENCES AND RELATED FORMS, POLICIES AND PROCEDURES

Corresponding Policy CA.82.01.114 Most Responsible Person (MRP)
CA.31.02.407 Outbreak Telephone Line Guidance Document
CA.50.01.101 and CA.50.02.101 Documentation Practices
CA.58.01.100 and CA.58.02.100 Privacy Governance
Infectious Diseases Protocols, Appendices A and B (as current, online version)
Disease specific advisory templates, (available on CID SharePoint)
Control of Communicable Diseases Manual (as current)
Red Book: Report of the Committee on Infectious Diseases (as current)
Control of Communicable Diseases Manual (Heymann, as current)
Best Practices documents (PIDAC)
Excelicare CID Desktop Reference
College of Nurses of Ontario Practice Guidelines: Telepractice
College of Nurses of Ontario Practice Standard:  Documentation
College of Nurses of Ontario Practice Standard: Confidentiality and Privacy: Personal Health Information

CONTACT FOR INQUIRIES

Manager, Control of Infectious Diseases and Tuberculosis 

APPROVED BY

Director, Health Protection