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INFORMAL REPORT TO CITY COUNCIL MEMBERS No. 7116
To the Mayor and Members of the City Council
Subject: EMPLOYEES' HEALTH CLINIC
During the first 11 months of operation, 1,609 pre-employment exams were
performed in the Employees' Health Clinic. More than 87 percent of the
applicants were approved without restriction or referral ; five percent
were unable to meet job requirements (see attached chart) . Back prob-
lems accounted for most activity restrictions while blood pressure
problems accounted for most referrals.
Borderline blood pressure readings were found among 19 percent of
approved applicants. These applicants were encouraged to seek follow-up
care. Smoking, a potential health problem, was identified in 36 percent
of the applicants. Though smoking and -borderline blood pressure are not
considered in the hiring process, they could be considered as future
health promotion projects for the Employees' Health Clinic. There also
are implications for potential reductions in health insurance costs to
the City if these problems can be addressed successfully.
Costs associated with service delivery are identified in two areas:
pre-employment physicals and minor injury care. The estimated average
cost for a pre-employment physical is $13. This compares favorably with
other health care providers who charge from $50-75 for the same ser-
vice. Of the pre-employment physicals performed, 18 applicants were
unable to meet job requirements because of back problems. Each of these
applicants had potential for further injury. By preventing one major
injury, the City can save an estimated $50,000-100,000 in Worker's Com-
pensation payments.
Minor injury care at the Employees' Health Clinic ranges from $8-21 per
visit, depending on the injury. The cost of similar care at other
clinics is at least double that of Employee's Health Clinic. There also
is an administrative fee of $25 per visit for Worker's Compensation
claims which increases the cost of treatment by an outside clinic to
triple that of the Employees' Health Clinic.
During the first ten months of minor injury care, 273 employees were
treated. The Employees' Health Clinic handled 53 percent of employee
injuries without referral to other services, with an average of 20
minutes per treatment. The average time spent at outside clinics is one
hour or longer.
If additional information is desired, it will be furnished upon
'Itu g�Ia s Ha?a
City Manager
Attachment
ISSUED BY THE CITY MANAGER FORT WORTH, TEXAS
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