When Health on Wheels is welcomed on-site to a factory or worksite, all workers are given an initial screening. This fully confidential screening includes date of birth/age, gender, vital signs such as blood pressure, blood glucose levels, heart rate, height, weight and hemoglobin levels. Workers are asked about their health histories, including chronic conditions, traumas, illness, infection or injury and reproductive information. They are screened for behavior, including smoking and dietary habits. They are also asked about an extensive list of symptoms that can alert our health care professionals to any conditions that need treatment or monitoring such as tuberculosis, typhoid and heart failure.
Workers are then confidentially examined physically and any impressions and diagnosis are recorded, along with any recommendations for treatment. Our mobile team for initial on-site screening consists of 12 health workers and paramedical staff, and six physicians. About 40 workers can be screened initially per hour. Two health workers and one physician perform the once-a-month follow-up visits of the diagnosed cases that include pregnant workers.
Because Health on Wheels is not a “one and done” program, each worker receives a health card and unique ID number linked to their confidential electronic medical record (EMR), stored on our data servers. Our physicians will be able to access these records using the latest technology and software from cellphones and computers, to help diagnosis, monitor and treat workers remotely. Employers will be able to monitor prognosis with treatment, and can also communicate with our healthcare professionals and health workers through email or phone/text.
Follow-up visits by our health care providers will be performed once a month. Pregnant workers and workers with ailments will then be scheduled for appointments with healthcare professionals as needed. Pregnant women will be seen once a month until they are 24-26 weeks; after that, they will be seen every two weeks. Of course, workers will be seen more frequently whenever there are complications.
Onsite healthcare professionals update EMR automatically through cellphone-based technology, and can also capture and send images and symptoms, enabling remote physicians to review files, monitor treatment results and change treatment regime in real-time, if needed.