Students at MGH Institute of Health Professions must maintain their compliance with the Immunization and Certification policy throughout the duration of their enrollment in their academic programs. The requirements are mandated by a combination of policies from the state of Massachusetts, the Institute, Massachusetts General Hospital, and clinical sites.

The Institute's Office of Compliance monitors the status of each student’s compliance. The Office of Compliance does not directly receive or manage student compliance documentation. A student is not considered "compliant" until documentation has been uploaded to and approved by Complio. The Institute has retained the services of Complio by American Databank, a web-based compliance and immunization management software. The Office of Compliance will provide periodic reports to the academic program leadership and the clinical education teams, detailing students who will soon be out of compliance with these requirements.

Out of Compliance Procedures

  1. The Office of Compliance will inform the student's academic program that the student is suspended from participating in their current and/or upcoming clinical placements.
  2. The Office of Compliance will contact the student to 1) confirm the student's status as "non-compliant," 2) request an action plan for regaining "compliant" status, and 3) inform student of escalation process if compliance is not achieved.

A student will have 10 calendar days from the date of expiration to either become compliant, or submit an extension request, to be approved by the Office of Compliance.

Suspension of Access to D2L

If no action is taken by the non-compliant student within 10 calendar days, the Office of Compliance will suspend the student's access to the Desire2Learn (D2L) learning management system.

Once a previously non-compliant student regains compliant status, their access to D2L* will be restored and their academic program will be contacted.

*Important: Institute hours of operation are Monday through Friday, 8 a.m. to 5 p.m. Student access to D2L can only be returned during these hours.

In addition to the Out of Compliance Procedures listed above, students may also be subject to compliance policies and procedures specific to their academic program. Students are encouraged to review their Program Manual for information on additional compliance related items.

Students are expected to respond to emails from the Office of Compliance, even if they believe they are in compliance or have already addressed the area of non-compliance.

When requesting an extension, students must have a plan detailing how and when they will regain their compliant status within Complio. Extension requests will be reviewed and approved by the Office of Compliance, in collaboration with representatives from the appropriate departments/programs at the Institute.

If a student's extension request is accepted, a temporary status of "compliant" will be added to the student's account which will expire on the date referenced in the extension request.

If a student's extension request is not accepted, no changes will be made to their Complio account and they will be expected to comply with the requirements detailed in Complio.

Annually.

Evidence of a negative test annually. TB test satisfying this requirement include:

  • Tuberculin Skin Test (TST)
    • PPD
  • TB Blood Tests
    • QuantiFERON-TB Gold In-Tube test (QFT-GIT)
    • T-SPOT TB test (T-Spot)

If test is positive, a chest X-Ray is required every 5 years, and a TB symptom-free note is required annually.

Every 2 years.

  • American Red Cross – BLS for Health Care Providers
  • American Heart Association– BLS for Healthcare Providers

No other courses accepted for this requirement.

Every 10 years.

Evidence of a Tdap shot once; 10 years after that, a Tetanus or Td booster is required.

Evidence of 3 dose series (Energix-B or Recombivax HB) OR 2 dose series (Heplisav-B given on or after 18 years of age) OR positive titer are acceptable.

If your titer is equivocal or not immune, you must submit evidence of a Hepatitis B booster.

*Students who have not completed the full series, but have documented proof of starting the Hep B vaccination series will be allowed to matriculate. Students without a full Hep B vaccination series must contact the Institute’s Office of Compliance.

Evidence of 2 doses or positive titer results for Measles, Mumps, and Rubella.

If any titer is equivocal or not immune, you must submit evidence of an MMR booster.

Evidence of 2 doses OR primary care provider verification of the disease (month/year) or positive titer results.

If your titer is equivocal or not immune, you must submit evidence of a Varicella booster.

For all students 21 years of age or younger upon the start of your academic program, submit evidence of 1 dose of MenACWY (formerly MCV4)

The dose of MenACWY vaccine must have been received on or after the student’s 16th birthday. Doses received at younger ages do not count towards this requirement.

Students may decline MenACWY vaccine after they have read and signed the MDPH Meningococcal Information and Waiver Form.

Immunization Requirements

For Programs:

School of Health and Rehabilitation Sciences

  • PhD in Rehabilitation Sciences
  • Speech Language Pathology Doctorate (SLPD)
  • Post-Professional Doctor of Occupational Therapy (PPOTD)
  • Literacy and Language Certificate program (CSD-CAS) (20-credit only)

School of Nursing

  • Doctor of Nursing Practice (DNP)
  • Master of Science - Leadership in Nursing Administration
  • Master of Science - Leadership in Nursing Education

School of Healthcare Leadership

  • Master of Health Administration (MHA)
  • Master of Science in Healthcare Data Analytics (DA)

Every 10 years.

Evidence of a Tdap shot once; 10 years after that, a Tetanus or Td booster is required.

Evidence of 3 dose series (Energix-B or Recombivax HB) OR 2 dose series (Heplisav-B given on or after 18 years of age) OR positive titer are acceptable.

If your titer is equivocal or not immune, you must submit evidence of a Hepatitis B booster.

*Students who have not completed the full series, but have documented proof of starting the Hep B vaccination series will be allowed to matriculate. Students without a full Hep B vaccination series must contact the Institute’s Office of Compliance.

Evidence of 2 doses or positive titer results for Measles, Mumps, and Rubella.

If any titer is equivocal or not immune, you must submit evidence of an MMR booster.

Evidence of 2 doses OR primary care provider verification of the disease (month/year) or positive titer results.

If your titer is equivocal or not immune, you must submit evidence of a Varicella booster.

For all students 21 years of age or younger upon the start of your academic program, submit evidence of 1 dose of MenACWY (formerly MCV4)

The dose of MenACWY vaccine must have been received on or after the student’s 16th birthday. Doses received at younger ages do not count towards this requirement.

Students may decline MenACWY vaccine after they have read and signed the MDPH Meningococcal Information and Waiver Form.

Submitting Your Health History Information to Complio

Prior to matriculation, students upload documents to Complio, documenting their compliance with the Institute's Immunization and Certification Requirements. Students should retain copies of all immunization and certification documentation. Throughout their enrollment, students will utilize Complio to maintain their compliance with immunizations and certifications.

Step 1: Create an account at mghihpcompliance.com. Click Create an Account to get started.

Note: Use your Institute email when creating your account.

Step 2: Complio will send an email to your Institute email account. Click on the Activation Link within the message or copy and paste the URL in your web browser.

Step 3: Your Complio Account is created. Now it is time to order a subscription for your academic program. Click Get Started to begin your order. Carefully enter the information required to complete your order. Please read the Disclaimer on the next screen, sign, and click Accept & Proceed to continue.

Note: If you are unsure of the subscription you need to order, please contact the Institute’s Office of Compliance.

Step 4: Click Upload Documents at the top of the Complio screen and use the Browse button to locate documents within your computer.

Tip: Select all your Immunization and Certification documents to upload at once. You can then assign specific documents to each requirement in the next step.

Step 5: Back on the main page, select Enter Requirement next to each category to complete the required fields and select from the drop-down list of documents you’ve uploaded. Click Submit to save what you’ve entered. You can Update the item at any time before it is approved.

Note: There may be multiple options, but you may not need to complete them all. Refer to the Note for explanation of options.

At this time, the requirement is pending review and approval by an Administrator. Complio verifies items within 1-3 business day (excluding holidays and weekend).

We recommend checking Complio regularly. You are not fully compliant until your Overall Compliance Status = Compliant, indicated with a Green Checkmark. Complio will notify you via email when your compliance status changes, if an item is approaching expiration, or if a new requirement is added.

Email Policy

Out of an abundance of consideration for the security of students' personal information, members of the Office of Compliance team will only correspond with individuals using their MGH Institute email addresses when discussing immunization and certification requirements.

Current Students: All current students must use their MGH Institute email addresses when communicating with the Office of Compliance regarding Immunization and Certification Requirements.

Incoming Students: For incoming students with questions prior to receiving an MGH Institute email address, the Office of Compliance team will respond to Complio-related questions via email, but ask that they call our office if they wish to discuss their health records.

If the Office of Compliance receives an email from a student's personal email address and the contents of the email either require us to reference a student's health information or the contents of the original inquiry contain health information, we will ask that the student re-send the message via their MGH Institute email address.

Compliance Office

MGH Institute Logo on stone

The Institute Office of Compliance monitors the status of each student’s compliance.

The Institute Office of Compliance monitors the status of each student’s compliance.

Joanna Kreisel, MPA

Director of Compliance Office of the COO

Director of Compliance Office of the COO