Specifications include, but are not limited to: Medical reports are to be provided to each Firefighter in a confidential envelope. 1) EFD shall provide the contracted physician with the list of essential job tasks to be used in each medical evaluation of Members and Candidates. 2) The contracted physician shall consider the physical, physiological, intellectual, and psychological demands of the occupation when evaluating a Candidate or Member’s ability to perform the essential job tasks. 3) All examinations conducted by the vendor must adhere to the following standards: • United States Occupational Safety and Health Administration (OSHA) Regulations (Standards 29 CFR) • National Fire Protection Agency (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments which contains minimal standards for release to work. 4) All examinations shall be provided by the Vendor through the use of a board-certified MD and/or mid-level healthcare provider defined as a certified nurse practitioner or physician’s assistant familiar with the medical review requirements of the National Fire Protection Association (NFPA) 1582 Standard on Comprehensive Occupational Medical Program for Fire Departments as updated. 5) All medical information associated with the Firefighter Physicals Program shall be handled as confidential information, subject to the confidentiality provisions under the Health Insurance Portability and Accountability Act (HIPAA). 6) Confidential medical records for each Firefighter must be maintained by the selected Vendor in accordance with OSHA requirements for Occupational Medical Records and in alignment with industry standards. All health records shall be maintained as part of an individual’s comprehensive medical record, and the Vendor shall be responsible for archiving these additional records as part of each Member’s confidential medical file. Should a Member consent to the sharing of medical information between the Vendor and his/her PCP, a waiver will be developed and signed to provide all documentation to the PCP. 7) According to NFPA 1582, a medical history questionnaire must be completed by each Member to provide baseline information with which to compare future medical concerns. This questionnaire will include changes in health status and known occupational exposures since the previous evaluation, and will be completed by each Member to provide follow-up information. Information on the questionnaire and interval concerns will be reviewed with each Member by the physician. 8) Physical Exam- each Membershall receive an evaluation of the following concentrations that are identified in the NFPA 1582 Guidelines. These items include: • Vital signs • Medical history & medical conditions • Head and Neck • Eyes and Vision • Ears and Hearing • Nose, Oropharynx, Trachea, Esophagus & Larynx • Lungs and Chest Wall • Heart and Vascular System • Abdominal Organs • Gastrointestinal System • Hernia • Urinary System • Spine and Axial Skeleton • Extremities • Neurological Disorders • Skin • Blood • Endocrine and Metabolic Disorders • Lymphatic System • Tumors • Breast • Musculoskeletal System
