A number of fire departments throughout the United States and Canada have developed wellness-fitness programs based on the IAFF/IAFC Joint Labor Management Wellness-Fitness Initiative (WFI). This WFI Resource is an opportunity for your local and fire department to learn from these successful programs to develop or enhance your own wellness-fitness program.

This centralized resource provides information about successful programs so that new program managers can benefit from the experience of others. This online resource guide will also be updated and expanded to include additional online resources for fire fighters to gather information on successful programs, contact those who are managing these programs and benefit from the experiences of others.

Each fire department’s wellness program is searchable by jurisdiction; jurisdictions are broken down by WFI Task Force and non-WFI Task Force departments. To view the WFI components, click on the tab you wish to view.

The 3rd Edition of the WFI includes a new implementation chapter that offers a step-by-step approach to implementing the WFI. Any fire department can use this process to evaluate a current wellness-fitness program that meets the criteria identified in the WFI. While various elements and methods of a wellness-fitness program vary from department to department, the program development process will be similar. Sample strategies and worksheets are included to assist in this process and help with the implementation of the WFI in your organization. Click on the implementation tab to view these documents.

The Task Force has dedicated itself to developing a holistic, positive rehabilitating and educational approach to wellness and fitness programs in the fire service. View more details on the WFI program here, including the Candidate Physical Ability Test (CPAT), the Peer Fitness Trainer (PFT) certification, as well as several WFI videos.

 

 

If your department has a wellness program and would like to share your information in the WFI Resource, email [email protected].

WFI COMPONENTS

Due to the physical demands of the job, it is essential that all uniformed personnel maintain a high level of fitness-wellness. The purpose of the Wellness Fitness Initiative (WFI) is to ensure that uniformed personnel are healthy enough to work safely and effectively during their careers and maintain good health during their retirement. The intent of the program is that it is implemented as a mandatory, non-punitive program where all uniformed personnel work to improve his or her health or wellness, competing only with themselves.

This section contains an overview of the medical components implemented by all of the participating departments.

TASK FORCE CITIES

Austin, TX

FacilityIn-house
PhysicianIn-house
Additional StaffRN/Administrator
Exercise Physiologist (2)
Exercise Physiologist/Sports Medicine Specialist
Records Clerk
Administrative Assistant
Exam FrequencyAnnual
<40 submaximal treadmill test
40+ maximal treadmill test with ECG
Exam DetailsFull WFI Exam

 


Calgary, AB

FacilityIn-House
PhysicianOccupational Physician
General Physician with special interest in sports medicine
Family Physician
Additional StaffOccupational Nurse
Kinesiologists (3)
Office Administrators (2)
Wellness & Fitness
Coordinator/FF
Exam FrequencyAnnual
Exam
Details
Medical Details

Charlotte, NC

FacilityNo department facility – Contracted Physician Group
PhysicianContracted Physician Group
Additional StaffN/A
Exam FrequencyPre-employment, annual for HAZMAT team
Exam DetailsFull WFI exam See document

Fairfax County, VA

FacilityIn-house Occupational Health Center
PhysicianIn-house
Additional StaffExercise Physiologist
Nurses
Physical Therapist
Exam FrequencyAnnual comprehensive occupational medical and fitness exams
Exam DetailsFull blood panel assessment, hearing and vision exams, chest x-rays and fitness exam

Indianapolis, IN

FacilityContracted – Public Safety Medical Services
PhysicianContracted – Dr. Moffatt
Exam FrequencyAnnual
Exam DetailsSee document

Los Angeles County, CA

FacilityContracted – 5 medical Clinics
PhysicianContracted
Additional StaffFull time Wellness Coordinator
Exam FrequencyAnnual
Exam DetailsAll components of the WFI
Full max stress test
3% incentive pay for participation
Cardiac CT and Angio-program

Metropolitan Dade County, FL

FacilityMDFF Wellness Center
PhysicianTwo from the University of Miami
Additional StaffOne Physical Therapist from the University of Miami
Three Medical Assistants
One Exercise Physiologist
One Dietitian
Two Front Desk Staff
Four Support Staff from Miami-Dade County
Exam FrequencyAnnual
Exam DetailsMDFF Medical Protocols

New York City, NY

FacilityWellness/Fitness Center at FDNY Headquarters
PhysicianIn house staff
Additional StaffWellness/Fitness Coordinator
Nurses
Technicians
Exam FrequencyDesigned as annual but can only do 90 members/day
Exam DetailsComplete, as per IAFF/IAFC WFI design

Phoenix, AZ

FacilityIn house health center
PhysicianContract with Banner Occupational Health for medical staffing:
Doctor of Osteopathic Medicine (D.O.) Medical Director
Physicians – (1) full-time; (4)part-time
Physician Assistants – (2) full-time; (2) part-time
Additional StaffSome staffing requirements are fulfilled utilizing fire fighters on an overtime basis or providing injured fire fighters with an alternate duty position.

Program Manager
Registered nurse – (2) full-time; (1) part-time
Xray Technician
Medical assistant
Infection Control Officer
Exposure Control Officer

Exam FrequencyAnnual – department requirement
Exam Details Annual Physical Components

Seattle, WA

FacilityDepartment facility under construction, currently contracted hospital
PhysicianCurrently separate MDs contract for State required Respiratory Clearance and Entry Medicals
Additional StaffN/A
Exam FrequencyBaseline physical in 2008, planning for annual capability
Exam DetailsFull WFI protocol see document

NON-TASK FORCE CITIES

Beckley, WV

FacilityNo Department Facility – Contracted Medical Facility
PhysicianOccupational Medicine Physician
Additional StaffN/A
Exam FrequencyAnnually considered by city hall for resourcing
Exam DetailsFull WFI exam – See document

Carrollton, TX

FacilityNo department facility – contracted Occupational Health Facility
PhysicianOccupational Medicine Physician
Additional StaffN/A
Exam FrequencyAnnual
Exam DetailsFull WFI Exam – See document

Council Bluffs, IA

FacilityNo department facility – contracted Occupational Health Department at local hospital
PhysicianOccupational Medicine Physician
Additional StaffN/A
Exam FrequencyEvery three years, annually for HAZMAT teams
Exam DetailsAge based exam – see documents

Lewiston, ME

FacilityNo department facility – contracted medical facility
PhysicianIndividual’s primary care physician
Additional StaffN/A
Exam FrequencyAnnual
Exam DetailsRoutine physical done based on age see document

Mesa, AZ

FacilityContracted – Banner Occupational Health Clinic for Pre-hire and annual medical exams, industrial injuries, and industrial exposures
PhysicianOccupational Health doctors who are familiar with fire fighters’ job responsibilities, NFPA standards and OSHA requirements
Additional StaffClinic management, records and accounting staff, PAs, RN’s, and techs
Exam FrequencyAnnual as required by department SOPs
Exam DetailsWFI exam – see document

Narragansett, RI

FacilitySouth County Hospital
PhysicianDepartment physician
Additional Staff1 assistant to the PFT (uncertified)
Exam FrequencyAnnually
Exam DetailsMedical Exam Survey

Orange County, CA

FacilityContracted – UCI Center for Occupational & Environmental Health
PhysicianDr. Leslie Israel, Medical Director
Additional StaffN/A
Exam FrequencyEvery 2 years
Exam Detailssee document

Portland, OR

FacilityNo department facility
PhysicianIndividual’s Primary Care Physician
Additional StaffN/A
Exam FrequencyHealth insurance provides physical every two years
Exam DetailsPhysician determined

Port Moody, BC

FacilityNo department facility
PhysicianGeneral Physician with special interest in fire fighting
Family Physician
Additional StaffN/A
Exam FrequencyAnnual
Exam DetailsPhysician follows WFI medical exam as close as possible.  Medical Service Plan (MSP) will cover certain parts of the medical exam if doctors have a reason to test.  Currently, working with the City to provide a budget to cover parts of the medical exam for which the doctor feels members should be tested.

Prince George’s County, MD

FacilityOff site medical clinic – Concentra
PhysicianWellness/Fitness Medical Director
Additional StaffWellness and Fitness Coordinator
Exam FrequencyAnnual – scheduled by the Risk Management Office (RMO)
Exam DetailsMedical Details

San Diego, CA

FacilityContracted
PhysicianContracted
Additional StaffExercise Physiologists
Dietician
Athletic Training – provides educational seminars and individual counseling, personal fitness training and group fitness testing for the participants
Exam FrequencyAnnual
Exam DetailsSee document

Snohomish County, WA

FacilityIn house at administrative headquarters
PhysicianContracted
Additional StaffContracted Nurse Practitioner
Wellness Coordinator
Fit for Fire Committee
Exam FrequencyAnnual
Exam DetailsNurse Practitioner performs the medical exams in house and pay on a per exam basis
See Section D. – Medical Exam Components of Program Overview document
Contract out chest x-ray, stress EKG, electronic bean tomography’s and true Vo2 testing

Tualatin Valley, OR

FacilityContracted – Cascade Occupational Medicine for physical exams and return to work evaluations http://www.cascadeoccmed.com
PhysicianPhysician and support staff are utilized on a contract basis
Additional StaffWellness Program Coordinator
RN
Program Assistant
Exam FrequencyAnnual
Exam DetailsExamination process designed to help identify health problems affecting the individual, as well as problems common to the District.
Conduct all pre-physical exams in-house
Dedicated space and equipment to conduct evaluations (vitals, vision, cholesterol, blood work, spirometry, hearing, EKG, urinalysis)

Research has demonstrated the need for high levels of aerobic fitness, muscular endurance, muscular strength, muscular power and flexibility in order to perform safely and effectively in the fire service.

While assessing uniformed personnel’s current fitness level is an important part of developing an individualized fitness program, assessment is not, in itself, a fitness program. An effective physical fitness program has several components that must be implemented, including medical clearance and exercise and nutrition programs, to name a few.

The elements necessary for a successful and comprehensive physical fitness program are highlighted in the 3rd Edition of the Fire Service Joint Labor Management Wellness-Fitness Initiative.

This section contains an overview of the various fitness components implemented by all of the participating departments.

To view individual components that can be exported to an Excel spreadsheet, click the links below:

Fit to Survive is an online resource provided by the IAFF WFI. This resource was developed from Assistance to Firefighters (AFG) grant funds and provides up-to-date information, programs and curriculum on fire fighter health, safety, fitness, wellness and nutrition.  Click here to visit Fit to Survive.

To view fitness components by department, click on the links below:

TASK FORCE CITIES

Austin, TX

IAFF/IAFC PFT’s+/- 20
DutiesPhysical fitness for recruits
CPAT orientation and proctor
Exercise TimeOn duty
Exercise ProgramFitness consultation
Personal training
CrossFit training
Yoga training
Kettlebell training
EquipmentTreadmills, bikes and weights at each station
NutritionCounseling by appointment

Calgary, AB

IAFF/IAFC PFT’s30
DutiesCoaching/mentoring
Recruit training
Program design
CPAT proctors
Exercise Time1.5 hours per shift
Exercise ProgramDesigned by PFT’s
EquipmentFull compliment
NutritionContract resources through EFAP services and other agencies

Charlotte, NC

IAFF/IAFC PFT’sOne
DutiesBasic exercise counseling
Assist and offer feedback to Physical Fitness Coordinator regarding areas of concern and opportunities for improvement
Oversight of Job Related Physical Ability Test practice sessions
Exercise TimeYes
Exercise ProgramFire Fighter determined
EquipmentExercise equipment at each station including treadmill, Smith machine, free weights and bench, dumbbells, stability balls, pulley system, exercise mats
NutritionNone

Fairfax County, VA

IAFF/IAFC PFT’sYes
DutiesWork performance evaluation
Exercise programming
Proctor CPAT
WelFit Program StaffHealth Programs Manager
WelFit Program Manager – oversees the PFT Program, CPAT, Work Performance Evaluation and satellite fitness facilities and equipment needs
Strength Conditioning & Exercise Specialist
Exercise Time

2 Hours/Day On duty – Can use recreation centers; 5 satellite gyms; deals with local gyms

Exercise ProgramWellness Fitness Center – training and education are provided to support fitness program
EquipmentEvery station has cardio and weight equipment

Indianapolis, IN

IAFF/IAFC PFTs28
DutiesRecruit Fitness
CPAT Mentoring/Proctor
Incumbent Work Performance Evaluations
Incumbent fitness programming
Exercise TimeSOG being updated
Exercise ProgramCrossfit preparation program/Crossfit on-ramp
EquipmentCardiovascular/Strength training/Functional training equipment
NutritionContracted – Public Safety Medical Services Dietician

Los Angeles County, CA

IAFF/IAFC PFTsYes
DutiesFitness Assessments and Exercise Prescriptions
Body composition evaluation and weight management counseling
Recruit Fitness Training
Injury prevention program
Exercise TimeOn-duty mandatory 1.5 hours dedicated time
Exercise ProgramRecruit fitness program – daily exercises led by PFT’s
Post recruit mentor program
EquipmentIn every station – weight bench w/dumbbells; recumbent bike and treadmill; stability ball
NutritionMeal Plans

Metropolitan Dade County, FL

IAFF/IAFC PFTs10
DutiesPost daily Workout of the Day
Exercise TimeOn duty if time permits
Exercise Program“Get Fit” Challenge
Crossfit seminar
Exercise Challenges
FITNESS ZONE intranet – members post monthly circuits, fitness articles, list of PFTs, upcoming fitness events, WFI
information
Physical Therapy program
EquipmentTreadmills, bikes, ellipticals, weights and Smith Machine at each station
NutritionRegistered Dietician;
Online wellness resource for nutrition and recipes provided to members

New York City, NY

IAFF/IAFC PFTs50
DutiesAssist in annual medical administration
Design fitness programs for members
Maintain fitness equipment
Instructors for Academy recruits
Instructors for CPAT mentoring program
Exercise TimeDaily as schedule of duties allows
Exercise ProgramVarious aerobic training
Circuit training (resistance)
EquipmentEvery firehouse has a gym
Equipment is either bought by members chipping in, donated from private individuals, health clubs, colleges, etc.
Example – network with a local sports club; universities for liquidated equipment
NutritionNutritional recommendations are made by PFTs; referred to nutritionist or R.D. if desired

Phoenix, AZ

IAFF/IAFC PFTsYes
DutiesFire fighter consults
Training Academy
CPAT
Department classes
Exercise Time

Yes – minimum of 1 hour on-duty

Exercise ProgramHealth education
Tobacco cessation training
Individual programs upon request
EquipmentAll fire stations are equipped with aerobic equipment and various resistance and weight training equipment depending on  station size and number of crew members
NutritionContracted registered dietitian upon health center physicians referral only
Nutritional counseling
Diet and weight management
Brown Bag Lunch Program
Healthy Recipes

Seattle, WA

IAFF/IAFC PFTs25 Certified PFTs
DutiesFitness evals
One-on-one & group trainings
Station visits on wellness issues
Fitness equipment checks
Fire Fit classes
Occupational Health & Fitness Committee meetings
Articles for newsletter
Exercise Time

1 hour per shift for operational personnel and 1/2 hour for Admin positions

Exercise ProgramMembers or crews can request one-on-one with a PFT via a formal request for service process
Fire Fit Class of the month (members come off-shift on their own time) led by a PFT with advanced certification in that field
Information provided in “Fitness” and “Workouts” sections in the Occupational Health & Fitness In-web
Equipment1 major piece of cardio (treadmill or stepmill, or elliptical, or concept II), full dumbbell set, medicine ball, stability balls, and exercise mats in stations
Larger stations have additional weights (dual pulley, spin bike, Olympic weights, kettlebells) depending on size of space
NutritionInformation provided in “Cooking on Shift” and “Nutrition” sections of OCC Health & Fitness In-web, as part of a newsletter info., and updates to PFTs

NON-TASK FORCE CITIES

Beckley, WV

IAFF/IAFC PFT’s1 certified PFT
DutiesIn charge of CPAT and all wellness activities
Exercise Time

On duty

Exercise ProgramIndividual, with PFT
EquipmentIn each station and discounted gym memberships
NutritionCounseling available

Carrollton, TX

IAFF/IAFC PFT’s12 Certified PFTs
DutiesConduct functional movement screenings
Fitness assessments
Performance assessments
Develop exercise prescriptions
Exercise Time60-90 minute on duty time
Exercise ProgramIndividual, with PFT
EquipmentIn each station – treadmill, elliptical, free weights/bench, dumbbells 5 to 70 pounds
Some stations have additional equipment
NutritionThere are currently no links or files available for dissemination. For more information, see the contact listed above.

Council Bluffs, IA

IAFF/IAFC PFT’s6 certified PFTs
DutiesCPAT
Wellness activities
Exercise TimeOn duty
Exercise ProgramIndividual, with PFT
EquipmentExercise equipment at each station, includes treadmill, elliptical, free weights and bench, dumbbells 5 to 70 pounds. Some stations have additional equipment.
NutritionCounseling available

Lewiston, ME

IAFF/IAFC PFTs4
DutiesDevelop personalized exercise programs
Administer aerobic capacity and flexibility evaluations
Exercise TimeOn duty – 60 minutes
Exercise ProgramIndividual, with PFT
EquipmentIn each station
NutritionAccess to dietician if requested

Mesa, AZ

IAFF/IAFC PFT’s31 wellness team members with various certifications in wellness and fitness including 17 PFTs
DutiesPromotion of fitness, fitness evaluations, recruit physical training, CPAT administration, fire fighter one-on-one consults, and department wellness training
Exercise TimeYes – minimum of one and a half hours per shift, on-duty
Exercise ProgramCrossfit, Ultimate Frisbee, work hardening circuits, and standard cardiovascular and strength training
EquipmentAll fire stations are equipped with aerobic equipment and various resistance and weight training equipment depending on station size and number of crew members. When a station’s fitness facility is not adequate for the crews assigned there the department will purchase gym memberships to a gym in the area that members can use on shift only.
NutritionInformation provided through video presentations, wellness team interactions, training, medical exams, and our quarterly wellness newsletter

Narragansett, RI

IAFF/IAFC PFT’s1
DutiesOversee all fitness and rehabilitation programs
Collect fitness data for all individuals participating in the program
Coordinate behavioral health consultations
Facilitate all wellness and nutritional education
Organize all fitness/fundraising events and competitions for the department
Exercise Time

On duty (1 hour daily when possible) and off duty time allocated; minimum 3-4 days per week

Exercise ProgramCardiovascular, muscular endurance and strength training programs such as Cross Fit and Kettle bell programs
Many cardiovascular exercises such as swimming, cycling, running, rowing and stair climbing encouraged
EquipmentFull Smith machine, Kettlebells, Bosu balls, medicine balls, free weights, treadmills, exercise bikes, rowing machines
NutritionOutsourced educational programs through Muni Blue (Blue Cross); diabetes education through Muni Blue

Orange County Fire Authority, CA

IAFF/IAFC PFTs40 certified PFTs
DutiesEducation
Fitness assessments
Academy fitness
Fitness program design/implementation
One-on-one training at stations
Exercise TimeOn duty, 60-90 minutes per shift
Exercise ProgramCore strength
Academy PT
Quarterly classes
Contract with training and rehab vendor
EquipmentFull compliment or gym memberships
NutritionCurrently being developed

Portland, OR

IAFF/IAFC PFTs30 certified PFTs
DutiesProvide exercise guidance
Remedial exercise programs
Rehabilitation exercise programs
Exercise TimeOn duty, one hour per shift
Exercise Program
EquipmentIn each station
Three centralized facilities
Discounted gym memberships
NutritionCounseling available

Port Moody, BC

IAFF/IAFC PFTs6
DutiesBasic exercise counseling
Fitness assessments
Facilitate wellness/fitness education
Exercise Time1.5 hours per shift
Exercise ProgramPersonal aerobic and circuit training
TWIST Sports Conditioning Series
EquipmentBoth stations are equipped with aerobic equipment (treadmill, elliptical and stationary bike)
Nautilus machine, dumbbells (10lb – 70lb), Bosu board, balance board, stability balls and medicine balls
NutritionEducation by PFT’s on their respective shifts

Prince George’s County, MD

IAFF/IAFC PFTs6
DutiesConduct physical fitness appraisals
Maintain equipment
Facilitate wellness/fitness education and promotion at the station/battalion level
Recruit physical fitness appraisals and pre-hiring wellness/fitness mentoring
Research and development of new wellness/fitness methods
Coordination and communication of information and data to the Risk Mgmt. Office and the Wellness and Fitness Coordinator
Exercise TimeMinimum of 1.5 hours 3 days each week on day work
2 hours every 24 hour work shift
Each individual employee’s responsibility to maintain a training log of documented physical fitness training and functional physical training; must be signed by the employee’s supervisors and presented upon request to the Risk Mgmt. Office
Exercise ProgramFunctional Physical Fitness Training Programs – offer the opportunity to combine physical fitness training with heavy exertion skills and movements required of job tasks that are specific to emergency operations
Peer Fitness Trainer Programs
Pre-Hire Fitness Preparation Program
Recruit Fitness Training Program
EquipmentIn house 360-square-foot fitness center includes:  treadmills, elliptical trainers, stationary bikes, rowing machines, stair climbers, machine and free weights
Use of station equipment, community centers
NutritionWellness and Fitness Director works with a certified nutritionist(s) to develop weight loss and create individualized diet plans to achieve and maintain optimum health, body weight while reducing chances for disease

San Diego, CA

IAFF/IAFC PFTsA few at academy
Exercise TimeYes
Exercise ProgramRegional Wellness Program contracted w/San Diego Sports Medicine Center – provide full staffing for wellness exams and education
EquipmentYes – small gym or discount at local gyms
NutritionYes

Snohomish County, WA

IAFF/IAFC PFT’s15
DutiesExercise programming
Fitness assessment
Manage each component of the WFI and responsible for that components training and education
Exercise TimeTwo hours – 8:30 am – 10:30 am
Exercise ProgramYes
EquipmentYes in all eight fire stations – treadmills, step mills, Kettle bells, free weights and exercise mats
NutritionYes – Provide education, nutrition tools and meal plans

Tualatin Valley, OR

IAFF/IAFC PFTs13
DutiesAssist Wellness Program Coordinator in completing annual fitness assessments
Assist HR in administration of CPAT; all PFTs are trained CPAT Proctors
Attend and participate in Wellness Committee meetings
Develop injury prevention and health promotion programs that are disseminated via station presentation, web or video
Develop personalized exercise prescription to staff when requested
Exercise TimeOn-duty – 90 minutes per shift for career fire fighters
Exercise ProgramMonthly newsletters
Activity specific exercise programs
In-house wellness presentations
EquipmentFull compliment
NutritionIndividual appointments, newsletter

Statistics show that fire fighting is one of the most dangerous occupations in the world. Lower back injuries and other sprains and strains account for more than 50 percent of all injuries. Injury prevention is paramount to reducing injuries in the fire service and improving personnel resistance to injuries. The cost of one worker lost due to preventable injury or illness is at least equivalent to two to four times their impacted salary.

Rehabilitation programs can be in-house or outsourced. Regardless of the type of rehabilitation program that is chosen, several criteria must be met, including: a fire department physician who is familiar with job requirements and for fit-for-duty expectations, as well as current treatment methods for the most frequent job-related injury or illness for uniformed personnel; clinicians who are familiar with fire service job requirements and fit-for-duty expectations; a transitional duty program; periodic re-evaluation prior to returning to full duty; a personalized exercise prescription that considers job requirements and the individual’s past medical history; and a comprehensive injury prevention program.

The elements necessary for a successful injury prevention/rehabilitation program are highlighted in the 3rd Edition of the Fire Service Joint Labor Management Wellness-Fitness Initiative.

This section contains an overview of the various injury/rehabilitation components implemented by all of the participating departments.

Injury Prevention/Rehabilitation Programs
To view individual components that can be exported to an Excel spreadsheet, click the links below:

TASK FORCE CITIES

Austin, TX

MethodInjury rehabilitation post medical discharge through wellness clinic as needed and injury prevention program via department-wide functional movement screenings
Modified/Light DutyYes

Calgary, AB

MethodContracted FMS screening during wellness
Modified/Light DutyYes
Injury Prevention CommitteeNo

Charlotte, NC

MethodAn employee out of work for more than thirty (30) days due to injury or illness must receive a medical clearance from their attending physician with no indicated or implied physical restrictions.  The employee must obtain a medical clearance from the Department’s Occupational Specialist. The Occupational Specialist will complete the Return to Duty Form.
Modified/Light DutyAlternate Duty Program

Fairfax County, VA
Support is provided for rehabilitation and remedial support for anyone who needs it through the Wellness Fitness Center.


Indianapolis, IN

MethodContracted – Public Safety Medical Services
Modified/Light DutyYes, as needed

Los Angeles County, CA

MethodContracted for worker’s comp; minor injury prevention program through PFTs
Modified/Light DutyYes
Injury Prevention CommitteeNo committee

Metropolitan Dade County, FL
MDFR provides a physical therapy program for their fire fighters.


New York City, NY

MethodDiagnosis, treatment, rehab, cleared to full duty
Modified/Light DutyYes, as per physicians determination
Injury Prevention CommitteeYes, Pass it on Program

Phoenix, AZ

MethodContracted
Functional movement mobility screenings offered during annual physical
Fire Rehabilitation Program
Modified/Light DutyAlternate Duty Program
Industrial leave management
Injury Prevention CommitteeNo

Seattle, WA

MethodMembers have the ability to request Work Hardening
Modified/Light DutyYes – coordinated by Disability Officer
Injury Prevention CommitteeYes – part of both the Occupational Health Committee and the Safety Committee depending on cause

NON-TASK FORCE CITIES

Beckley, WV
There are currently no links or files available for dissemination. For more information, see the contact listed above.


Carrollton, TX

MethodN/A
Modified/Light DutyAlternate duty program

Council Bluffs, IA

Method
Modified/Light DutyLight duty agreement that allows a member to be released for light duty if he/she is injured while on duty
Injury Prevention CommitteeSafety Committee meets once a month to look at all injuries

Lewiston, ME

MethodContracted Occupational Medicine Facility
Modified/Light DutyLight duty program for on the job injuries at 100% pay for medically approved rehab
Limited hours according to medical direction
Injury Prevention CommitteeLabor Management Committee

Mesa, AZ

MethodBanner Occupational Health, specialty doctors and physical therapy offices
Modified/Light DutyYes – coordinated by the Emergency Services Captain
Injury Prevention CommitteeEach Captain is responsible for the safety of their crew.
Each battalion has a Battalion Safety Office that reviews injuries and accidents for training opportunities.

Narragansett, RI

MethodIn-house programs designed by Peer Fitness Trainer
Outsourced programs such as South County Hospital Cardiopulmonary rehab
Modified/Light DutyN/A
Injury Prevention CommitteeTown Safety Committee meets monthly

Orange County, CA

MethodPhysical therapy contract, Coury & Buehler Physical Therapy
Injury Illness Prevention Program (IIPP) – required by CalOsha
Modified/Light DutyYes, as needed
Injury Prevention CommitteeSafety & Occupational Health Committee – represents Injury Prevention Committee

Portland, OR

MethodProvided by Pension and Disability Fund
Fire Fighters see board MD then can choose from many providers in the community
Modified/Light DutyYes
Injury Prevention CommitteeYes, PFTs, EMS Program Manager, and Safety Office

Port Moody, BC

MethodAn employee out of work for more than four days (block) due to injury or illness must receive a medical clearance from their attending physician with no indicated or implied physical restrictions.
Modified/Light DutyYes – Coordinated by Operations Chief
Injury Prevention CommitteeHealth and Safety Committee

Prince George’s County, MD

MethodInjury/Illness Back to Work Program
Modified/Light DutyYes – Risk Mgmt. Office conducts case review meetings on a weekly basis
Injury Prevention Committee

No


San Diego, CA

MethodInjury Prevention Program
Athletic Trainer provides rehabilitation to those that need individual attention
Modified/Light DutyYes
Injury Prevention CommitteeYes

Snohomish County, WA

MethodRehab/Injury Prevention Program – contract exercise personnel/medical provider
Modified/Light DutyYes
Injury Prevention CommitteeWellness Committee Works

Tualatin Valley, OR

MethodOccupational Health and Wellness Services serve as the treatment coordinator(s), and oversee the implementation of treatment, rehabilitation, and other elements as prescribed to the employee by the District physician
Modified/Light DutyYes – return to work program includes light duty program and an occupational return to work evaluation (fit for duty and return to work forms listed in medical section above)
Injury Prevention CommitteeYes – Safety Committee reviews all district injuries and develops strategies to combat negative trends in injuries

Wellness is defined as a balance between the various fitness modalities – medical, physical, emotional and behavioral – and sometimes requires intervention and rehabilitation. Investing in the individual — the fire service’s greatest resource — is an investment in the capability to provide high-quality service to communities while enhancing the quality of life of the individuals who serve. The behavioral health component can only be effective if it is used by both the department and the individual. The most successful programs have proven to be a cooperative effort between labor, management and the individual.

In order to maintain a high level of job performance, uniformed personnel must be able to cope effectively and balance the emotional, physical and mental stresses of work and personal life. If the ability to cope becomes compromised, these stresses may act to unbalance his or her mental and emotional health. A truly comprehensive wellness program must provide continual information, education, support, access to resources and a support network.

The elements necessary for a successful and comprehensive behavioral health program are highlighted in the 3rd Edition of the Fire Service Joint Labor Management Wellness-Fitness Initiative.

This section contains an overview of the various behavioral health components implemented by all of the participating departments. Additional behavioral health resources are available at IAFF Behavioral Health Program

To view individual components that can be exported to an Excel spreadsheet, click the links below:

EAP Program
Stress Management

TASK FORCE CITIES

Austin, TX

MethodIn-house Psychologist
EAPYes
Stress ManagementYes

Calgary, AB

MethodContracted Facility and Physician – Dr. of Psychology
EAPYes
Stress ManagementYes

Charlotte, NC

MethodThere are currently no links or files available for dissemination. For more information, see the contact listed above.
EAPYes

Fairfax County, VA
SOP Employee Assistance Program
Stress Management Program


Indianapolis, IN

Method
EAPContracted – White River Psychology
Stress ManagementCISD Team

Los Angeles County, CA

MethodFire Fighter on own
EAPYes
Stress ManagementYes

 

New York City, NY

MethodIn house Counseling Services Unit (CSU)
EAPYes
Stress ManagementCSU

Phoenix, AZ

MethodFamily counseling
Alcohol and drug abuse
counseling
Friends helping Friends Program
EAPYes
Stress ManagementYes

Seattle, WA

Method24-hour access to two SFD Chaplains for emergency support
EAPYes – City EAP
Stress Management4-member Fire Dept. CISM Team, City EAP Programs

NON-TASK FORCE CITIES

Beckley, WV

MethodThere are currently no links or files available for dissemination. For more information, see the contact listed above.
EAPYes

Carrollton, TX

MethodDepartment will support a behavioral health plan
EAPProvided by Workforce Services Employee Assistance Program (EAP)
Stress ManagementDallas Area Crisis Response Team is available for providing CISM coverage for department members
CFD and CPD have on-call Chaplains available

Council Bluffs, IA

Method
EAPCity has an EAP program that members can be referred to or contact on their own
Stress Management

Lewiston, ME

MethodContracted Mental Health Provider
EAPYes

Mesa, AZ

MethodDepartment Chaplain, CISM team and Employee Assistance Program
EAPYes
Stress ManagementYes

Narragansett, RI

MethodMember access to CISD, EAP
EAPEAP available through the town of Narragansett
Stress ManagementSee above

Orange County, CA

MethodOn own or referred by Management
EAPYes
Stress Management

Yes


Portland, OR

MethodExtensive training upon hire and as needed
EAPYes
Stress ManagementYes

Port Moody, BC

MethodEAP Program
Fire Department Padre available 24 hrs/365 days
EAPEAP Program managed by Interlock
Stress ManagementCISM handled by Fire Department Padre

Prince George’s County, MD

MethodEAP Program
Education in station
EAPYes
Stress Management

Health care provider and County program


San Diego, CA

EAPYes
Stress Management

Yes through EAP


Snohomish County, WA

MethodBehavioral Health Evaluation
EAPYes

Tualatin Valley, OR

Method(see Behavioral Health Overview)
EAPEAP program managed by Reliant Behavioral Health
Stress ManagementThe Behavioral Health Specialist is well-versed in critical incident stress management/debriefing
Chaplain program

The Wellness Fitness Initiative (WFI) is designed to improve the quality of life for all fire fighters while simultaneously seeking to prove the value of investing in wellness resources over time. A number of studies have shown that a well-designed and implemented health and wellness program provides a favorable Return on Investment (ROI). One of the major roadblocks preventing fire departments from implementing the WFI is cost and concerns about the economic benefit of such a program.

The Cost Justification chapter in the 3rd Edition of the Fire Service Joint Labor Management Wellness-Fitness Initiative determines the economic impact by calculating occupational claims and costs among the charter fire departments that have adopted and implemented the WFI.

This section below contains an overview of the various tools and ideas that have been used by some of the departments to show cost justification.

TASK FORCE CITIES

Austin, TX

MethodTrack worker’s comp claims cost/savings and lost time of work hours

Calgary, AB

MethodTrack worker’s comp claims cost/savings and lost time of work hours

Los Angeles County, CA
EBCT Scan Justification
Fitness for Life Program Success
Measurement of Success
Why Wellness Document


New York City, NY

MethodLine of duty injury claims

Phoenix, AZ

MethodTrack worker’s comp claims cost/savings and lost time of work hours through the City of Phoenix Safety Division

Seattle, WA

MethodHad a specific cost justification report in 2007 by an outside consultant – Final Report

NON TASK FORCE CITIES

Council Bluffs, IA

MethodRisk Manager tracks work comp claims and lost work hours

Lewiston, ME

MethodDepartment tracks workers comp claims and expenses

Narragansett, RI

MethodTracking of on-duty injuries and rehabilitation time by Safety Committee and department PFT
Wellness Program Saves City Money

Orange County, CA

MethodYes – program has proven to be cost reducing in terms of worker’s comp claims and lost time of work hours

Portland, OR

MethodYes, use data from Oregon Health Science University’s PHLAME study and Pension/Disability Fund stats
Since implementing the WFI in 2000, decreased injuries by 46 percent

San Diego, CA
LDL Cholesterol Data
Workers Comp Data


Snohomish County, WA
Budget Worksheet


Tualatin Valley, OR

MethodWorker’s comp claims cost/savings tracked by our worker’s compensation providers and reviewed by the Districts safety committee
Conduct pre-physical exams in-house vs. outside contractor; District estimates that approximately $30,000 annually saved in contractor fees

Management and labor support systems that confidentially collect medical, health and fitness data and provide analysis to improve the wellness of all fire department members. An overarching goal of the Wellness Fitness Initiative (WFI) has been to collect and analyze clinical and health outcome data generated in the 10 member jurisdictions which may be generalized to the wider uniformed personnel populations. Since the inception of the WFI, there have been ongoing efforts to develop a centralized database to serve as a repository for the collected data and information.

The Data Collection chapter in the 3rd Edition of the Fire Service Joint Labor Management Wellness-Fitness Initiative determines the economic impact by calculating occupational claims and costs among the charter fire departments that have adopted and implemented the
WFI.

The MDS (Minimum Data Set) project is funded by a grant received by the University of Maryland, Baltimore School of Medicine. The MDS will enable the fire service and health providers to gather health-related data from the fire fighter population and aggregate it in a
central database for analysis/research and subsequent use in proactive programs to promote health and wellness.

This section below contains an overview of the data collection process each department has implemented.

TASK FORCE CITIES

Austin, TX

MethodNone, but have commitment from the fire chief to purchase
Track by hand as needed; medical files maintained by civilians

Calgary, AB

MethodElectronic Medical Information System (EMIS)
Excel spreadsheet fitness tracking

Fairfax County, VA
The Fairfax County Fire and Rescue Department uses MedGate for its medical database system to collect and analyze clinical and health outcome data. Once the WFI/Cancer and Occupational Disease Database (funded by the University of Maryland, Baltimore School of Medicine) is completed, the Fairfax County Fire and Rescue Department and the Indianapolis Fire Department will transfer data from their Medical Information Systems to the IAFF central database.


Indianapolis, IN

MethodContracted – Public Safety
Medical Services
Medical Information System
Data CollectedMedical/Fitness data collection since 2000

Los Angeles County, CA

MethodCurrently use Excel and working on getting a grant to implement a new MIS system
Data CollectedMedical Fitness Stats
Worker’s Comp

Metropolitan Dade County, FL
Excel document to track fitness assessments but no database.


New York City, NY

MethodHRIS System (human resources information system)
Data CollectedAll medical testing except x-rays

Phoenix, AZ

MethodElectronic Medical Records (EMR)
Data CollectedMedical Database – data collected and entered into system by medical staff during the fire fighter’s annual physical exam
Fingerprint recognition check-in used for EMR
Exposure Control Database

Seattle, WA

Method2008 baseline medicals are in Excel, all others are in chart form
Data CollectedHave a number of data reviews from the 2008 baseline medicals as well as information breakdowns from Workers’ Comp data (since 1979)

NON-TASK FORCE CITIES

Carrollton, TX

MethodInformation is entered into a computer database for trend analyses of individual results, as well as  comparisons within the department as a whole
Data CollectedAnnual performance assessment, fitness assessment and functional movement screening

Lewiston, ME

Data CollectedOnly cumulative results based on participation values

Mesa, AZ

MethodMedical files are maintained electronically by the contracted medical provider.  Fitness data is maintained by the department using our firehouse records program

Narragansett, RI

MethodIndividual fitness data collected by PFT
Chart form and Excel program

Orange County, CA

MethodMedical Information System
Data CollectedData Report 2004-2008

Portland, OR

MethodVariety of ways to track data
Data CollectedFitness Data-MicoFit and Excel spreadsheet
Immunizations-Stand alone database
Medical Charts contain initial medical exam, annual hearing, mask fit, immunization and exposure files

Port Moody, BC

MethodCollect annual performance assessment, fitness assessment, and functional movement screening
Medical information is kept confidential by Physician

Prince George’s County, MD

Method(CTX) through medical physicals
Cardiac risk factors tracked by Mirosoft Access
Data CollectedN/A

San Diego, CA

MethodElectronic Medical Record designed for WFI
Collect all information at time of visit
Give immediate feedback – each fire fighter goes home with results in booklet w/educational material on general health related topics and try to individualize the educational material
Data Collected4 years of data collected
200 fields of information on all fire fighters

Tualatin Valley, OR

MethodCharts
In-house database
Data CollectedMedical data (charts held at contractor’s office)
Wellness report (in-house) – annual fitness assessment, wellness questionnaire and cholesterol data compiled
Fitness assessment data (in-house)
Injury information tracked by contract insurance provider, SAIF

A wellness-fitness program that is developed and implemented in accordance with the Wellness-Fitness Initiative (WFI) will help secure the highest possible level of health to fire response personnel. These programs are also proven to be cost effective, typically by reducing the number of work-related injuries and lost workdays due to injury or illness. This has been the case in cities and IAFF affiliates around the country following implementation of the WFI.

The Implementation chapter in the 3rd Edition of the Fire Service Joint Labor Management Wellness-Fitness Initiative provides a step-by-step approach to implementing the WFI. Any fire department can use this process to evaluate a current wellness-fitness program that meets the criteria identified in this Initiative. While various elements and methods of a wellness-fitness program vary from department to department, the program development process will be similar.

Listed below are two power points created by the IAFF Health & Safety Department. They contain an overview and implementation section for the WFI and PFT programs.

PFT Overview
WFI Overview

To assist with the Assistance to Firefighters Grant application process, the IAFF has created a WFI/PFT grant guidance document. please click the link below:
Wellness and Fitness 2013 Assistance to Firefighters Grant Guidance Document

To assist in this process, sample strategies and worksheets have been included to assist with the implementation of the WFI in your organization. Click on the links below to view the worksheet:

Flow Chart

Meeting Guidelines


Goals and Objectives


Comparison Worksheet


Wellness-Fitness Considerations


Time Line Budget Worksheets


Needs Survey


Grant Narrative


Strategic Plan


MOU or Contract


Medical Baseline RFP


Communication Plan


Project Team Meeting Agenda


Action Plan


Pre Program Survey


One Year Post Survey


Large Department Re-organization Budget
Request


WFI Checklist


This section below contains an overview and/or implementation documents that some of the cities used for their program:

TASK FORCE CITIES

Austin, TX
Fire Act Grant Narrative

Indianapolis, IN
Fire Act Grant Application

Los Angeles County, CA
Fit for Life Contractors

Fit for Life Requirement Letter
PFT Contact Plan

Seattle, WA

AFG Grant Narrative
Communications Plan

NON-TASK FORCE CITIES

Carrollton, TX
Fitness Wellness Program SOP

Lewiston, ME
Fire Act Grant Narrative

Mesa, AZ
Wellness Program SOPs

Orange County, CA
WEFIT Program Implementation Agreement

Portland, OR
Physical Agility Test General Order
Physical Fitness Program “Fit to Survive” General Order
Summary of Wellness Program

Port Moody, BC

In 2006 Port Moody Fire Fighters, Local 2399, began implementing the WFI. Most components have been implemented. Local 2399 is working towards including the program in the Collective Bargaining Agreement, as well as acquiring additional funding to cover the costs of additional tests in the medical physical exam. The additional funds would also be used to access private consultants to provide MRIs, orthopedists and neurosurgeons for case by case issues to get fire fighters back to work sooner when injured off the job. Trying to make the WFI stay current and evolve is a constant challenge to provide the best service for the benefit of the members participating. In the fall of 2009, PMFR hosted the first IAFF/IAFC/ACE Peer Fitness Training Certification course in British Columbia, with the help from instructors from Calgary Fire Department and FDNY. The goal of the course was to help other IAFF locals implement their own programs.

Snohomish County, WA

Starting in 2002, District One started a five year plan to implement the Wellness-Fitness Initiative into their Fit for Fire program. They have now implemented all components of the WFI and it is mandatory by the Collective Bargaining Agreement. Data is still the hardest component to address and this is the last area they are trying to fully capture. District One has been able to find efficiencies in the budget by tying in other services of the wellness program that are already provided by the agency in other respective budgets, i.e. immunizations, exposure control, hazmat medicals, etc.

SCFD set a long range plan asking for most of the capital over the five year implementation phase. They insisted on yearly medicals from the start and received them by education their elected officials that not only was it in the best interest of the fire fighters, but that it was the best risk control measure they could take in trying to follow industry standards that the WFI and NFPA 1582 has given the fire service.