Health Center Tier System Protocol

Question 1

The purpose of the Health Center Tier System Protocol policy is

Answer 1

to reduce the risk and burden of fire service occupational morbidity and mortality while
improving the welfare of firefighters.

Question 2

The Health Center Tier protocols are based on NFPA ____ and NFPA ______

Answer 2

1582; Comprehensive Occupational Medical Program for Fire Departments and NFPA 1583; Health-
Related Fitness Programs for Fire Department Members

Question 3

The medical components of the annual physical include: medical history, physical
examination, blood testing, urinalysis, hearing test, pulmonary function test, chest x-ray (every___ years
or as medically indicated), electrocardiogram (30 years or younger every ____ year, 31-39 every ____
year, 40 and over _____), immunization record review and TB testing.

Answer 3

5 years, 3rd year, other year, Annually

Question 4

Tier 1 is

Answer 4

the minimal health parameters to which Glendale Fire Department members should
maintain for field conditioning.

Question 5

Tier 2 is i

Answer 5

indicative that health issues are noted and interventional support or change is
recommended. It is recommended that you reverse trends and stay healthy.

Question 6

Tier 3

Answer 6

is indicative of health issues sufficient for mandatory referral for wellness/fitness
intervention, but removal from the field is not yet required. You need to participate in a health
regiment.

Question 7

Tier 4

Answer 7

is indicative of health issues sufficient enough to mandate removal from the field, at the
clinician’s discretion, and mandatory referral for wellness/fitness intervention.

Question 8

When a Glendale Fire Department member, regardless of rank, is between _____ METS for the
first time, they remain on shift (as long as they do not demonstrate any clinical indications of
cardiac disease or other medical risk factors) and are offered resources to assist with physical fitness
and nutrition (if needed).

Answer 8

11-11.9 mets,

Question 9

The member

will be given ____months to get their METS to ____or greater.

Answer 9

3 months, 12

Question 10

If they show no improvement, they are
place on a 40 hour assignment if after another ___ months, they still show no signs of improvement; a
progressive discipline process will start. The member does not have to take the 40 hour option, but
can use their vacation and sick leave instead.

Answer 10

3 months,

Question 11

Any Glendale Fire Department member falling below ___METS is immediately taken off the truck and
placed on 40 hour assignment.

Answer 11

11 mets

Question 12

But a review of studies shows that, compared to those with a high CRF, those with
low CRF had a ____ higher risk of death from any cause and a___ higher risk of heart disease events,
such as heart attack or stroke.

Answer 12

70% , 56%

Question 13

Compared to those with an intermediate level of physical fitness, those
with a low CRF had a___ % higher risk of death from any cause and____ % higher risk of heart events.

Answer 13

40%, 47%