The Workplace Wellness Program at Al-Qassim Health Cluster aims to provide preventive health services to health cluster employees, enabling them to lead healthy lifestyles. It focuses on the early detection of chronic diseases, raising awareness about job burnout, and educating employees on healthy habits such as nutrition and physical activity. By achieving these goals, the program aims to enhance overall employee health, increase productivity, and reduce financial burdens on the organization.

Key components of the Workplace Wellness Program include:

1. Easy Access:
2. • Ensuring that employees have easy access to wellness initiatives.
3. Healthy Lifestyle:
   • Providing tools and knowledge to enable employees to lead healthy lifestyles.
4. Burnout Awareness:
   • Increasing awareness about job burnout and its early management.
5. Chronic Disease Screening:
   • Offering screening services for chronic diseases at the workplace.
6. Employee Engagement:
   • Collaborating with officials at targeted organizations to strengthen the concept of employee wellness.

1. Cardiac Diseases(See :Chronic Diseases: STEMI Pathway)
2. MOH Website:Cardiovascular Diseases

     Group                                                                     Men                               Women

Asymptomatic patients without                            45-74 y/o                        55 to 74 y/o

known risk factors

Patients with personal or                                       35-74 y/o                        45-   74 y/o

family risk factor

Patients with DM                                               From Diagnosis                From Diagnosis

Patients wit Serious                                           From 25 y/o                      From 25 y/o

Mental Illness

Modifiable Risk factors:

• Smoking
• Blood Pressure
• Alcohol
• Nutrition
• BMI>30
• Waist circumference:>120 cm for men, >88cm for men
• Physical activity level
• HBA1C 41-49 mmol/mol

• Age 
• Gender
• Genetic Cardio Diseases
• Diabetes Mellitus
• SLE
• Serious Mental Illness
• Note if the patient has pre‑existing cardiovascular disease or other high‑risk condition. These patients are very high risk and require aggressive risk management and lifestyle modification.
  Pre Existing Cardio Vascular Diseases

  • Ischaemic heart disease, including:
    • angina
    • myocardial infarction
    • percutaneous coronary intervention
    • coronary artery bypass grafting
    • coronary artery disease on CT coronary angiogram
  • Cerebrovascular disease:
    • Transient Ischemic attack
    • Stroke
  • Peripheral Vascular Disease
  • Other high‑risk conditions

    • Heart failure
    • Familial hypercholesterolaemia, or combined dyslipidaemia
    • Chronic kidney disease
    • Diabetes 

    • Previous COVID‑19
      Blood Pressure Measurement

      sitting blood pressure.

       

      • Repeat if the first blood pressure measurement is elevated.
      • Use the average of two seated blood pressure measurements for the cardiovascular risk assessment (CVRA)

       

     

   

See Chronic Diseases:Hypertension Pathway

• Identify risk factors such as smoking, unhealthy dietary habits, and stress, and guide them on how to mitigate these risks
• Keeping blood pressure in check is crucial to avoid complications and adverse health outcomes.
  Assess the patient’s understanding of hypertension.

   

  Assess barriers to learning.Assess support systems.

• Auscultate the heart sounds.Obtain ECG.Determine the patient’s risk factors for hypertension.

• Assess for signs and symptoms.Regularly measure the patient’s blood pressure.

• Screen for secondary causes of hypertension.Assess for peripheral edema and weight gain.

• Assess lab values.Assess diet and fluid intake.Assess caffeine consumption.Review the patient’s treatment list.

• Assess their history and interests.Ensure the patient is safe for activity

(See  Chronic Diseases: Diabetes Mellitus Pathway)

Note: Below Managements are still according to every patients prognosis and physician's decisions

A.  Chronic Disease Screening

 The EHC performs and records a chronic disease screening assessment for targeted employees such as but not limited to:

1. Heart Diseases
2. Hypertension
3. Diabetes Mellitus
4. Notes:Use a shared decision-making model to discuss the 5‑year risk and treatment options:
   • Low risk (less than 5% PREDICT):
     • Promote healthy lifestyle.
     • Drug treatment is usually not required.
   • Moderate risk (5 to 15% PREDICT):
     • Shared decision-making.
     • Discussion about the benefits and harms of medications to treat blood pressure or lipid-lowering drugs, or lifestyle only.
   • High risk (greater than 15% PREDICT) – Intensive lifestyle interventions and medications as mentioned below.
5. Lifestyle interventions for all patients:
   • Dietary Advice about reduction of saturated fat, and added sugars.
   • Physical activity – aim for a minimum of 30 minutes of moderate intensity on most days of the week.
   • Weight Loss
   • Smoking Cessation

      

B. Burnout Screening and Managements

1. • See: MOH Anxiety Tools

            MOH Depression Tools

     • Model of Care Burn Out Clinic Guidelines: For Updating

      

1.      Requests will be made depending on the segmentation of chronic disease, a management plan is constructed in the EHC or patient is referred to a specialized clinic.
2.           Employees from PHCs, OHC,Secondary and Tertiary Facilities can use Self Referral ,Via Manager referral, Via Exposure to Workplace Risk to enroll in the Wellness Program
3.           Different Request will be done by MDTS after Medical Investigations done(Laboratory Works and Different Diagnostics)Refer to Chronic Care Policy
4.            If No Chronic Diseases Diagnosis but with comorbidities and risk factors,Request for Health Coaches to do  Health Education  before Discharge. Re assessment is done after 6 month
5.            Employees diagnosed with Chronic Diseases will be referred to Specialized Clinic for further medical investigations and MDT managements.

• Patients suspected of having burnout should be referred to the nearest "Quality of Life" clinic.
• Referral is done through "Mawid" system.

ToolKit:Al Qassim Model of Care Toolkit: Workplace Wellness

Diabetes Mellitus:MOH Website : Diabetes Mellitus Risk Assessment

See:Screening: For Health Coaches and MDTs

North Sydney Medical Pathways: Hypertension

North Sydney Medical Pathway:DM Pathway