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Employee Screening Programs

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Employee Screening Programs

Health risk screening programs ought to be carried out
on a one-on-one basis by trained health care experts. Health risk
measures should include the following

• Blood pressure (BP) measurements – at least two blood pressure
  measurements taken during the screening episode, using a mercury
  sphygmomanometers or regularly calibrated aneroids.  


• Blood pressure treatment status – ascertain whether the participant
  is under a physician’s care, on any medication, on a prescribed diet,
  or any other type of treatment for hypertension.    


• Blood cholesterol measurement – sum cholesterol and HDL-cholesterol
  taken either using a properly tested and maintained table top blood
  analyzer providing immediate feedback to the patron, or sending blood to
  a laboratory providing feedback using a method that is as effective as
  immediate feedback.    


• Cholesterol treatment status – ascertain whether the customer 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. for
   instance assess participants height and weight and use the 1959
  Metropolitan Life Height/Weight charts or use Body Mass Index (BMI).    

• Identify people  20 percent or more above their ideal weight.


• Tobacco use status – assess whether the participant currently
  smokes cigarettes, whether the customer has quit or never smoked, and
  the number of cigarettes smoked/day.    


• Exercise habits – screening questions could  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 patron has diabetes, and whether or not it’s
  currently under control. A blood glucose could  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 – ascertain when the patron has had a stroke or other kind of capillary disease.


• Family history of cardiovascular illness – ascertain whether any of
  the participants’ parents or siblings had a heart attack or sudden
  death as a result of heart illness before age 55.


• Coronary heart illness – ascertain when the patron has had a heart attack or other type of coronary heart illness.


• Stress – participant’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 Employee Health Program.


• Participant release form (see forms) – A release form is required
  in which the participant permits the wellness program to draw blood for
  testing to send information to the participant’s medical care provider
  when medical risks are identified, and to obtain information from the
  provider about diagnosis and prescribed treatment.


• Participant interest survey – if an assessment of interest hasn’t
  been collected previously, the screening activity must assess levels of
  interest in health promotion programs such as –  weight control, use of
  tobacco cessation, fitness or exercise, stress management, nutrition,
  self-care, cholesterol control.


• Health education messages – the screener must review with the
  participant his/her identified health risks and what they mean to the
  participant’s general health, and give the participant a written record
  of the blood pressure, sum 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 guidelines for
  such referral.

Demographic information should include location of the screening,
worksite, patron’s name, address, social security number, home and work
phone numbers, sex, race, birthdate, relevant job information (e.g.,
hourly or salaried), department number, and work shift.

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