IOM Committee on DHS Occupational Health

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IOM Committee onDHS Occupational Health
Operational Medicine Infrastructure

• Federal Occupational Health
  Services
• Gene Migliaccio, DrPH, Director
• Herman Ellis, MD, FACOEM, Clinical Services
  Director
• Federal Occupational Health
• U.S. Department of Health and Human Services
• 5 March 2013

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Overview

• About Federal Occupational Health (FOH)
• FOH-DHS Partnership
• FOH Benchmarking Project
• FedStrive
• Managing Occupational Health Data
• Federal Best Practices

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About FOH

• Largest Occupational Health Provider to Federal
  Government
• Health Human Services agency
• Serves 1.8 million Federal employees
• Servicing over 360 agencies nationwide
• 400 fixed sites with 20K network providers
• Consultation across federal government

Our Mission Improving the health, safety, and
productivity of our Federal employees.
Congressional Authority (to develop) a health
service program to promote and maintain the
physical and mental fitness of employee
Established 1946, 5 USC 7901
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FOH Integrated Health Services

• Medical Services
• Job Requirement Standards
• Pre- post-employment exam
• Pre- post-deployment exam
• Law enforcement exam
• Medical surveillance exam

• Organizational Development
• Training and Education
• Clinical Trainings
• EAP Presentations and Orientations
• Occupational Safety and Health Training

• Health Centers
• First Aid and Urgent Care
• Immunizations
• Lactation Facilities

• Health Risk Assessment
• Assess Health Risk Status (HRA)
• Maintain Health
• Address Health Risks

• Wellness Health Promotion
• Screening
• Health Coaching
• Interactive Classes
• Behavior Change

???? productivity and performance
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FOH Services Provided To DHS Components FY 13
FOH-DHS Partnership
DHS HQ FLETC CBP CIS CG FEMA ICE SS TSA
Clinical
EAP/ WorkLife
Environmental Health
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Current Data Collected for DHS

• Comprehensive pre/post employment and pre/post
  deployment medical history and exams
• Blood and urine lab results
• Immunization records
• Fitness for duty, respiratory exams, and
  audio/vision clearance results
• Fit testing with respiratory clearances
  including an online tool
• Independent medical evaluation results
• Health Risk Appraisal (HRA) results
• Agency-wide requirement/compliance results

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FOH Benchmarking Project

• Benchmarked Integrated Health Management Services
  (Jan - April 2011)
• Purpose Support development of a more integrated
  comprehensive approach at FOH
• Eight organizations were benchmarked,
  representing service providers, insurance
  companies, and private corporations.

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FOH Benchmarking Project

• Key Points
• Senior management support is critical to success
• Data needed from a variety of sources
• Must partner with a variety of stakeholders
• Key Recommendations
• Create a strategic vision of Integrated Health
  Management
• Develop a comprehensive set of metrics
• Develop a multi-disciplinary approach to
  Integrated Health Management
• Integrate prevention into existing surveillance
  programs

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• Launched in 2009 in support of the Presidents
  Federal Employee Worksite Initiative
• A comprehensive, integrated health, wellness, and
  work/life program
• Motivates, empowers and provides resources to
  improve the health of Federal employees

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Comprehensive onsite and virtual programs

• Online health risk assessment lifestyle
  management tools
• Walk-in care at onsite clinic health
• Onsite fitness center
• Employee Assistance and Work/Life programs
• Lactation support

• Smoking Cessation
• Ergonomic assessments
• Health education programs
• AED program management and oversight
• Healthier nutrition choices
• Lifestyle coaching

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Occupational Health Management System Data

• Integrated Real-Time Reporting Across Agencies

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Federal Best Practices

• Integrated strategic vision and plan
• Commitment from top leadership
• Centralized funding of occupational health and
  wellness program
• A single occupational health data management
  system
• Establish steering committee to develop,
  implement, and maintain a standardized program
• Program evaluations
• OPM-approved standardized medical requirements

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Keeping DHS Mission-Ready

• The healthiest, most resilient workforce possible
  
• Real-time tactical information to respond to any
  event
• Strengthened national security

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