Workforce Health for Federal Government

At national scale, workforce health is a federal mandate.

Federal civilian employees, first responders, laboratory and defense workforces are monitored under some of the strictest occupational-surveillance and recordkeeping mandates in the country. Enterprise Health unifies medical surveillance, clearances, exposure history and mandated reporting into one governable, ONC-certified record — engineered for FISMA and NIST 800-53 controls across every agency and duty station.

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• ONC-ACB certified EHR• Engineered for FISMA & FedRAMP-grade controls^unverified• One governed record across agencies & sites

Built for the mission

Trusted in environments where federal workforce health can't fail.

Logos are shown for identification only; their inclusion does not imply endorsement, sponsorship or partnership.^unverified

The multi-agency fragmentation problem

Every agency runs occupational health its own way — and the mandate sees one government.

Each agency's medical unit, a contract occ-med vendor, the safety office and HR keep their own records — so clearances, surveillance and exposure histories don't follow personnel across agencies and duty stations, and leadership can't see enterprise risk until an Inspector General or audit forces it.

Every agency, its own system

Records that don't follow the worker

A medical unit tracks clearances, a vendor runs surveillance exams, the safety office keeps exposure logs — so when personnel transfer or detail to another agency, the exams get repeated and the exposure history is lost.

Surveillance by spreadsheet

Federal mandates enforced by hand

OSHA 29 CFR 1960, radiation and beryllium surveillance (10 CFR 850), respirator and hazmat programs live in manual logs, so due-dates slip, findings surface late and a single review spans every agency.

No oversight line of sight

Leadership flies blind on workforce risk

When an Inspector General, GAO or congressional inquiry asks for the government-wide picture, there's no single source — only a scramble across agencies, contractors and duty stations.

Score your stack

How fragmented is your workforce-health stack?

Check every function that lives in a separatetool today. The more boxes you tick, the more places a single worker's record is scattered across.

Across the agency

One governed record across agencies and sites.

Federal occupational health runs across dispersed sites, contractors and medical units — under FISMA, NIST 800-53 and mandated reporting. Enterprise Health brings clearances, surveillance and due-dates onto one authority-ready record.

Engineered for FISMA and NIST 800-53 control expectations^unverified
Surveillance and clearances across dispersed sites
Mandated reporting without the parallel spreadsheets

A federal leadership team seated at a long conference table at golden hour, attention turned toward a briefing

One recordacross every agency & site

The federal workforce map

Many missions, one occupational-health mandate.

The federal government is a network of regulated workforces — each population is a distinct occupational-health program, and every one of them belongs on the same certified, governed record.

Federal civilian workforce

Agency employees & inspectors
Laboratory & research personnel
Federal healthcare workers (VA / IHS)
Field, hazmat & maintenance staff

First responders & public safety

Federal law enforcement
Wildland firefighters
Emergency management & screening
Border & transportation security

Defense & readiness

Civilian defense workforce
Industrial-base & depot workers
Occupational medical readiness
Deployment & duty-station health

Surveillance & exposure

Radiation & beryllium (DOE)
Respiratory protection & fit-testing
Hearing conservation (noise)
Hazardous-materials & lab exposure

Clearance & fitness-for-duty

Medical clearances & special-duty standards
Return-to-duty & modified duty
Workers' comp (FECA / OWCP)
Fitness-for-duty evaluations

Role deep-dive

Every federal population is its own program.

Pick a workforce and see the exposures and clearances it carries — and exactly what Enterprise Health automates on the governed record.

Inspectors, lab and research staff, VA and IHS healthcare workers, and field, hazmat and maintenance crews — each carrying a different exposure and clearance load across agencies.

What they carry

Surveillance and clearances tracked agency-by-agency on disconnected systems
Field, hazmat and maintenance exposures logged without a single governed record
Workers who move between agencies or duty stations arrive without their history

What Enterprise Health does

Every civilian worker's surveillance, immunizations and clearances on one certified record
Field and hazmat exposures captured and tracked against the right federal standard
History travels with the worker across agencies and duty stations

See medical surveillance →

One platform

What Enterprise Health does for federal workforce health

The same ONC-certified core that runs occupational health for health systems and manufacturing — built for the security posture and mandates of the federal mission.

⚕

Employee health

One governed record per worker, every agency

Clearances, exposure history, restrictions and immunizations in a single certified record that follows personnel across agencies, labs and duty stations — not a binder at every medical unit.

◈

Medical surveillance

Mandate-grade surveillance that runs itself

Radiation, beryllium, respiratory-protection, audiometric and hazmat surveillance run as protocol-driven programs with automatic due-dates, holds and baseline-vs-current comparison across every site.

✓

Compliance & audit

Defensible by design

Always-on audit trails and continuously assembled documentation built for Inspector General, GAO and regulator scrutiny — with OSHA 29 CFR 1960 recordkeeping included.

❖

Security & governance

Engineered for FISMA & FedRAMP-grade controls^unverified

Role-based access, granular audit logging and data-residency controls engineered to align with NIST 800-53 and FISMA expectations for sensitive, regulated populations.

◉

Reporting & analytics

Oversight reporting on demand

Standardized, agency-rollup reporting for leadership, regulators and congressional inquiry — the government-wide workforce-health picture, on one timeline.

✦

Ozwell AI

Capacity without headcount

Drummond-certified AI automates documentation and surveillance review so a lean federal medical unit can absorb mandated surveillance and clearance cycles.

The authorization path

Built to move through authorization, not around it.

Federal programs don't just buy software — they authorize it. Enterprise Health is engineered for the authorization lifecycle, with the controls and evidence an authorizing official needs.

01
Categorize
Map the system and its data to FISMA impact levels and the controls that apply.
02
Implement controls
Role-based access, audit logging and data-residency governance mapped to NIST 800-53.
03
Assess
Evidence and artifacts organized for an independent security assessment.
04
Authorize
A documented control picture an authorizing official can act on.
05
Monitor
Ongoing logging and reporting for continuous authorization.

Authorization status (e.g. FedRAMP / ATO) depends on your environment and should be confirmed.^unverified

Connected, not bolted on

Plugs into the systems you already run

For a federal program that means demographics and job series synced from agency HR systems, reference-lab and surveillance results flowing into the certified record, and exposure data reconciled across sites — inside an access-governed, audit-logged environment.

EHR & health systemsHL7 v2.x (ADT / SIU / ORM / ORU / MDM), C-CDA & FHIR R4

athenahealtheClinicalWorksEpicMEDITECH+ more

HRIS & identityHL7 ADT demographics feed, flat-file / API, SAML SSO

ADPUKG (UltiPro / Kronos)WorkdayConcentra+ more

Labs & diagnosticsHL7 v2.x lab orders (ORM) & results (ORU / ELR)

AbbottSiemens HealthineersAbaxis (Piccolo Xpress)Beckman Coulter+ more

Interoperability, e-Rx & imagingFHIR R4, REST, NCPDP Script, DICOM / XDS

MCG Health (ODG)SurescriptsAvailityCarestream+ more

See all integrations →

Put a number on federal workforce-health fragmentation.

See what running occupational health across disconnected agency systems costs — and what one governed, audit-ready record gives back.

Calculate your number →Get the benchmark report

ROI calculator

The cost of fragmented federal workforce health

Estimate what running occupational-health surveillance, clearances and mandated reporting across separate agency medical units, contract vendors and spreadsheets costs every year — and what one governed record recovers.

People covered by the program20,000

Decentralized sites / departments25

Share in a surveillance or clearance program60%

Screenings duplicated across sites & vendors24%

Manual admin hours per record1.5 hr

Average cost per screening / exam$120

Estimated annual recovery

$2.5M

88% of today's fragmented spend · 32,280 admin hours returned

Duplicate screening recovered$293,760

Admin labor recovered$1,678,560

Compliance risk reduced$522,000

Create My Free Workspace Get this modeled for your organization See the benchmark report →

Illustrative estimate for this concept site — directional, not a quote. Assumptions are documented in the calculation engine.

Flagship benchmark report

The State of Federal Workforce Health 2027

How federal agencies actually run occupational-health surveillance, clearances and mandated reporting across dispersed workforces — and where fragmentation is quietly costing them the most.

Get the report →

The median federal department runs occupational health across 11 disconnected systems, contractors and agency medical units.^illustrative
58% still track federal surveillance due-dates on spreadsheets owned by individual sites.^illustrative
Personnel transfers and details between agencies are the #1 source of repeated clearances and surveillance exams.
Agencies on a single governed record cut audit- and IG-response prep time by an estimated 70%.

Inside the reportWhat you'll find in this year's benchmark.

Executive summary & methodology

The federal workforce, benchmarked by mission

Surveillance & clearance compliance rates

The true cost of multi-vendor federal occupational health

Audit, IG & mandated-reporting readiness

A 12-month consolidation roadmap

Outcomes

What a governed federal workforce-health program looks like

certified record per worker — across clearances, surveillance and injury

Auto

surveillance, clearance and respirator due-dates the moment a record changes

70%

less audit- and IG-response prep time, with documentation assembled continuously

Illustrative outcomes for this concept site — representative of Enterprise Health's occupational-health deployments applied to federal agencies.

An illustrative scenario

What consolidation looks like for a federal agency.

A federal agency, multiple duty stations, ~12,000 covered workers

The challenge

Many systems, one mandate

Each duty station and program ran its own surveillance tracker and clearance spreadsheet. No one could produce an agency-wide view of who was overdue, and IG requests triggered a manual scramble.

The approach

One certified, governed record

Surveillance, clearances, exposures and FECA injury cases moved onto a single access-governed, audit-logged record, with due-dates and medical-removal triggers enforcing themselves.

The outcome

Audit-ready, continuously

Overdue clearances flag themselves, exposure histories follow workers between duty stations, and IG and audit packages assemble continuously instead of on demand.

The point isn't tidier files. It's that federal workforce-health risk becomes one governable, provable picture.

Illustrative scenario for this concept site — a representative composite, not a specific agency engagement or guaranteed result.^illustrative

Mandate map

The standards a federal occupational-health program has to satisfy

Federal workforce health runs at the intersection of occupational-safety law and federal security and records mandates. Here are the core standards a federal agency or contractor answers to, and what Enterprise Health does for each.

29 CFR 1960

Federal agency OSH programs

Operate an occupational safety and health program for federal employees, with recordkeeping and reporting equivalent to private-sector OSHA standards.