The State of Government Workforce Health 2027
How cities, counties and state agencies actually run firefighter medical evaluations, SCBA clearance, bloodborne-pathogen programs, hearing conservation, hazmat surveillance and injury case management — and where fragmentation between departments, clinics and spreadsheets quietly costs the most.
Four findings from this year's benchmark
The representative city or county runs workforce-health records across fire, police, EMS, public works, corrections, transit and HR systems that do not share a single medical record.
SCBA clearance, immunization records and audiograms are among the most frequently re-run or re-chased items because no department-wide system shows who is already current.
Firefighter cancer-presumption documentation is hardest when exposure, assignment and exam history are split across vendors, paper files and incident systems.
Agencies on one governed record reduce duplicate screening, shorten audit-prep cycles and make department-wide readiness visible before a lapse becomes operational.
Illustrative findings for this concept site — representative figures, not a published dataset.
Get the report
Download the full benchmark — findings, methodology and the 12-month consolidation roadmap. We'll email you the PDF.
- Executive summary & methodology
- The eight public-sector workforces, benchmarked
- Firefighter evaluation, SCBA and hazmat surveillance benchmarks
- Bloodborne-pathogen, immunization and exposure-follow-up programs
- The true cost of department-by-department workforce health
- A 12-month consolidation roadmap for cities, counties and state agencies
Prefer to explore first? See the State & Local Government workforce health hub →