goals, and from 1990 to 2000 it developed and implemented a 10-year, agency-wide competitive plan to meet the Healthy People goals. It was the first federal agency to achieve Voluntary Protection Program (VPP) Star Status, and was recognized by the American Productivity and Quality Center (APQC) for its programs in 1999. Today, NASA offers a broad scope of health and wellness support options to employees. In addition, a NASA Health Promotion and Wellness Team (HPWT) was established in 2000 to standardize the delivery of health promotion across the agency. The HPWT, comprising Occupational Health Program professionals from each NASA center and facility, meets quarterly (Probst, 2004).

All of the occupational health-related programs and activities offered by NASA are linked to the NASA Occupational Health website (http://www.ohp.nasa.gov/). This website can be accessed by all NASA employees, as well as by viewers outside the agency. The site informs employees of relevant events such as the Healthier Feds campaign (http://www.healthierfeds.gov/) and topics such as flu vaccines, and it serves as a vehicle to facilitate employee participation in personal health care by offering health information, links to outside health sites, and notification to employees of health screening, physical exams, and other health programs offered by NASA (NASA, 2004).

THE OFFICE OF THE CHIEF HEALTH AND MEDICAL OFFICER

The Office of the Chief Health and Medical Officer (OCHMO) was created to undertake responsibility for the health of the NASA workforce in areas such as policy, medical guidelines, best medical practices, professional development and training, and medical quality assurance. (Refer to Chapter 1, Figure 1-2 for the NASA organizational chart, including the OCHMO.) Specifically, the office is responsible for policy and oversight for occupational health, aerospace medicine, medicine in extreme environments, protection of research subjects and patients, quality assurance, public health issues, and professional health education and development. The OCHMO administers a broad range of health, wellness, and environmental programs and is headed by the Chief Health and Medical Officer (CHMO). Figure 2-1 shows the organizational chart for the OCHMO.

Program Administration at NASA Centers

Occupational Health at NASA is decentralized (see Figure 2-1), with each center administering its own programs. The total FY 2002 budget dedicated to occupational health across all centers was $45,042,553 (Probst, 2004). A breakdown of the Occupational and Environmental Health budget for this year by center is shown in Table 2-1. Each center is unique, and



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