Health and Wellness Leads : Employee Health Screening Programs

Health risk assessment programs should be carried out on a one-on-one basis by trained medical care professionals. Health risk measures should include the following:

• Blood Pressure (BP) measurements – at least two Blood Pressure (BP) measurements taken during the evaluation episode, using a mercury sphygmomanometers or regularly calibrated aneroids.
• Blood Pressure (BP) treatment status – ascertain whether the participant is under a doctor’s care, on any medication, on a prescribed diet, or any other type of treatment for hypertension.
• Blood cholesterol measurement – total cholesterol and HDL-cholesterol taken either using a properly tested and maintained table top blood analyzer providing immediate feedback to the client, or sending blood to a laboratory providing feedback using a method that is as effective as immediate feedback.
• Cholesterol treatment status – evaluate whether the client is under a doctor’s care, on any medication, on a prescribed diet, or any other type of treatment for high cholesterol.
• Obesity – utilize an accepted method for estimating obesity. By way of example assess participants height and weight and use the 1959 Metropolitan Life Height/Weight charts or use Body Mass Index.
   o Identify people 20% or more above their ideal weight.
• Smoking status – evaluate whether the colleague currently smokes cigarettes, whether the client has quit or never used tobacco, and the number of cigarettes used tobacco/day.
• Exercise habits – evaluation questions may be limited to frequency and duration exercise. Do participants exercise in a moderately vigorous fashion at least three times per week for 30 minutes or more.
• Diabetes – whether the client has diabetes, and whether or not it is currently under control. A blood glucose may be also done via finger stick and desk top analyzer. Several manufactures make available cassettes which include cholesterol and glucose measurements.
• Cerebrovascular disease or occlusive PVD – determine if the client has had a stroke or other kind of blood vessel disease.
• Family history of cardiovascular disease – determine whether any of the participants’ parents or siblings had a heart attack or sudden death due to heart disease before age 55.
• Coronary heart disease – determine if the client has had a heart attack or other sort of coronary heart disease.
• Stress – attendant’s assessment of stress in work and/or personal life. A series of well-tested and validated questions assessing levels of stress are available from the Worker Health Program.
• Participant release form (see forms) – A release form is required in which the participant authorizes the program to draw blood for testing to send information to the participant’s health care provider if health care risks are identified, and to get information from the provider about diagnosis and prescribed treatment.
• Participant interest survey – if an assessment of interest has not been gathered previously, the assessment activity must assess levels of interest in programs such as: weight management, smoking cessation, fitness or exercise, stress management, nutrition, self-care, cholesterol control.
• Health education messages – the screener must review with the attendant his/her identified health risks and what they mean to the attendant’s central health, and give the attendant a written record of the Blood Pressure, total cholesterol, and any other physiological measures taken.
• Referral of participants for treatment – participants with elevated risks must be referred to appropriate sources of diagnosis and possible treatment following nationally or locally recognized standard procedures for such referral.

Demographic information ought to include location of the evaluation, worksite, client’s name, address, social security number, work and home phone number, sex, race, date of birth, relevant work information (e.g., hourly or salaried), department number, and work shift.