ANSWERS TO QUESTIONS RELATING TO CLINICAL DIVISION PROGRAM SUBMISSION FOR FY 1975

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-05077A000100010015-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 6
• Document Creation Date: December 12, 2016
• Document Release Date: April 17, 2002
• Sequence Number: 15
• Publication Date: April 9, 1973
• Content Type: MF

Approved Foy. Iease 2002/05/14: CIA-RDP78-050774000100010015-6
9 April 1973
SUBJECT : Answers to Questions Relating to Clinical Division
Program Submission for FY 1975
REFERENCE : DD/M&S 73-1318 Memorandum dated 5 April 1973
A. Health Education Program
The effectiveness of an educational program is difficult to
measure in the same sense as an educational institution (graduate performance,
etc. ). Information, felt to be pertinent, is presented to guide and inform
persons in a way that a newspaper guides the public. How knowledgeable
a person becomes regarding the subject is, in part, a measure of the
effectiveness of each supporting effort.
There is no measure of success or effectiveness in a Health
Education Program other than that measure which is used in the evaluation
of a total preventive medical program of which education is a part. It
complements individual verbal consultation within that preventive medicine
sphere by "mass consultation. " Acceptance by the user is a "measure"
but is not necessarily a measure of "success."
B. MPT / PHE
1. This program addresses itself in particular to all employees
of the Agency not to just those being assigned overseas. The health fitness
of Agency employees for efficient performance of their assigned work is
an important element in a progressive personnel management system and
in effective administration of Agency programs. In essence, the program
will help reach that goal of conserving experienced valuable manpower.
2. Definable benefits that the Agency will derive are:
a. Assist the Agency employee to maintain optimum
health while on the job.
b. To serve the employer, the U. S. Government
(Agency) by increasing or maintaining production
through methods and standards which promote optimum
health for the employee in his work environment.
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3. The limits, legal or otherwise to the amount of service we
can offer employees are defined by the following:
PUBLIC LAW 79-658
Authorizes a health program for the purpose of promoting
and maintaining the physical and mental fitness of employees.
The Central Intelligence Agency A.ct of 1949, as amended
Section 4
(5) (A)
Travel in case of injury
Section 4
(5) (B)
Overseas Medical Facilities
Section 4
(5) (C)
Payment for Injury or Illness
Section 4
(5) (D)
Periodic Examinations and Inoculations
Section 8
Operational Medical Support
Amends the Foreign Service Act of 1946 to include medical
benefits for dependents.
PUBLIC LA.W 87-195
Further amends the Foreign Service A.ct to broaden the basis
for medical travel.
PUBLIC LAW 90-221
Another amendment of the Foreign Service Act to improve
certain benefits for employees who serve in high-risk situations, and for
other purposes.
FEDERAL EMPLOYEES COMPENSATION ACT
BUREAU OF THE BUDGET CIRCULAR NO. A.-72 (18 June 1965)
Statement of current Federal policy on providing programs of
health services to employees.
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4. Consequences of not proceeding with the MPT/PHE program
would be the Agency's way of stating that it neither has the progressive
personnel management and/or resources to completely comply with the
above mentioned Public Laws, and in essence the Agency will never reach
the optimum goal of conserving all not just some of the experienced
valuable manpower.
25X1A
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9 April 1973
MEMORANDUM FOR: Director of Medical Services
SUBJECT Suggested Responses to Questions Regarding
Program Submission for FY 1975
A. Health Education
1. How one can measure the effectiveness of a
Health Education Program.
a. One can measure a person's knowledge
of a given subject before and after the
introduction of the HE material and
determine whether there has been any
quantifiable change.
b. One can evaluate whether or not there
has been any change in a person's
behavior after the use of HE material
as compared to before the introduction
of the HE material. Since it is
conceivable other factors may have
contributed to any change of behavior,
it would probably be necessary to use
regression analysis to determine
precisely what percentage any HE Program
provides in creating the relearning of
life patterns.
c. One could measure the differences in the
mortality and morbidity for specific
entities covered by HE material in a
study group provided the service and a
control group not provided the service.
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SUBJECT: Suggested Responses to Questions Regarding
Program Submission for FY 1975
MPT/PHE Program
1. Is OMS expanding to meet a real need or
adding a luxury service.
a. There are presently STATINTL
deriving only limited ene i from
any of the preventive medical programs
of OMS. There is a need to extend our
services to them to provide them with
services comparable to those services
their fellow employees are receiving.
b. There is a need of providing these
employees with preventive medical
services to supplement the principally
curative-type services they are
presently receiving whenever the
need arises. Preventive services are
not regarded as luxury services, but
as an essential part of any good medical
program.
c. This is not a luxury service, but rather
is an accepted standard in many areas of
industry and private medicine. We need
to provide these services to remain
abreast of the standard of practice in
other areas of society.
2. The benefits to be derived from the program.
a. Conservation of manpower through early
detection of medical problems and timely
medical guidance to reduce risks of
morbidity and mortality.
b. Increased productivity of employees through
preserving good health, correcting curable
problems or simply by virtue of the
Hawthorne effect.
Lit
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SUBJECT: Suggested Responses to Questions Regarding
Program Submiss on for FY 1975
STATINTL
3. The consequencgs of not proceeding with the
program.
a. There would be no contribution to the
conservation of manpower in this group of
b. OMS would not be making any substantial
contribution to any increased productivity
in these employees.
c. This group of employees would continue to
not receiv$ services comparable to those
services other groups of Agency employees
are presently receiving.
d. OMS would not be providing for these
employees a standard of care found in
many otherl,sectors of industry and private
medicine.
STATINTL
Medical Systems Development icer
Office of Medical Services
10 I0010015-6
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