A project was described to adapt the Centers for Disease Control Health Risk Appraisal to the worksite setting by incorporating it into a comprehensive employee wellness package. Screening and referral to risk intervention was conducted for employees at Loma Linda University Medical Center using a triage approach. The employee filled out an adaptation of the health risk questionnaire. Blood analysis, blood pressure, heart rate, and a skinfold measure of body fat were performed. A computer referral program (the Well Planner) then made recommendations to the employee and referred him to the needed intervention programs in areas of high risk. The questionnaire was expanded to include physical activity, diet, alcoholism, dental factors, emotional stress, and occupational hazards. The occupational hazards included back injury, noise induced hearing loss, hazards to skin, eyes, and lungs, and job accident proneness. Referral algorithms were devised to simulate as much as possible the referral criteria that a physician might use in screening. Eighty nine percent of the employees were referred to at least one of the programs (cardiac, weight, fitness, stress, smoking) and seminars (weight, fitness, stress, hypertension, alcohol, cholesterol, back, job safety). Of 430 employees solicited in the pilot implementation phase, 30 percent participated. Promotion of participation consisted of mailings, payment of all expenses for screening and intervention, and a 10 percent rebate on the cost of the program after the employee completed it. A personal computer software package was written to evaluate previous and current claims data and determine the impact of the program on health care utilization costs.
Developmental Projects on Worksite HRAs (NIOSH), Selected Papers of the 21st Annual Meeting, San Francisco, California, November 25, 1985, Society of Prospective Medicine, Indianapolis, Indiana, L. A. Miller, Ed.; pages 20-22, 3 references