Compliance Complexity to Operational Confidence: How a Multi-Site Hospital System & Mobile Health Executed Large-Scale Respiratory Fit Testing

The Need

A large, Northeast hospital system needed qualitative respirator fit testing for thousands of employees across several sites in its network.

Objective

Deliver a large-scale, OSHA-aligned Qualitative Respiratory Fit Testing (QLFT) program to ensure workforce compliance across multiple hospital facilities and clinics, while accommodating a shift-based clinical workforce, minimizing disruption to patient care, and reducing operational and compliance risk.

Challenges

The challenges of executing this large-scale QLFT program were as follows:

• Testing a large, shift-based clinical workforce
• Limited staff availability to leave clinical units
• Tight execution timeline with high daily volume requirements
• Coordinating testing across multiple hospital locations
• Administrative burden and compliance risk for leadership

Solutions

We developed and executed a multi-faceted strategy to overcome the obstacles, including:

• Flexible, Shift-Aligned On-Site Testing: Extended on-site hours and variable testing schedules to support day, evening, and overnight staff.
• Mobile Pop-Up Testing in Clinic Areas: On-demand QLFT deployed in hospital and clinic locations across the health system’s multi-state service area.
• Rapid, High-Throughput Program Deployment: Standardized workflows and trained testers, enabling fast execution over a two-month period.
• Multi-Site Operational Coordination: Centralized staffing, logistics, and protocol management across all locations.
• End-to-End Program  Management: Centralized scheduling, walk-in support, daily tracking, and monitoring reported to management to ensure success.