BY ORDER OF THE AIR FORCE INSTRUCTION 40-101 …

1 NOTICE :This publication is available digitally on the SAF/AAD WWW site at: you lack access, contact your Publishing Distribution Office (PDO).COMPLIANCE WITH THIS PUBLICATION IS MANDATORYBY ORDER OF THE SECRETARY OF THE AIR FORCEAIR FORCE INSTRUCTION 40-1019 MAY 1998 Medical CommandHEALTH PROMOTION PROGRAMOPR: HQ AFMOA/SGOP (Maj Jayne E. Stetto) Certified by: AFMOA/CC(May Gen Earl Wl Mabry II)Supersedes AFI 40-101 , 19 July : 15 Distribution: FThis INSTRUCTION implements AFPD 40-1, Health Promotion. It gives requirements for operating, manag-ing, and evaluating of the Air FORCE Health Promotion Program (HPP). It applies to all Air FORCE mem-bers, retirees, and beneficiaries; Air FORCE civilian personnel; US Air FORCE Reserve and Air NationalGuard members on active duty orders for 31 consecutive days or more; and retirees of the Air ReserveComponent (ARC).

2 It implements Department of Defense (DoD) Directive , Health Promotion,March 11, 1986, with Changes 1 and 2; DoD INSTRUCTION , Smoke-Free Workplace, March 7,1994; and Healthy People 2000: DoD Health Promotion and Disease Prevention Objectives, May 1,1992. It interfaces with AFI 40-102, Tobacco Use in the Air FORCE ; AFI 40-104, Nutrition Education; AFI40-501, Air FORCE Fitness Program (AFFP); AFI 40-502, The Weight Management Program (WMP); AFI44-153, Suicide Prevention Education and Community Training; and AFI 40-XXX Health and WellnessCenters (HAWCs). The Privacy Act of 1974 applies to this AFI. Title 10, United States Code ( ),Section 8013, and Executive ORDER 9397 are authorities for establishing and keeping records. Send com-ments any suggested improvements on AF Form 847, Recommendation for Change of Publication,through channels, to HQ AFMOA/SGOP, 110 Luke Avenue, Room 400, Bolling AFB DC attachment 1 for a glossary of references, abbreviations, acronyms, and OF REVISIONSThis is a complete revision of the A Program Definition and Purpose 1.

3 Program Definition. Health Promotion (HP) is the science and art of helping people change lifestylebehaviors to move toward a balance of physical, emotional, intellectual, social, and spiritual health. Tofacilitate changes, health promotion incorporates a combination of social change strategies, namely: lead-ership, technology, economic, political/legal, education, social 9 MAY 19982. Program Purpose. The purpose of the Air FORCE HPP is to enhance readiness through optimal health and total forcefitness while supporting accessible, cost effective, and quality health care HPPs are dedicated to health, performance enhancement, and disease/injury goals are to increase personal performance and effectiveness as well as reduce preventable ill-ness and injuries for Air FORCE people and their families.

4 The identification and reduction of individual, family, unit, and group modifiable healthrisks, through effective teaming with other professionals forms the basis of Air FORCE HPPs include, as a minimum, the following awareness, education, and intervention core pro-grams: a Health Evaluation Assessment Review (HEAR) in conjunction with the Preventive HealthAssessment (PHA) to address both wellness perceptions and health risks; early intervention forincreasing personal performance and minimizing health risks; cycle ergometry fitness assessment andexercise prescriptions; fitness enhancement and conditioning; tobacco cessation, prevention anddeglamorization; drug and alcohol abuse awareness and prevention; general nutrition for all ages;injury and disease risk education; and stress management and Air FORCE HPPs will generally be offered within the HAWC, but are not restricted to the wellness and community-based HPP programs will also be B Responsibilities 3.

5 Chief, Prevention Division and Chief, Health Promotion (AFMOA/ SGOP). Supports the strategic plan developed by the AF/SG to guide HPP plans, implementation, Reviews and procures policy and management systems to aid in the implementation of theAF Medical Service (AFMS) strategic Develops and recommends changes to HP Coordinates annual training conference and formal training sessions for Health Promotion Man-agers (HPM) and Health Promotion Directors (HPD). Tracks annual metrics for compliance with AF policy and performance-based measures asdefined in AFPD MAJCOM Commander (MAJCOM/CC). Provides leadership to the command MAJCOM Surgeon (MAJCOM/SG). Assigns most qualified medical service officer (or civilian grade equivalent) to be the Reviews and approves the command health promotion goals and Evaluates the effectiveness of command health promotion Briefs the MAJCOM/CC on the status of the Command HPP and Ensures HAWCs are fully staffed and resourced according to most recent program 9 MAY Attends or designates attendee to appropriate MAJCOM committees ( Community ActionInformation Board (CAIB) or Care on Target Team), to address issues and concerns related to healthpromotion, disease prevention, and behavioral health MAJCOM Health Promotion Director (MAJCOM/HPD).

6 Advises the MAJCOM/CC and SG on health promotion Establishes annual MAJCOM goals related to HP that support AFMS strategic Establishes a consolidated plan with MAJCOM/CC and MAJCOM/SG to ensure adequateresources (staffing, facility, finance) to support the command Evaluates the effectiveness of installation HPPs in achieving MAJCOM goals and Maintains a current roster of installation HPMs, alternates, and assistants; provides changes toAFMOA/SGOP. Reviews and forwards metric data to AFMOA/SGOP as directed by AFPD 40-1. Provides health promotion guidance and instructions to assigned installation HPMs to help themin developing and implementing programs; performs staff assistance visits as Selects an experienced HPM within the MAJCOM to function as command consultant for HP forthe other Selects an experienced IFPM within the MAJCOM to function as command consultant for fit-ness for the other Installation Provides leadership and guidance for the implementation of an integrated and Supports HPP initiatives through authorization of regular briefings by functional experts toinstallation senior leadership on health of the FORCE issues ( , tobacco, fitness, alcohol).

7 Appoints, in writing, pro-active line and medical personnel as members of a multidisciplinaryinstallation health promotion working group (HPWG). Chairs (or designates an alternate to chair) the Programs and allocates sufficient appropriated funding (APF) and staffing resources to supporteffective HAWC Reviews installation metric data prior to submission to MAJCOM/HPD and Ensures centralized fitness testing within the HAWC to guarantee proper fitness testing standard-ization and In conjunction with the MDG/CC ensures adequate and qualified staff assigned to the HAWC. 8. Commander/Director, Services (SV). Functions, or appoints the deputy, as a liaison between SVS and the HAWC to ensure fully inte-grated SVS and HP activities. 4 AFI40-101 9 MAY Ensures the combat support Flight Chief (APF) and the Business operations Flight Chief (NAF)act as the SVS representatives for the fitness center and APF and NAF food/dining activities to The combat support and Business operations Flight Chiefs, with assistance from theHPM, accomplish the Check It Out checklist for healthy food identification at least semi-annuallyfor all APF and NAF SVS food/dining Checklist data is presented by the SVS representatives at the HPWG (or other HP fora) forinclusion into the meeting minutes.

8 Completed checklists will be locally staffed by the SVS representatives and forwarded tothe HPMs will forward copies of the completed checklists to the MAJCOM Ensures that food service workers prepare foods in compliance with the Dietary Guidelines forAmericans and the USDA Food Pyramid Ensures foods in all APF and NAF food/dining activities are labeled and available in accor-dance with the Check It Out nutrition and education training program as outlined in AFI 40-104,Nutrition Ensures SVS members assigned to the fitness centers are qualified and trained to provide physi-cal fitness education to members on the Medical Group Commander (MDG/CC). Provides medical leadership and guidance through the appropriate squadron commander for theimplementation of integrated HP, HAWC, Put Prevention Into Practice (PPIP) and Preventive HealthAssessment (PHA) Programs and allocates sufficient Defense Health Program (DHP) funding to support productiveand effective HPP Ensures and advocates for the authorization of adequate resources for the HPP from both medicaland line funding Supports the HPM in all health promotion Ensures and facilitates HPM interface with senior base leaders on a regular basis for health andwellness updates, resourcing, In conjunction with the Installation Commander, ensures adequate and qualified staff areassigned to the HAWC.

9 Staffing, as a minimum, will be: one HPM, one medical technician (two ifbase total FORCE population greater than 6,000), one exercise physiologist, and one information Ensures members assigned to the HAWC are qualified and trained to provide professionaloversight and training on HP topics to other base Aerospace Medicine Squadron Commander (AMDS/CC) or Medical O pe r at i o ns Squ ad ro nCommander (MDOS/CC) Oversees the installation 9 MAY Ensures integration of all health promotion and disease prevention Appoints a medical provider, preferably with preventive medicine experience, as the medicaladvisor to the Appoints a provider, preferably with sports medicine or physiology experience, as the medicalliaison officer to the AF Fitness Program (AFFP). Ensures and advocates, through the medical executive committee, for the authorization of ade-quate resources for the HPP from both medical and line funding Ensures programming, planning, and budgeting to support the professional development of theHPM , Epidemiology, fitness, nutrition, or related Installation Administrative and Management Receives the professional development necessary ( , Cooper Institute for AerobicsResearch Health Promotion Director Certification within three months of assignment) to providehigh quality Serves as assistant chairperson of the installation HPWG and is an active member of theIntegrated Delivery System (IDS) team, and Medical Treatment Facility (MTF)

10 Prevention Recommends to installation commander appointment of line and medical personnel toHPWG; provides guidance and training for appointed Manages, plans, and conducts the installation HPP and manages the installation Healthand Wellness Center (HAWC) Oversees and evaluates all HAWC staff Develops budgets for both line (APF) and medical (DHP) funding to support a successful,high quality HPP and Works with installation financial management (FM) team and MTF RMO for budgetdevelopment and strategic planning of Establishes installation process and outcome objectives, in cooperation with the HPWG members, consistent with MAJCOM goals and addressing the specific needs of the goals support the AFMS strategic Reviews and forwards metric data to MAJCOM HPD after coordination with installationcommander as defined in AFPD Develops local HPP instructions to guide program execution and ensure establishedparameters for client referral and follow-up Establishes and maintains liaison with supporting installation staff, medical personnel,and other base agencies ( Child Development Center, Family support Center)