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Employee health assessments are provided at
the worksite in coordination with the Human Resource Department.
To complement the online
health assessment, the on-site basic
lab testing and basic health assessment includes: height,
weight, blood pressure, temperature, cholesterol
levels, complete metabolic profile,
complete blood count, thyroid
levels, total body composition, percent body fat, lean
body mass and hydration status. This provides a comprehensive
view of the current employee health status, as well as a valuable
baseline to monitor changes and trends over time. The cohort
study provides invaluable data for the employer to target
resources to optimize change and set annual goals.
Each business will need to provide an area that
offers safety and confidentiality for the employees during
the basic health assessment. This area will need to be large
enough to ensure individual privacy. In addition, electrical
and internet access will need to be provided. The employee
wellness testing dates will be set in advance so that employees
and departments can plan and market accordingly. The company
will be responsible for setting up a schedule of employees
to be tested. A template for scheduling will be provided.
Basic lab testing provides the most accurate
data when individuals have been fasting for a minimum of 6-8
hours prior to testing. It is suggested that light refreshments
be available upon completion of testing. We will provide promotional
materials, such as posters, table tents, table placards, and
a reminder PDF to send to employees’ e-mail before the
onsite employee health assessment.
Companies utilizing the basic health assessment
and basic lab testing as part of the
comprehensive health assessment,
assure accurate and current data to reflect a realistic picture
of overall employee’s health. While the online
health assessment questionnaire provides significant amounts
of useful information, the addition of the onsite assessments
improves the accuracy of data and the amount of information
available.
Through providing annual on-site basic health
assessment and basic lab testing companies
gather data providing a cornerstone for their corporate health
and wellness needs. All employee wellness testing will be
performed by Phoenix Executive Health and Wellness, PLC trained
medical staff, therefore quality of testing and data will
not be compromised.
Anthropometric
Measures
 The
online encyclopedia, Wikepedia states that “’Anthropometry’
(Greek
ανθρωπος, man, and μετρον, measure, literally meaning "measurement
of humans"), in physical anthropology, refers to the
measurement of living human individuals for the purposes of
understanding human physical variation. Anthropometry plays
an important role in industrial design, clothing design, ergonomics,
and architecture, where statistical data about the distribution
of body dimensions in the population are used to optimize
products. Changes in life styles, nutrition and ethnic composition
of populations lead to changes in the distribution of body
dimensions (e.g., the obesity epidemic), and require regular
updating of anthropometric data collections.” Our onsite
basic health assessment of these anthropometric measures includes:
height, weight, blood pressure, temperature, total body composition,
percent body fat, lean body mass and hydration status, as
well as cholesterol levels, complete
metabolic profile, complete blood count,
thyroid levels. This provides a comprehensive
view of the current employee health status, as well as a valuable
baseline to monitor changes and trends over time.
When trained health care workers perform anthropometric
evaluation, it is time efficient, non-invasive, and provides
detailed information on the different components of body structure.
Anthropometric indicators can be used to evaluate the prognosis
of chronic and acute disease states. Men and women differ
in the changes of their body composition at different stages
of life.
In general, body mass will increase during adulthood
and then progressively decrease with old age. The average
height and weight are usually greater for men than women,
and again both gradually decrease as age advances. Anthropometric
evaluation is essential for determining obesity, fat mass
gain, and hydration status.
These measurements will provide the employee
with accurate and current measurements for the information
required in the online
health risk assessment. We utilize the latest technology
of bioimpedance, which is a minimally invasive measurement
procedure providing significant information for calculation
of an individual’s health risk factors.
Also, it is significant to note that most people
are not aware of, or easily dismiss, the importance of hydration.
Dehydration has a major impact on the energy system, obesity,
diabetes, end organ function, and almost every aspect of metabolic
function. Proper hydration status is essential and a vital
part of the basic health assessment.
Basic
Lab Testing
An essential part of the comprehensive
health assessment is the provision of the onsite basic
lab work and lab review. Having current and accurate data
is an important part of the corporate health and wellness
benefit.
Complete Blood Count (CBC)
– The Complete Blood Count (CBC) is used as a broad health
assessment tool to determine general health status for employee
wellness and to screen for such disorders as anemia, infection,
and many other diseases. It is actually a panel of tests that
examines different parts of the blood. White Blood Cells (WBC)’s
may help confirm that an infection is present, decreases in
the number of Red Blood Cells (RBC) (anemia) can cause fatigue
or weakness, a platelet count that is low or extremely high
may confirm the cause of excessive bleeding or clotting.
Automated White Cell
Differential – A percentage of the different types
of white blood cells, usually split into granulocytes, lymphocytes,
monocytes, eosinophils, and basophils. The WBC count provides
clues about certain illnesses. An elevated WBC count occurs
in infection, allergy, systemic illness, inflammation, tissue
injury, and leukemia.
A low WBC count may occur in some viral infections, immunodeficiency
states, and bone marrow failure.
Erythrocyte Sedimentation
Rate (ESR) – A nonspecific screening test for various
diseases. It can be used to monitor inflammatory or malignant
disease. Although it is a screening test (cannot be used to
diagnose a specific disorder), it is useful in detecting and
monitoring tuberculosis, tissue necrosis (death), rheumatologic
disorders, or an otherwise unsuspected disease in which symptoms
are vague or physical findings are minimal.
 Lipid
Panel – A blood test that measures lipids—fats
and fatty substances in the bloodstream. The tests that make
up a lipid profile are tests that have been shown to be good
indicators of whether someone is likely to have a heart attack
or stroke caused by blockage of blood vessels (hardening of
the arteries). The results of the lipid profile are considered
along with other known risk factors of heart
disease to develop a plan of treatment and follow-up.
Recommendations are made in keeping with current guidelines.
Comprehensive Metabolic
Panel (CMP) – A blood test that measures your sugar
level, electrolyte and fluid balance, kidney function, and
liver function. The Complete Metabolic Panel (CMP) is used
as a broad screening tool to evaluate organ function and check
for conditions such as diabetes,
liver
disease, and kidney
disease. The CMP may also be ordered to monitor known
conditions, such as hypertension, and to monitor patients
taking specific medications for any kidney- or liver-related
side effects.
Urinalysis –
It can reveal diseases that have gone unnoticed because they
do not produce obvious signs or symptoms. Examples include
diabetes
mellitus, various forms of kidney disease, hydration status,
and chronic urinary tract infections. Diseases of other organs
may result in the appearance of abnormal metabolites (break-down
products) in the urine.
Thyroid Panel –
This determines how well your thyroid gland is working. Thyroid
Stimulating Hormone (TSH) controls the thyroid gland. If the
TSH level is either decreased or increased, this could indicate
thyroid disease. Free Thyroxine (FT4) is the thyroid hormone
that influences many organs in the body. The hormones produced
by the Thyroid gland are essential to stimulating metabolism,
growth, and the body's capacity to process calories. The most
common thyroid problem is an under active thyroid, otherwise
known as hypothyroidism.
High Sensitivity C-Reactive
Protein (hsCRP) – This is most often used to help
predict a healthy person's risk of cardiovascular
disease. The CRP molecule itself is not a harmful molecule
in the body. The higher level of CRP is simply a reflection
of higher than normal inflammation. The measurement of CRP
does not reflect where the inflammation is. It may come from
cells in the fatty deposits in arterial walls that reflect
the process of atherosclerosis. It may come from other tissues.
People with the highest values have the highest risk of cardiovascular
disease and those with the lowest values have the lowest risk.
 Glycated
Hemoglobin (HgbA1C) – (Only As Indicated) This measures
your overall blood glucose (sugar) control for the past two
to three months. The HgbA1C test is not the same as the blood
glucose test, which measures your blood sugar level at the
time of the test. As the hemoglobin in red blood cells moves
through your blood stream, it picks up a glucose coating,
or glycosylzation. The higher your blood glucose, the more
coating your blood cells will pick up. This test measures
the amount of coating the blood cells have picked up over
the past two to three months - about as long as the average
red blood cell lives in your blood stream. This is the standard
test used to monitor overall control of diabetes.
Prostate Specific Antigen
(PSA) – (Only for Men over 50 years of age) PSA is
released into a man's blood by his prostate gland. Healthy
men have low amounts of PSA in the blood. The amount of PSA
in the blood normally increases as a man's prostate enlarges
with age. PSA may increase as a result of an injury, a digital
rectal exam, sexual activity (ejaculation), inflammation of
the prostate gland (prostatitis), or prostate
cancer.
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