The Health Promotion Division (HPD) at Union Pacific Railroad (UPRR) has continued to expand by offering more programs and collected more outcome data since receiving the Koop Award in 1994.  Our cardiovascular program highlighted in the 1994 application has been expanded throughout UPRR’s system.  Our data suggest that we are having a positive impact on health and related costs. 

During 1995-1996, our efforts focused on further integrating health promotion within our department (Health Services) and company.  For example, our Health Risk Appraisal (HRA) is now offered along with the regulatory testing conducted by Occupational Medicine.  Also, we expanded the use of our system-wide exercise facilities to assist with the Return-to-Work process.  We have two programs focused on our injury or at-risk for injury population. 

Two programs have helped us integrate with the Opening Department:  1) physical agility testing (PAT) for new hire employees, and 2) fatigue management.  The HPD assisted in the design of PAT used to hire train service, engineering and some shop craft employees.  Union Pacific Railroad and the industry have supported the need for behavior-based education in combating fatigue for train crews.  Our program and data have helped lead the industry in addressing this issue. 

PRECEDE/PROCEED continues to serve as our program planning model.  Using this model has helped us refine our planning by ensuring the new outcome data sets from our lifestyle claims analysis, cardiovascular and fatigue management program, medical quality assurance process, and vocational rehab program are used to better allocate resources.