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A series on basic cardiopulmonary resuscitation (CPR) taught by an occupational health nurse to approximately 250 petroleum refinery employees became the impetus for a broader wellness seminar series. The CPR courses were held after hours. To encourage more attendance through the "buddy system," employees were urged to enroll their spouse or other family member or friend in the courses. The employee population consists of multicultural, professional, blue collar, and technical workers, ages 18 to 70. At the completion of the classes, several employees approached the occupational health nurse and her supervisor requesting a seminar series on health issues. This employee interest generated the idea for a wellness seminar series. GOALS AND OBJECTIVES OF THE PROGRAM Health care costs have continued to escalate over the past decade, and much is written about ways to hold down health care costs (Warner, 1988). As the cost of health care increasingly shifts to business, health services rendered must show economic value added-"a way of

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This time like all time is a very good time if we know what to do with it." Ralph Waldo EmersonO ccupational health nurses are often mandated by management to prove the value of health services as supportive of the company mission and success. Along with clinical needs and standards of care, health care is driven by cost. Cost-benefit ratios, cost effective analyse s, budget s, and strategic business planning are discussed in health care circles today as routinely as health risk reduction programs. The business plan is a valuable tool to use for documenting efficient, cost effective health care delivery in the workplace. Knowledge of business plan development provides the occupational health nurse with a pract ical method to insert concerns, clinical experience, and expertise into business decisions. The business plan is a statement of the mission and purpose of the unit which articulates the strategy for achieving the goals of the occupational health services unit. The strategy is outlined and documented in the business plan as supporting the goals and mission of the company. Thus, the occupational health nurse is able to develop a plan addre ssing occupational health needs of the client, while contributing to corporate success.This article focuses on the use of busines s process design which includes benchmarking and SWOT analysis in the development of the business plan for the occupational health services unit. The information is appropriate for a one nurse or multi-nurse facilit y. The business plan is presented as a working document, changing

nformation technology offers a professional challenge to occupational and environmental health nurses and managers. Information systems, telecommunications, and methods of information delivery challenge nurses to strategically manage occupational and environmental health data. Most important in the management of employee health information is the preservation and protection of the confidentiality of health records. Historically, nurses in the workplace have been charged with protecting the confidentiality of client's health records. They can relate many tales of educational sessions with supervisors and management explaining ethical and legal confidentiality issues related to employee health information. Information systems and technology can make the nurse's responsibility more difficult or much easier, depending on the strategic management plan for infor