title: Integrated approach to health screening of former department of energy workers detects both occupational and non-occupational illness.
abstract: BACKGROUND
  The National Supplemental Screening Program (NSSP) uses a Total Worker Health(TM) approach to address U.S. Department of Energy (DOE) former worker health. This article provides the design of the integrated occupational health screening and promotion program.
  
  
  METHODS
  The NSSP implemented a web-based relational health records system to process demographic, exposure, and clinical data. We present medical findings for 12,000 DOE former workers that completed an initial NSSP medical screening between October 1, 2005 and October 4, 2013. We discuss the DOE former worker participant population and the exposure-based and non-occupational medical screening tests used.
  
  
  RESULTS
  The NSSP identified potential occupationally related health conditions in 40.5% of those screened. Notably, we identified 85.8% of participants with addressable non-occupational health conditions, many of which were previously undiagnosed.
  
  
  CONCLUSIONS
  The NSSP demonstrates that the identification of potential occupational health issues in conjunction with addressable non-occupational health conditions provides former workers with information to more effectively manage health.
authors.affiliation: Health, Energy, and Environment, Oak Ridge Associated Universities, Arvada, Colorado.
authors.forename: Bill
authors.initials: B
authors.lastname: Stange
authors.affiliation: Health, Energy, and Environment, Oak Ridge Associated Universities, Arvada, Colorado.
authors.forename: John
authors.initials: J
authors.lastname: McInerney
authors.affiliation: Health, Energy, and Environment, Oak Ridge Associated Universities, Oak Ridge, Tennessee.
authors.forename: Ashley
authors.initials: A
authors.lastname: Golden
authors.affiliation: Health, Energy, and Environment, Oak Ridge Associated Universities, Arvada, Colorado.
authors.forename: Wendy
authors.initials: W
authors.lastname: Benade
authors.affiliation: Health, Energy, and Environment, Oak Ridge Associated Universities, Oak Ridge, Tennessee.
authors.forename: Barbara
authors.initials: B
authors.lastname: Neill
authors.affiliation: Division of Environmental and Occupational Health Sciences, Department of Medicine, National Jewish Health, Denver, Colorado.
authors.forename: Annyce
authors.initials: A
authors.lastname: Mayer
authors.affiliation: Center for Worker Health and Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
authors.forename: Roxana
authors.initials: R
authors.lastname: Witter
authors.affiliation: Center for Worker Health and Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
authors.forename: Liliana
authors.initials: L
authors.lastname: Tenney
authors.forename: Kaylan
authors.initials: K
authors.lastname: Stinson
authors.affiliation: Health, Energy, and Environment, Oak Ridge Associated Universities, Oak Ridge, Tennessee.
authors.forename: Donna
authors.initials: D
authors.lastname: Cragle
authors.affiliation: Center for Worker Health and Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
authors.forename: Lee S
authors.initials: LS
authors.lastname: Newman
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D035082:Federal Government; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008403:Mass Screening / Q000458:organization & administration*; D009678:Nuclear Energy; D055848:Nuclear Power Plants; D009784:Occupational Diseases / Q000175:diagnosis*; D016272:Occupational Health; D012108:Research Personnel; D014481:United States
keywords: DOE; exposure-based; former worker; integrated; non-occupational; occupational