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Use the myhealthfinder tool to find out which screening tests you may need. Fitness activities can also be provided without any special facilities. Is my Child too ill for School? Our scan measures hundreds of wellness points in just seconds with remarkable accuracy. Free online courses covering low mood and stress and all of the common linked problems this causes.

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Nursing and Midwifery

It will be helpful for patients with ASD to see what implements are to be used and to know the order in which they are going to be used. Using simple words, check if they have had that type of physical examination before. The taking of a blood pressure reading can follow the basic guidelines of asking, checking, explaining and reinforcing. Show the patient the equipment and explain in simple terms what is going to happen. If using a manual device it may be helpful to demonstrate the noise the monitor will make when it is used.

For patients with ASD who can understand, a basic explanation about the instrument may also be beneficial. Measuring body temperature will be greatly eased by using one of the types of non-intrusive thermometers.

As with other procedures, ask, check, explain and reinforce before beginning the taking of temperature. For visual checks on eyes, hands, nails or glands, make sure the patient with ASD knows what is going to happen before you approach them to start the examination. A full physical or intimate examination requires a degree of intrusion which can make the patient feel vulnerable or uncomfortable, and may cause pain or discomfort. The patient with ASD may require preparation in advance, particularly if the situation is unfamiliar.

Give a double appointment to ensure that there is enough time to conduct the procedure and to minimise any stress which could prohibit a successful examination.

It is important that you as a practitioner secure the comfort and confidence of a patient with ASD before you start a procedure. Failure to do that may mean that the procedure has to be postponed because the patient is too upset. Take the lead from patients, checking if they are able to articulate how they are feeling, and that they know how to stay calm. The patient with an ASD may need extra time for an appointment. Provide a written summary after the appointment for the patient.

The process of undertaking treatment can be problematic for adults with ASD. The skills needed may be limited for adults with ASD and this can cause a treatment plan to fail. Individuals may need support to:. As above, treatment can fail for many reasons and at any stage. A clear follow-up strategy will provide a vital safety net. The majority of people with ASD will have taken oral medication at some point in their lives, even if it is only basic pain relief.

For some, taking a range of supplements orally or ingesting tablets will be no problem. Be specific about explaining how tablets may be taken. It could be that a liquid would be preferable. Ensure that the dosage is explained clearly and give other verbal or written information on what to do if the symptoms persist.

You may have to make a judgement on the likelihood of the ointment staying on the body area for long enough to be effective. Where a patient with ASD is bothered about personal invasion then the prescription of ointments may not have the desired outcome. Ensure that the dosage is explained clearly and guidance is given on how much to apply.

Give other verbal or written information on what to do if the symptoms persist. However, the adult with an ASD may need the same consideration of taste and smell that could apply to a much younger person. Consider prescribing a more child-friendly medication or look at other forms of prescription, e. Intravenous medication is usually only given in practice in an emergency such as a life-threatening anaphylaxis or severe pain. In this situation there would be no time to condition the patient to the procedure.

It is therefore best performed quickly and efficiently by an experienced practitioner. Vaccines are given by intramuscular injection and most of these schedules will occur prior to diagnosis of ASD.

Vaccinating older individuals may pose a challenge. Local anaesthetic creams applied prior to the procedure may reduce pain. The administration of any kind of medication requires thought and flexibility on the part of the medical practitioner. Techniques and strategies that are normally used with much younger individuals may still be needed for adults with ASD and this should not be seen as demeaning or inappropriate. If the net outcome is that the patient accepts medication, then that is a successful conclusion.

There is currently no medical test to confirm a diagnosis of ASD. The first stage is to screen for autism and to decide on whether further detailed clinical assessment is appropriate. Autism may be difficult to detect, since it presents differently in individuals and may be masked by the presence of other conditions e. Many adults present for a late diagnosis because of the limited knowledge about autism during their childhood or because they have particular skills which have masked their difficulties.

Screening tools are available to practitioners to assist in decision-making. Establish with the individual, family and carer the reasons for referral and possible benefits. Appropriate referral and diagnosis may enable access to appropriate interventions, services and information. Explore particular concerns of the individual, parents or carers. Note the range of possible verbal and non-verbal behaviours that are currently present or described during development.

These may vary, depending on the age of the patient and level of intellectual ability. Refer to the relevant team for multidisciplinary assessment in your area.

Families and carers can find it difficult to maintain contact with a range of professionals. It is helpful if they can come back to the GP as a link person. If the person has been referred for multidisciplinary assessment, it is useful if the GP stays fully informed about progress with the assessment, through links with a key-worker.

Where the patient is an adult without learning disability, gain consent for information to be shared with parent or carer to ensure onward referrals and appointments are managed. If a parent expresses concern, there is likely to be a strong basis for this concern. Early diagnosis may improve outcomes so find out the nature and timings of the first concerns, professionals that have been seen, views of the wider family, feelings about advice they have been given to date.

See section on Identification and Diagnosis for more information. The chronic stress associated with ASD leads to stress-related disorders and the individual with ASD will benefit from preventative treatments aimed at stress reduction.

The symptoms of any acute illness may lead to additional anxiety and stress because the individual does not understand what is happening and because the symptoms cause changes in appearance and sensation e. Effects of stress and anxiety may interfere with the way a consultation is received and understood, for example:. The interaction between symptoms of stress and the symptoms of ASD will affect identification and treatment:.

Sarah is sixteen years old. She has ASD and moderate learning difficulties and has come to see you for ongoing treatment. A keyworker from her care establishment has accompanied her on previous visits but the keyworker often varies. Sarah has come with someone who knows her very well this time but Sarah is responding as if it is her first visit. She asks your name and your date of birth. She appears anxious and is unwilling to sit down or answer your questions. Each time you begin to ask her how she is feeling, she talks over you and does not let you finish.

She appears to have a fascination for dates and birthdays and lists of dates are what she keeps repeating. Honey is a month old child on the autism spectrum who attends the appointment with her childminder. She has been rubbing her eyes a lot and has developed an infection in both eyes.

Indviduals with ASD are more likely than others to suffer from a range of mental health problems e. These may be acute or chronic.

A level of anxiety is chronic in ASD but it can increase and lead to additional high anxiety states, which may manifest as:. The person with an ASD may have little self-awareness so the practitioner cannot rely on verbal reports and has instead to infer the mental health problem from behaviour. Mental health problems may be helped by medication but behavioural and educational methods can also be effective, either on their own or in conjunction with a temporary period of medication.

Appointments Any appointment will inevitably involve the disruption of normal routines and this is likely to be a source of anxiety for the patient with ASD. Practical Strategies Consider if the venue and time of the appointment is likely to be problematic for your patient, and the potential impact of any anxieties related to attending the appointment.

Waiting in a busy waiting room can increase anxiety. If possible, offer a quiet space or allow individuals to wait outside until the clinician is ready to see them.

Identify what individuals and agencies, if any, are supporting the patient. Offer an appointment time during a quiet part of the day or outside of usual appointment times. The individual with ASD may only be able to endure one such intrusion per day, or even per week.

Any regular treatment programme will need to take this into account, or the patient may simply not be able to attend. Check if the patient uses a hospital passport to help communicate their needs. A home visit may be a necessary option for some patients. If so, there are important considerations surrounding the inevitable invasion of personal space.

Often, individuals with ASD lead fairly solitary lives and are not used to visitors in their home. Their personal environments need to be treated with respect. They may have collections of everyday items which are untidy or even unhygienic, but which are valued highly. It may be necessary to ignore such unusual aspects of the environment if a successful consultation is to take place.

Refer to appropriate support agencies if a home visit reveals health or welfare issues. Before The Visit Conduct an initial assessment over the phone, finding out about strengths, limitations and previous experiences of appointments. Seek guidance on types of communication that will work best for the patient with an ASD.

Find out if there are behavioural strategies you should use with the person. Find out about any calming techniques that help the person. They can then prepare the person with an ASD. Putting The Patient At Ease Adult patients will have had experience of medical appointments and examinations.

An FSA is a program offered by employers that allows their employees to pay for eligible out-of-pocket health care and dependent care expenses with pre-tax wages. By using pre-tax dollars to pay for eligible preventive, secondary, and tertiary health care and dependent care expenses, an FSA gives individuals immediate discounts on these expenses that equal the taxes incurred on that expense.

However, employees may only choose one of the FSA options. Federal Employees paid through certain payroll offices are eligible to establish pre-tax allotments to their Health Savings Accounts HSA. The Benefits Administration Letter provides more information. It is important to understand that there is a significant difference between the two accounts. An HSA requires enrollment in an HDHP and allows the rollover of funds from year-to-year — therefore, there is no risk of losing unused money.

EAPs provide strategic analysis, recommendations, and consultation throughout an organization to enhance its performance, culture, and business success. More information about EAPs is available here: For information regarding leave, flexible work schedules, excused absence, and telework, review the information available in the integration section here: Leave and Workplace Flexibilities section on this page above.

When making decisions about your health, it's important to know where to go to get the latest, most reliable information. Adults need shots vaccinations just like kids do. Next time you get a checkup, talk with the doctor or nurse about getting these important shots. Work can put a lot of wear and tear on your body. Back injuries are the most common type of workplace injury.

How much sleep do I need? Most adults need 7 to 8 hours of sleep each night. If you are having trouble sleeping, make changes to your routine to get the sleep you need. Protect your skin from the sun today to help prevent skin cancer later in life. Quitting smoking is one of the most important things you can do for your health. The sooner you quit, the sooner your body can begin to heal. You will feel better and have more energy to be active with your family and friends. How can I quit smoking?

Start by thinking about why you want to quit. This will help you find the right quitting strategies. Quitting is hard, but it can be done. To stay at a healthy weight, you need to balance the calories you eat with the calories you burn use up. To lose weight, you need to use more calories than you eat. A healthy diet and physical activity can help you control your weight. Calories are a measure of the energy in the foods you eat. You burn calories when you are physically active.

Use this tool to find out how many calories your body needs each day. This is the number of calories you need to maintain your current weight. If you are overweight or obese, burn more calories than you eat to lose weight. Want more information on nutrition and fitness? Screenings are medical tests that check for diseases. Screenings can help doctors find diseases early, when the diseases may be easier to treat.

Getting screening tests is one of the most important things you can do for your health. You may need to be screened for:. Use the myhealthfinder tool to find out which screening tests you may need. Enter your age, sex, and pregnancy status to get a list of recommendations. Want more information on screenings?

Check out Important Screening Tests on Healthfinder. You can take steps today to lower your risk of heart disease and heart attack. Want more information on heart health? Check out Heart Health on healthfinder. Diabetes is a disease. When you have diabetes, there is too much sugar called glucose in your blood. There is more than one type of diabetes, but type 2 diabetes is the most common form of the disease.

People who are overweight and inactive are more likely to get type 2 diabetes. Talk to your doctor about how you can prevent type 2 diabetes. Visiting the doctor can be stressful. It helps to have questions written down before your appointment.

Print out this list of questions, and take it with you the next time you visit the doctor. Learn about lowering your risk for type 2 diabetes. Want more information on diabetes? Check out Diabetes on healthfinder. Children are at high risk for injuries. You can help keep your child from getting hurt by taking action ahead of time. These simple steps can help prevent injuries inside and outside your home. Food poisoning foodborne illness is when you get sick from eating or drinking something that has harmful germs like bacteria, viruses, or parasites in it.

Two common causes of food poisoning are E. Talk to your child about the dangers of tobacco, alcohol, and drugs. Knowing the facts will help your child make healthy choices. By preschool, most children have seen adults smoking cigarettes or drinking alcohol, either in real life or on TV.

Get more information on keeping kids healthy and drug free. Want more information about injury prevention, food poisoning, talking to your kids about tobacco, alcohol, and drugs, or other parenting topics i. Check out "For Parents" on healthfinder.

If you are over age 45, taking aspirin every day could lower your risk of heart attack. Talk with your doctor about whether daily aspirin is right for you. Do you know what it takes to stay healthy? Mammograms can help find breast cancer early. A mammogram is an x-ray of the breast. A mammogram is very safe.

Mammograms let the doctor or nurse look for small lumps inside your breast. It means your bones are weak and more likely to break. Ask your doctor or nurse about steps you can take to prevent weak bones and lower your risk for osteoporosis.

If you are age 50 or older, talk to your doctor about testing your bone strength. Screening for osteoporosis is covered under the new Affordable Care Act for some women over age Depending on your insurance plan, you may be able to get screened at no cost to you.

Talk to your insurance provider. Women of childbearing age typically ages 11 to 49 need an extra micrograms mcg of folic acid every day. Why is folic acid important? Everyone needs folic acid in their diet. Folic acid is especially important for women who are pregnant or who may become pregnant. Folic acid is a vitamin that can prevent birth defects.

To keep you and your baby healthy:. Want more information about pregnancy? Check out Pregnancy on Healthfinder. The following are Federal agencies and their subcomponents associated with the administration of worksite health and wellness programs.

This branch of the IRS provides information regarding taxable income that may include health promotion incentives offered through worksites and commercial health club memberships provided through agencies. The United States Department of Agriculture USDA works to support the American agricultural economy to strengthen rural communities; to protect and conserve our natural resources; and to provide a safe, sufficient, and nutritious food supply for the American people.

HHS represents almost a quarter of all Federal outlays and it administers more grant dollars than all other Federal agencies combined. HHS is a major host to numerous agencies that play significant roles in contributing to successful worksite health and wellness programs. Under HHS , the Centers for Disease Control and Prevention CDC provides credible, reliable health information on diseases and conditions, emergencies and disasters, environmental health, violence and safety, workplace safety and health, and more.

The CDC has three sites of particular relevance to worksite health and wellness: HWI provides information on program design, policies, toolkits, and other practical resources for worksite health and wellness. The NHWP is designed to assist employers in implementing science and practice-based prevention and wellness strategies that will lead to specific, measureable health outcomes to reduce chronic disease rates. Under the CDC , the Division of Nutrition, Physical Activity, and Obesity DNPAO utilizes a public health approach to address the role of nutrition and physical activity in improving the public's health and preventing and controlling chronic diseases.

The scope of DNPAO activities includes leadership, policy and guidelines development, surveillance, epidemiological and behavioral research, intervention development, technical assistance to states and communities, training and education, communication, and partnership development. NIOSH provides an extensive collection of occupational safety and health information arranged by subject. Originally established in as the National Clearinghouse for Smoking and Health, OSH is dedicated to reducing the death and disease caused by tobacco use and exposure to secondhand smoke.

It provides information, tools, resources, and guidance to practitioners interested in establishing or enhancing workplace health and safety programs. FOH works in partnership with Federal organizations nationally and internationally to design and deliver comprehensive solutions to meet their occupational health needs. Under HHS , the National Institutes of Health NIH mission is to seek fundamental knowledge about the nature and behavior of living systems and use the application of that knowledge to enhance health, lengthen life, and reduce the burdens of illness and disability.

PCFSN serves as a catalyst to promote healthy lifestyles through fitness, sports, and nutrition programs and initiatives that engage Americans across the lifespan. Under HHS , the Food and Drug Administration FDA regulates and supervises programs such as emergency preparedness, food safety, food labeling and nutrition, and has the authority to regulate tobacco products under the Family Smoking Prevention and Tobacco Control Act.

Under HHS , the Surgeon General serves as America's Doctor by providing Americans the best scientific information available on how to improve their health and reduce the risk of illness and injury. The Surgeon General reports to the Assistant Secretary for Health, who is the principal advisor to the Secretary on public health and scientific issues. GSA's Federal Acquisition Service is the lead organization for procurement of products and services other than real property for the Federal government, and the Public Building Services provides facilities and workplace solutions to Federal agencies.

These are guidelines, policies, and general resources provided by various Federal agencies that can help guide the development of worksite wellness programs. The Community Guide, based on a scientific systematic review process, is a credible resource that answers questions critical to almost everyone interested in community health and well-being. Healthy People provides science-based, year national objectives for improving the health of all Americans.

For 3 decades, Healthy People has established benchmarks and monitored progress over time in order to encourage collaborations across communities and sectors, empower individuals toward making informed health decisions, and measure the impact of prevention activities. Department of Health and Human Services HHS is designed to provide information and guidance on the types and amounts of physical activity that provide substantial health benefits for Americans aged 6 years and older.

The main idea behind the Guidelines is that regular physical activity over months and years can produce long-term health benefits. The following is a list of preventive services that have a rating of A or B from the U. The preventive services are listed alphabetically. Department of Health and Human Services HHS and GSA have worked collaboratively to create this document, which proposes specific food, nutrition, and sustainability guidelines to complement the GSA procurement guidelines.

Using this web site, Federal employees and the public can access resources for understanding and implementing the requirements of Section Federal employees, retirees and their survivors enjoy the widest selection of health plans in the country. Use this site to compare the costs, benefits, and features of different plans. This website provides a list of services and expenses eligible for reimbursement under flexible spending accounts available to Federal employees.

AGO takes as its premise that lasting conservation solutions should come from the American people - that the protection of our natural heritage is a non-partisan objective that is shared by all Americans. Heart disease and stroke are the first and fourth leading causes of death in the United States. Heart disease is responsible for 1 of every 4 deaths in the country.

The impact will be even greater over time. National Prevention Week is a SAMHSA-supported annual health observance dedicated to increasing public awareness of, and action around, substance abuse and mental health issues. It has since grown into a collaborative effort of over local and national organizations all working together to establish community and school gardens across the country.

It provides access to 5 years of employment, accession, and separation data. GSA eLibrary was created to help customers research and identify commercial businesses that provide high quality products and services offered under GSA and VA acquisition solutions.

Citations may include links to full-text content from PubMed Central and publisher web site. NHIC links people to organizations that provide reliable health information. It also supports and conducts research, development, and training in biomedical informatics and health information technology. It serves as a gateway to reliable information on nutrition, healthy eating, physical activity, and food safety for consumers. This guidebook is available as an example of an agency-level guidebook and provides templates, sample documents, references, and directives for use and modification by other Federal agencies.

This toolkit provides information on how to establish a garden market in a Federal agency or other organization. These guidelines can be used for selecting foods and beverages for breaks or meals at meetings, conferences, and other work-related events.

When planning menus, consider providing options that accommodate various dietary preferences and needs. This site will provide the information you need to transform your stairs into StairWELLs for better health. No two public health interventions are exactly alike, but most interventions share a similar path to success: M obilize, A ssess, P lan, I mplement, T rack. This website provides information on the Federal Drug-free Workplace Program, including the executive order, model comprehensive plan, historical documents and more.

There has never been a better time to quit smoking. The Substance Abuse Treatment Facility Locator list private and public facilities that are licensed, certified, or otherwise approved for inclusion by their State substance abuse agency and treatment facilities administered by the Department of Veterans Affairs, the Indian Health Service, and the Department of Defense.

Tips From Former Smokers Tips encourages people to quit smoking by highlighting the toll that smoking-related illnesses take on smokers and their loved ones. This toolkit provides guidance for implementing a tobacco-free campus TFC initiative that includes a policy and comprehensive cessation services for employees.

This policy requires all properties owned or leased by HHS agencies to be tobacco free, beginning with limited implementation on January 1, , and achieving full implementation by February 1, , as labor and lease agreements permit. Your BMI is a number calculated from your weight and height, and used to screen for weight categories that may lead to health problems.

This site is specifically designed for parents and caregivers to provide information to help you eat better, be more physically active and be a role model for your kids. While you already know it is important to eat a healthy diet, you may find it more difficult to sort through all of the information about nutrition and food choices. CDC has compiled a variety of resources to help you start healthier eating habits. The toolkits in this section are designed specifically for work sites to encourage nutritious eating and may contain checklists, step-by-step guides, budgets, and other tools that aid in program planning, design, and management.

Before implementing any of these interventions, the toolkits should be selected and evaluated based on the identified needs of your employee population.

This document states the guidelines and procedures for the U. The Website provides helpful resources for planning and holding your bike to work event. The resource section includes downloads for event organizers, tips for individual riders, facts for the news media, as well as information for employers and sponsors.

The Website also features a discussion forum that will allow bike commuters to network with one another. Using the Web forum, you can post questions about how to get a bike to work event off the ground or offer your tips for holding a successful event.

While worksite health and wellness programs vary across agencies because of differences in organizational needs and workforce demographics, the demand for accountability is constant. As a result, program evaluation is imperative to:. There are several ways Federal agencies can evaluate their worksite health and wellness programs.

Because there is not one right way, we encourage you to review the list of Federal resources below and use those that best meet the needs of your agency. Implemented in by the Office of Personnel Management OPM , this web-based tool collects information on Federal agencies' worksite health and wellness programs at specific work locations.

Annually, agency designated points of contact gain access to WellCheck to report data about their worksite health and wellness programs, services, policies, costs, and metrics.

This data is used to analyze program efforts and allows agencies to identify program strengths and areas that need improvement.

Understanding agency demographics will help coordinators to establish a baseline and starting point for health promotion initiatives and activities. Customers include Federal government agencies, researchers, the media, and the general public. This self-service tool provides access to five years of employment, accession, and separation data. The following workforce characteristics "Who", "What", and "Where" of Federal Civilian Employment are available for analysis:.

It can provide practical assistance to managers and staff of worksite health promotion programs in planning, design, implementation, and use of comprehensive evaluations.

This guide is provided by the Department of Health and Human Services HHS as a framework for implementation and tracking progress towards achieving Healthy People objectives. The framework recognizes that while no two health interventions are exactly alike, most interventions can follow a similar path to success: The chapter describes three methods of qualitative evaluation: The chapter also provides sources of and methods for incorporating institutional data into an evaluation and descriptions of several instruments available to measure presenteeism in the workplace.

This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load this is sometimes called "forms mode". Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please follow this link to enable alert boxes for your profile.

Alert box notification is currently enabled, please follow this link to disable alert boxes for your profile. Health Services Authorized by Title 5, U. Code, Section Agencies are currently offering a wide variety of health services. Physical Examinations Your agency's qualified medical staff may administer properly authorized pre-placement and periodic physical examinations to assess an employee's health status. Environmental Health Hazards Appraisals Your agency may appraise and report work environment health hazards to department management as an aid in preventing and controlling health risks.

Health Education Your agency may provide health education to encourage employees to maintain a healthy lifestyle, to understand their risk for disease, and to become aware of appropriate preventive practices. Back to top Health Promotion and Prevention Fitness Executive Order encourages the expansion of opportunities within the Federal Government for individuals to improve their physical fitness.

Tobacco Cessation Executive Order establishes a smoke-free environment for Federal employees and members of the public visiting or using Federal facilities. Drug-free Federal Workplace Program Executive Order requires agencies to establish a drug-free Federal workplace program.

Lactation Support Section of the Patient Protection and Affordable Care Act requires employers including Federal agencies to provide employees who are breastfeeding with a reasonable break time and location.

Back to top Physical Space Buildings The Facilities Standards for the Public Buildings Service establishes design standards and criteria for new buildings, major and minor alterations, and work in historic structures for GSA owned or leased buildings. Concessions and Vending Operations The GSA Health and Sustainability Guidelines for Federal Concessions and Vending Operations translate the Dietary Guidelines for Americans into clear and definitive standards that food service operators can follow to make their operations healthier and more sustainable.

Elements Federal agencies must address in their planning efforts for establishing fitness programs Rates and Fees: Back to top Incentives The following are laws and rulings that give guidance on incentives. Back to top Use of Time for Health Promotion Activities The Federal personnel system gives employees considerable flexibility in scheduling their hours of work and taking time off for routine medical examinations and preventive screenings.

The following are some examples of the work and leave flexibilities available to employees: Agency officials should encourage employees to use flexible work schedules non-duty time to participate in health promotion activities.

Leave and other Paid Time Off: Employees may request annual leave, leave without pay, or sick leave as appropriate to participate in health promotion programs not sponsored or administered by Federal agencies. In limited circumstances, agency officials may provide short periods of excused absence for health promotion programs and activities officially sponsored and administered by the agency.

Five elements provide the framework for a comprehensive worksite health promotion program: Health education seminars, webinars, educational materials ; Social and environmental supports cafeterias, walking paths, lactation rooms ; Integration leadership involvement, employee involvement ; Linkages with related programs safety programs, ergonomics, Federal Employee Health Benefits FEHB ; and Screenings health risk assessments HRA , blood pressure checks.

Guidance, methods, and goals for a holistic approach covered on this page include: Fully funded by an agency—delivered directly by agency staff, facilities, and services or delivered using agency facilities with contracted staff and services Funded by a combination of employee contributions or fees and agency funding Fully funded by employee contributions or fees When considering possible funding sources and fee structures, consider: Total cost presently and in the future of staffing, equipment, facilities, and implementing and administering programs.

Agency mission and employee duties. Financial limitations of employees at lower income levels. The size of the employee contribution should not limit or prohibit participation of employees at lower income levels. Consider financing the cost of services to the point where the contribution is reasonable for all employees.

Interagency Agreements Economy Act, 31 U. Consortia When no single agency can serve as a worksite wellness service provider for similarly situated agencies, the combined employee population may pool resources and establish a worksite health promotion consortium. Employee Welfare and Recreation Organizations An employee welfare and recreation organization employee organization is comprised of interested employees who deliver organized activities and programs for their colleagues in a structured format formally recognized by agency management.

Back to Top Staffing Agencies have a variety of staffing options. Agency Personnel Agencies may hire employees or use existing agency personnel to develop, manage, and deliver programs. Contractors Contracted personnel can manage a comprehensive program or provide specific services, such as exercise classes or an annual health fair. Following appropriate procurement procedures, agency contracting officers may identify qualified vendors through: GSA Schedule Approved Contractors List Commercial health clubs Community centers Local hospitals Non-profit organizations Private consultants Universities Volunteers There are only very limited circumstances under which agencies may accept volunteer gratuitous services.

Health education and engagement opportunities include: Brochures videos, posters, pamphlets, newsletters, or other written or online information that address: Physical activity Nutrition Weight management Tobacco-free living Risks of overweight or obesity Risks of high cholesterol Stress management A series of educational seminars, workshops, classes, or webinars on: Preventing and controlling high cholesterol Physical activity Nutrition Weight management Breastfeeding Tobacco cessation Stress management Free or subsidized one-on-one or group lifestyle counseling for employees Posters or flyers in the common areas of your worksite such as bulletin boards, kiosks, break rooms that identify the signs and symptoms of a heart attack and strokes and also convey that heart attacks and strokes are to be treated as emergencies Any other information on the signs and symptoms of heart attacks and strokes through emails, newsletters, management communications, websites, seminars or classes.

HealthFinder Tool Consider using healthfinder. Back to Top Social and Environmental Support Social and environmental supports establish an environment that encourages an active and healthy lifestyle. On-site Health Units An on-site health unit or occupational health center OHC is a convenient place to provide and coordinate comprehensive health and wellness services to Federal employees. Additional approaches to building a supportive nutritional environment should be explored by the employer when designing a comprehensive health and wellness program including: Healthy Meetings, Conferences, and Events Worksite health promotion leaders should encourage employees to make every effort to offer healthier options at meetings and work-related social gatherings.

Supports for Physical Activity Physical activity programs should be an integral part of an agency's worksite health promotion program. Off-Site Commercial Fitness Facilities Providing health and fitness activities via a private facility may be part of an agency's bona fide preventive program authorized under 5 U. Agencies, in exercising this authority to purchase access to private health and fitness facilities, should use the following criteria in making the determination: Providing access to a private fitness facility meets agency health services program objectives and can be carefully monitored as part of a bona fide preventive health program.

Providing access to private facilities is more cost-effective than providing an on-site fitness facility. Coordinating with other Federal agencies in the area to provide a multi-agency operated fitness facility is not possible. Other possible resources such as other Federal fitness facilities or typically lower-cost facilities such as community centers or universities were identified, considered, and determined to be unavailable or inappropriate.

Purchase the memberships in the name of the agency, not in the name of the individual employee. Follow Government procurement guidelines when contracting with private fitness facilities to provide access for employees.

Choose basic membership packages if there are such options and avoid deluxe package options e. Monitor the facility and the employees' use of memberships. Be aware that health club memberships provided to employees may be a taxable fringe benefit. Benefits of stairwell use include: Potential improvement in employee health and wellness by engaging in more physical activity throughout the work day.

Reduction in utility costs from elevator usage. Reduced wait times at elevators by minimizing single-stop riding. When promoting stairwell use, consider implementing these options: Transform walls with paint, using bright colors. Rotate the artwork regularly. Test effectiveness with focus groups. Carpet the stairs and use rubber treading. Create themed stairwells, adding slogans and pictures.

Place motivational signs inside and outside the stairwell and near the elevators to encourage participation. Install a sound system and set up a rotating schedule of musical selections.

Use creative lighting and add an electronic message board. When building energy use is high, send building alerts to encourage employees to take the stairs instead of the elevators.

Set up a system to track how many employees are using the stairs and examine barriers to stair usage through questionnaires and conversation with tenants. Therefore, it is recommended that stairwell projects of any kind be reviewed by GSA regional and central office fire protection engineers.

Active Transportation Agencies can support healthy lifestyles and increased physical activity by creating environments that support safe and convenient commuting to work by bicycling or walking. Such environments can be created by improving the transportation network around the worksite, ensuring appropriate facilities are located within the worksite, and providing programs that support and promote active commuting: Transportation networks A key ingredient for active commuting is ensuring that the transportation facilities near worksites are safe and convenient for walkers, bicyclists, and transit users.

Sidewalks should be present and well maintained to support pedestrians of all ages and abilities; and appropriate bicycle facilities, such as bicycle lanes, should be provided.

If transit facilities are nearby, it may be possible for people to consider walking and bicycling for only part of their commute. A number of communities have or are in the process of establishing bike share programs. Bike share programs are structured to allow users to pick up a bicycle at a self-serve bike station and return the bike to another station. These systems can help commuters incorporate bicycling into part of their trip to work. It may be possible to work with the bike share provider to locate stations near a worksite.

Worksite facilities The same types of facilities that support physical activity in general, such as fitness centers, also support active commuting. For example, people who jog or bike to work will want access to showers to wash and change.

Convenient, plentiful, and secure parking for bicycles is important for bicycle commuters as well. Providing overnight lockers for people to use for storing clothes and equipment e. Some agencies, such as the Environmental Protection Agency, have received national recognition for providing exemplary facilities for bike commuters.

Support and promotion The National Bike to Work Day is a popular annual initiative that encourages people to consider active commuting.

A bike subsidy for workers who commute primarily by bike is another way to support active commuting. Employers can reimburse bicycle commuters up to twenty dollars each month for expenses related to bike commuting. Establishing a bike commuter group at the agency can help, too. Such groups can provide training for people who are interested in bike commuting, can provide information about safe routes to work, and help foster a bicycle-friendly community.

Tobacco-Free Living Support Tobacco use can lead to nicotine dependence and serious health problems. Specific social and physical supports to consider include: Actively enforcing a written policy banning tobacco use; Displaying signs with information about your tobacco use policy; Referring tobacco users to tobacco cessation telephone quit lines; and Informing employees about health insurance coverage or programs that include tobacco cessation medication and counseling Alternative Meeting Strategies Consider alternative meeting strategies to incorporate health promotion activities and concepts throughout the workday.

Screening ideas to consider include: Biometric testing includes measurements for: On-site Health Clinics Onsite health clinics can provide convenient access to high quality preventive healthcare. The best health fairs have a variety of activities, such as, but not limited to: Is there a comprehensive health and wellness policy?

Is there a champion s who is a strong advocate for the worksite health and wellness program? Is there a paid worksite health and wellness coordinator whose job either part-time or full-time is to implement a worksite health and wellness program? Is there an active worksite health and wellness committee? Is senior leadership briefed on worksite health and wellness programs and services?

Are annual organizational objectives for health promotion set? Does your program engage in other health initiatives throughout the community and support employee participation and volunteer efforts?

Is a budget or dedicated funding assigned for the worksite health and wellness program? Are managers trained on the value of worksite health and wellness programs? Are some worksite health and wellness programs and education materials tailored to the language, literacy levels, culture, or readiness to change of various segments of the workforce? Is there a policy that allows employees to use flexible scheduling or excused absence to participate in worksite health and wellness activities?

Is an employee needs and interests assessment for planning health promotion activities conducted? Are all levels of management involved in the implementation of worksite health and wellness?

Is there an official communications process or strategy to promote and market worksite health and wellness programs to employees?

Are any worksite health and wellness programs available to family members? Are competitions used when combined with additional interventions to support employees making behavior changes? Is data systematically gathered to evaluate worksite health and wellness programs? Wellness Council and Committees A wellness council or committee brings representatives from various offices to integrate services, coordinate, and promote programs. Committee Member Responsibilities Committees should elect a wellness chair or co-chairs to conduct meetings and lead activities.

Leave and Workplace Flexibilities The Federal personnel system provides employees considerable flexibility in scheduling their hours of work and taking time off for routine medical examinations and preventive screenings. Flexible or compressed work schedules, collectively referred to as "alternative work schedules," allow for a variety of working arrangements tailored to individual employee needs.

An employee may use annual leave for any purpose, including activities that promote wellness. An employee has a right to take annual leave, subject to the right of the supervisor to schedule the time at which annual leave may be taken. Sick leave is a paid absence from duty.

An employee is entitled to use sick leave for many purposes, including activities to promote wellness, such as routine medical, dental, or optical examination or treatment. Serious health condition or medical emergency. When an employee needs additional medical attention, e.

Sick Leave for a Serious Health Condition. An employee can use unlimited amounts of sick leave for his or her own serious health condition. Under the FMLA, an employee is entitled to a total of 12 work weeks of unpaid leave during any month period for certain family and medical needs, including an employee's serious health condition. FMLA may be used intermittently and is in addition to other paid time off available to an employee. Employees may substitute sick leave, annual leave, or donated annual leave under the leave sharing programs for unpaid leave under the FMLA.

Employees who experience a medical emergency and who exhaust their available paid leave may receive donated annual leave from other Federal employees through the voluntary leave transfer and leave bank programs. Employees may not use donated annual leave to participate in employee health programs. Excused Absence Agencies may consider granting brief periods of excused absence to employees to participate in agency-sponsored preventive health activities, such as health fairs, medical screenings, and smoking cessation and stress reduction classes.

Excused absence should be limited to those situations in which the employee's absence, in the department's or agency's determination, is not specifically prohibited by law and satisfies one or more of the following criteria: The absence is directly related to the agency's mission; The absence is officially sponsored or sanctioned by the head of the agency; The absence will clearly enhance the professional development or skills of the employee in his or her current position; The absence is brief and is determined to be in the interest of the agency.

Telework Telework is a work arrangement that allows an employee to perform work, during any part of regular, paid hours, at an approved alternative worksite e. The health benefits of telework include: Reduced emissions from commuting that affect air pollution and climate control Reduced greenhouse gas emissions from business travel, particularly by airplane Enhanced containment of infection during a pandemic outbreak Sharing ways employees can use the time saved by reduced commutes for health promotion activities such as physical activity, stress management, and community and family engagement can send a powerful message.

Back to Top Linkages to Related Programs Over the years, worksite health promotion has evolved from and integrated with other worksite programs. Providing flexible work scheduling policies Partnering with: Eligible expenses are childcare for children under age 13, or day care for anyone who an enrollee can claim as a dependent on a Federal tax return who is physically or mentally incapable of self-care so that the enrollee and spouse, if married can work, look for work, or attend school full-time.

The basic services of the EAP include: Confidential, free, short-term counseling to identify and assess problem s and to help employees in problem-solving. With the exception of illness or injury directly resulting from employment, medical care and treatment are personal to the employee and, therefore, payment may not be made from appropriated funds unless provided for in a contract of employment or by statute or by regulation.

Follow-up services to help an employee readjust to his or her job during and after treatment, e. Orientation and educational programs to promote the services of the EAP.

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