cdc initiative in worksite health promotion jason e. lang, mph, ms team lead, workplace health...
TRANSCRIPT
CDC Initiative in Worksite Health Promotion
Jason E. Lang, MPH, MSTeam Lead, Workplace Health Programs
National Center for Chronic Disease Prevention and Health Promotion
ACSM/IAWHP Executive Summit April 1, 2014
National Center for Chronic Disease Prevention and Health Promotion
Division of Population Health
Among Firms Offering Health Benefits, Percentage Offering a Particular Wellness Program to Their Employees, by Firm Size, 2013
* Estimate is statistically different between All Small Firms and All Large Firms within category (p<.05).
NOTE: Biometric screening is a health examination that measures an employee's risk factors
SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2013.
Gym Membership Discounts orOn-Site Exercise Facilities*
Smoking Cessation Program*
Web-based Resources for Healthy Living*
Wellness Newsletter*
Lifestyle or Behavioral Coaching*
Biometric Screening*
Weight Loss Programs*
Employee Assistance Program (EAP)*
Flu Shot or Vaccinations*
Class in Nutrition/Healthy Living*
Offer at Least One Specified Wellness Program*
Other Wellness Program*
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
21%
39%
47%
47%
33%
26%
31%
22%
53%
20%
76%
10%
69%
71%
78%
60%
57%
55%
58%
79%
87%
50%
99%
26%
All Large Firms (200 or More Work-ers)
All Small Firms (3-199 Workers)
Assessment
Planning/Implementation
Evaluation
Individual(e.g. demographics, health
risks, use of services)
Organizational(e.g. current practices, work environment, infrastructure)
Community(e.g. transportation, food and retail, parks and recreation)
Contextual Factors(e.g. company size, company sector, capacity, geography)
Programs(e.g. education and counseling)
Policies(e.g. organizational
rules)
Health Benefits(e.g. insurance,
incentives)
Environmental Support
(e.g. access, opportunity,
physical/social)
WorkerProductivity
(e.g. absenteeism, presenteeism)
HealthcareCosts
(e.g. quality of care, performance standards)
Improved Health Outcomes
(e.g. reduced disease and disability)
Organizational Change“Culture of Health”
(e.g. morale, recruitment/retention, alignment of health and business
objectives)
Workplace Governance(e.g. leadership support, dedicated resources, health improvement plan, staffing, partners/vendors, communications, informatics)
Workplace Health Model
Timeline
1999 2013
NHWP Work@Health
Diabetes@Work
2011
Business Cooperative Agreement
2002
Healthier Worksite Initiative
2006
The Purchaser’s Guide
2005
NIOSH WorkLife Initiative
NIOSH Total Worker Health
2010
Workplace Health Toolkit
2012
Worksite Health
ScoreCard
CDC Healthier Worksite Initiative
• Goals– For worksite health promotion to
become a part of CDC culture– Increase “healthy days” among
CDC employees
• Strategies– Formative research– Collaboration– Physical Environment
modifications– Policy modifications
http://www.cdc.gov/hwi
CDC Healthier Worksite InitiativeGarden Market
CDC Healthier Worksite InitiativeStairWELL to Better Health
Project
Before After
CDC Healthier Worksite Initiative
Food at Meetings Guidance
Tobacco Free Campus
• Significant policy change in 2005• Completely smoke free
campuses, indoors and out• Collaboration of health
promotion, clinical, EAP staff and “quit-lines”
• Personal quit plan, free nicotine replacement
• Support for multiple quit attempts
• Link annually with the Great American Smokeout®
Building Diverse Partnerships
A Purchaser’s Guide to Clinical Preventive Services: Moving Science
into Action
NBGH product developed with CDC and AHRQ
Recommended clinical preventive services for health benefits design
Comprehensive: 46 conditions, 50% address chronic diseases
Targeted to all health care purchasers (public and private)
Written with contract language (Summary Plan Description – SPD)http://www.businessgrouphealth.org/preventive
CDC Workplace Tools and Resources
Organizational Culture & Leadership
1. Develop a “Human Centered Culture”
2. Demonstrate Leadership3. Engage Mid-Level Management
Program Design4. Establish Clear Principles5. Integrate Relevant Systems6. Eliminate Recognized
Occupational Hazards7. Be Consistent8. Promote Employee Participation9. Tailor Programs to the Specific
Workplace10. Consider Incentives and
Rewards
11. Find and Use the Right Tools12. Adjust the Program as Needed13. Make Sure the Program Lasts14. Ensure Confidentiality
Program Implementation & Resources
15. Be Willing to Start Small & Scale Up
16. Provide Adequate Resources17. Communicate Strategically18. Build Accountability into Program
Implementation
Program Evaluation19. Measure and Analyze20. Learn from Experience
Essential Elements of Integrated Programs
The CDC Worksite Health ScoreCard (HSC)
Organizational supports Tobacco control Nutrition Lactation support Physical activity Weight management Stress management Depression
http://www.cdc.gov/dhdsp/pubs/docs/HSC_Manual.pdf
Assesses best practice health promotion interventions (policies, programs, environmental supports)
High blood pressure High cholesterol Diabetes Signs and symptoms of heart
attack and stroke Emergency response to heart
attack and stroke Occupational Safety and Health Vaccine-Preventable diseases Community resources
The National Healthy Worksite Program (NHWP) is designed to assist employers in implementing science and practice-based prevention and health promotion strategies that will lead to specific, measureable health outcomes to reduce chronic disease rates. The NHWP seeks to promote good health through prevention, reduce chronic illness and disability, and improve productivity outcomes that contribute to employers’ competitiveness.
Module 4 Module 5
NHWP Training and Assistance Continuum
Driving senior leadership support
Creating a healthy worksite culture
Building infrastructure and capacity
Making the Business Case
Leadership and Culture
Data Collection
Planning & Implementation
Program Evaluation
Module 1 Module 2 Module 3
Relationship between health and performance
Impact of worksite health program
Key components of a compre-hensive worksitehealth program
Worksite healthassessment process
Types of data to collect
Using data for program planning
Determining program goals and objectives
Developing detailed worksite health plans
Putting assessment and planning into practice
Measuring process and outcomes
Key evaluation metrics
NHWP WH 101 Training Manualhttp://www.cdc.gov/nationalhealthyworksite/join/Training-
materials.html
Overview Work@HealthTM is an employer based training
program The Work@HealthTM Program will build employer
knowledge and skill as well as capacity to implement, grow and sustain effective workplace health promotion and protection strategies.
Accelerate the adoption of science-based worksite health programs nationwide.
Help to identify, develop, and share best practice models for comprehensive worksite health program training.
Work@HealthTM Program Structure
There are two basic ways to get involved: Work@HealthTM Employer training
Designed to train U.S. employers of all sizes and types how to establish, expand and improve science- and practice-based health promotion strategies that will lead to specific, measureable means to reduce chronic disease rates in the workplace.
Work@HealthTM Train-the-Trainer (certified) training Will provide employers and other participants with the
knowledge and tools to train employers using the Work@HealthTM curricula how to promote good health in their workplaces to prevent or reduce chronic illness and disability, thereby improving productivity and the competitiveness of employers participating in this training program.
Benefits to Employers
Professional training at no cost to the participant. Complete organizational health and safety assessment to define
existing needs. Expert technical assistance and consultation. Seed funding up to $5,000. Opportunity to network with peers. Participation recognition.
What you receive:
Benefits to Certified Trainers
Professional training at no cost to the participant. Enhanced knowledge and skills necessary to deliver.
comprehensive workplace health training. Enhanced skill at using integrated social media and
professional training tools. Seed funding up to $2,500. Expansion of professional network. Certificate of achievement.
What you receive:
Work@HealthTM Program Components
Formal Training Technical
Assistance Seed Funding
Support
Work@HealthTM Training Modalities
Employer Training Model
OnlineSeminars, case
studies and practical
demonstrations delivered through
distance-based mechanisms such
as webinars.
Hands-OnEmployers participate
in in-person interactive workshops that provide content through a variety of
approaches, including lectures and case
studies.
Blended Involves a
combination of distance-based or e-learning (online model) and in-
person classroom sessions
(hands-on model).
Employer Curricula
Core Elements
Work@HealthTM Technical Assistance
ASSESSMENT
PLANNING
EVALUATION
IMPLEMENTATION
Cu
rric
ulu
m C
on
tin
uu
m
Organic Technical Assistance
Structured Technical Assistance
Core Training
Work@Health™ Technical Assistance Learning Community
2014 Training Dates and Locations
BALTIMOREOnline – March 16 – April 5In-person, blended, T3 – April 8-10
Work@HealthTM Program Evaluation
Overall program will be conducted through quantitative and qualitative data applying the RE-AIM framework to assess: The comparative effectiveness of the four models in
reaching and engaging employers and long-term sustainability.
The effect of the training on employers’ learning and self-efficacy in applying knowledge and skills gained through training.
The resulting actions taken by employers to set up science-based workplace health programs, policies, practices, and environmental supports.
Information will be disseminated through manuscripts, case studies, and success stories.
Additional Benefits
• A complete health and safety assessment of their organization
• Technical assistance and community support resources over 12 months
• Seed funding to help take action– Up to $5,000 for employers to implement interventions– Up to $2,500 for trainers to train others
• On-going networking opportunities
Visit The TWH™ Website: http://www.cdc.gov/niosh/TWH/
CDC Workplace Health Promotion Toolkitwww.cdc.gov/whp
CDC Worksite Health Promotion Programs
www.cdc.gov/NationalHealthyWorksite
www.cdc.gov/workathealth
Thank You
For more information please contact Centers for Disease Control and Prevention
E-mail: [email protected] Web: http://www.cdc.gov/workplacehealthpromotion http://www.cdc.gov/NationalHealthyWorksite http://www.cdc.gov/workathealth
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
National Center for Chronic Disease Prevention and Health Promotion
Division of Population Health