1. IOM Committee on DHS 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

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

3. 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 About FOH 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

4. FOH Integrated Health Services Fitness Centers Low Risk Maintenance Risk Reduction Design and Development Fitness Center Management Wellness & Health Promotion Management ▪▪▪▪ = productivity and performance Environmental Health & Safety Safety-injury Prevention Ergonomics Occupational Safety and Health Training Emergency Response Planning & Training Indoor Air Quality Behavioral Health Healthy Behaviors Employee Assistance Program (EAP) Assessment, Counseling and Referral Work/Life Critical Incident Stress Management (CISM) Medical Employability Absence Management Return to Work Fitness for Duty Workers Compensation Case management Linkage with DOL Wellness & Health Promotion Screening Health Coaching Interactive Classes Behavior Change Medical Services Job Requirement Standards Pre- & post-employment exam Pre- & post-deployment exam Law enforcement exam Medical surveillance exam Health Centers First Aid and Urgent Care Immunizations Lactation Facilities Health Risk Assessment Assess Health Risk Status (HRA) Maintain Health Address Health Risks Organizational Development Training and Education Clinical Trainings EAP Presentations and Orientations Occupational Safety and Health Training

5. FOH Services Provided To DHS Components – FY 13 FOH-DHS Partnership

6. 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 Current Data Collected for DHS

7. 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.

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

9. Launched in 2009 in support of the President’s 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

10. 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 Comprehensive onsite and virtual programs

11. Integrated Real-Time Reporting Across Agencies Occupational Health Management System Data

12. 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 Federal Best Practices

13. Keeping DHS Mission-Ready The healthiest, most resilient workforce possible Real-time tactical information to respond to any event Strengthened national security