In this 60 minute live webinar for State of Wellness, in partnership with HPLive.org and HPCareer.Net, National Institute for Occupational Safety and Health’s (NIOSH’s) Office for Total Worker Health™ and the NIOSH-funded Centers of Excellence to Promote a Healthier Workforce will unveil the latest tools and guidance for integrating health protection and health promotion. This web-based suite of resources will prepare practitioners tasked with the goal of protecting and promoting the health of their workforce and their communities with an innovative strategy for improving worker safety, health and well-being, both on and off the job.

1. Charting the Path to Total Worker Health™:
A Practitioner’s Guide to Getting Started
August 22, 2014
HPLive.org Webinars
The findings and conclusions in this presentation have not been formally
disseminated by the National Institute for Occupational Safety and Health, and
should not be construed to represent any agency determination or policy

2. LCDR Heidi Hudson, MPH
Office for Total Worker HealthTM
National Institute for Occupational Safety and
Health
Nicole Champagne, EdD
University of Massachusetts Lowell
The Promotion of Health in the New England
Workplace
Dede Montgomery, MS, CIH
Oregon Health & Science University
Oregon Healthy WorkForce Center
Jennifer Hall, EdD
University of Iowa Healthier
Workforce Center for Excellence
Jack Dennerlein, PhD
Northeastern University
Harvard Center for Work, Health and Wellbeing
Featured Presenters

3. • OSHA Act of 1970. SEC. (2) (b) . . . “to assure
so far as possible every working man and
woman in the Nation safe and healthful
working conditions and to preserve our
human resources . . .”
• NIOSH mission: “generate new knowledge in
the field of occupational safety and health
and to transfer that knowledge into practice
for the betterment of workers.”
– Scientific research, guidance and authoritative
recommendations, information dissemination,
and workplace health hazard evaluations
• NIOSH is dedicated to preserving and
enhancing the Total Health of Workers

4. The Total Worker Health™ Approach
Total Worker Health™ is a strategy integrating
occupational safety and health protection with
health promotion to prevent worker injury and
illness and to advance health and well-being.

5. Center for the
Promotion of
Health in the
New England
Workplace
(CPH-NEW)
Harvard School of
Public Health
Center for Work,
Health and
Wellbeing
Oregon
Healthy
WorkForce
Center
(OHWC)
University of Iowa
Healthier Workforce
Center for Excellence
(HWCE)
5

6. Example of Integration
An example: Providing ergonomic consultations
for work conditions within interventions that
also include arthritis self-management strategies
6

7. http://www.cdc.gov/niosh/twh/letsgetstarted.html

8. Making the Business Case
http://www.cdc.gov/niosh/twh/business.html
• Why Do I Need to Integrate Health
Protection and Health Promotion?
• How Can It Help My Business or
Workplace?
• Future Steps

9. Infographic: Top Reasons to Create a New
Pathway for a Safer and Healthier Workforce
http://www.cdc.gov/niosh/twh/topreasons/

10. Simple Steps to Get Started
http://www.cdc.gov/niosh/twh/steps.html
1. NIOSH Essential Elements of Effective
Workplace Programs and Policies for
Improving Worker Health and Wellbeing
2. Ideas You Can Implement Right Now to
Integrate Health Protection and Health
Promotion
3. Worksheet to Help You Get Started on
Program Design, Implementation, and
Evaluation

11. Assessment Tools
http://www.cdc.gov/niosh/twh/tools.html
1. Integration of Health Protection and Health Promotion:
Rationale, Indicators, and Metrics (Sorensen et al, 2013)
2. CDC Worksite Health ScoreCard (HSC)
3. NIOSH Organization of Work Measurement Tools for Research
and Practice
4. NIOSH Quality of Worklife Questionnaire
5. Occupational Safety and Health Administration (OSHA) Form 33
6. American College of Occupational and Environmental
Medicine’s Corporate Health Achievement Award
7. CDC Workplace Health Assessment

12. Guidelines for Integrated Approaches
http://www.cdc.gov/niosh/twh/tools.html
1. The Whole Worker: Guidelines for Integrating
Occupational health and Safety with Workplace
Wellness Programs, State of California Commission
on Health and Safety and Workers’ Compensation
(CHSWC); 2010
2. Healthy Workplace Participatory Program by Center
for Promotion and Health in the New England
Workplace (CPH-NEW); 2013
3. SafeWell Practice Guidelines: An Integrated
Approach to Worker Health Version 2.0 by the
Harvard School of Public Health, Center for Work,
Health, and Well-Being; 2012

13. Organizations Advancing Integrated Approaches:
Promising Practices for Total Worker Health
http://www.cdc.gov/niosh/twh/practices.html

14. Experience Total Worker Health
live and in-person!
www.eagleson.org/twh
www.eagleson.org/hfw

15. Stay Connected
For the latest news on Total Worker Health
Sign up for our quarterly eNewsletter, TWH in Action!
http://www.cdc.gov/niosh/TWH/newsletter/
Join the Conversation!
Follow us Twitter @NIOSH_TWH
Join the NIOSH Total Worker Health Group on LinkedIn
Email us at TWH@cdc.gov

16. Breakout Session
2014 Iowa Governor’s Safety & Health Conference
Cedar Rapids, IA ; November 7, 2013
Charting the Path to Total Worker Health™: A Practitioner’s Guide to Getting Started
August 22, 2014
Presented by:
Jenny Hall, EdD, MCHES
Associate Director for Outreach
UI Healthier Workforce Center for Excellence
jennifer-l-hall@uiowa.edu
HWCE Resources for a
Healthier & Safer Workforce
www.hwce.org

17. Purpose & Outline
• Introduce the University of Iowa Healthier Workforce
Center for Excellence (HWCE)
• Provide an overview of HWCE online resources for
implementing workplace programs on issues relevant
to Total Worker Health™
www.hwce.org

18. NIOSH Total Worker Health™ Centers of Excellence
Mission: Improve the health of workers in Iowa and
nationally through integrated health promotion and health
protection research, collaboration, and dissemination of
successful interventions.
Outreach Program Goals
 Identify and promote Total Worker Health™ best and promising
practices
 Serve as a state and national resource center for integrated employee
health, wellness and safety programs, practices and policies
Target small employers and those with limited resources
UIHWCE
www.hwce.org

19. HWCE Online Resources
The HWCE is committed to providing employers with
online, evidence-based information and tools to help build a
healthier and safer workforce.
 Monthly Healthier Workforce eBulletin
 HWCE Website
 Calendar of Events & Professional Development
Opportunities
 Social Media Channels
 Pinterest
 Twitter
 Facebook
 Videos (video series will be available in 2015)
www.hwce.org

20. Monthly eBulletin
Sign up at www.hwce.org
We translate research and promote promising practices in comprehensive, integrated workplace safety
and wellness programs. Bulletin topics guide web content, tools and resources.

21. HWCE Website
www.hwce.org
New and improved
website will launch
by October 1, 2014
www.hwce.org

22. Program Support
www.hwce.org

23. Background & Relevance
www.hwce.org

24. Workplace Programs
www.hwce.org

25. Ideas for Implementation
www.hwce.org

26. More Ideas for Implementation
www.hwce.org

27. TWH Considerations
www.hwce.org

28. Total Worker Health Approaches
www.hwce.org

29. Resources & Supporting Literature
www.hwce.org

30. Future Topics for Bulletins & Website
 Aging Workforce
 Diabetes
 Financial Literacy
 Mental Health (depression and
anxiety)
 Musculoskeletal Disorders
 Stress Management Programs and
Activities
 Work-Life Balance
www.hwce.org

31. Presentations & Publications
www.hwce.org

32. HWCE Current Website
Sign-up at www.hwce.org to stay connected and receive notice of official
website launch www.hwce.org

33. Current Program Support
www.hwce.org

34. HWCE on Pinterest
www.hwce.org
Follow Iowa Total Worker Health on Pinterest

35. HWCE on Facebook & Twitter
Follow us @UIHWCE on
Twitter
Like the “Healthier Workforce Center for Excellence” on
Facebook
www.hwce.org

36. Employer Tip of the Week
Shared through Twitter
@UIHWCE and Facebook
(Healthier Workforce
Center for Excellence)
www.hwce.org

37. In Closing…
Get Connected with the HWCE
 Sign up for the HWCE Healthier Workforce eBulletin at www.hwce.org
 Follow us on Twitter @UIHWCE
 Like us on Facebook at Healthier Workforce Center for Excellence
 Follow us on Pinterest at Iowa Total Worker Health
 Join us at upcoming conferences
 1st International Symposium to Advance Total Worker Health in Bethesda,
MD on Oct. 6-8, 2014
 2nd Annual Quad Cities Health Initiative Wellness Conference in Bettendorf,
IA on Nov 4, 2014
 25th Annual Art & Science of Health Promotion: What’s Next in Health
Promotion? in San Diego, CA on April 1-3, 2014
www.hwce.org

38. For More Information…
Contact:
Jenny Hall, EdD, MCHES
Associate Director for Outreach
jennifer-l-hall@uiowa.edu
319-335-4200
www.hwce.org

39. CPH-NEW Healthy Workplace
Participatory Program Toolkit
A new online toolkit to improve the health, safety, and wellbeing in
the workplace
How your organization will benefit?
http://bit.ly/18yrMv8
Why a participatory approach?
http://bit.ly/1dLNqOv
The science behind the program.
http://bit.ly/IBtgIT
Presenter:
Nicole Champagne, Ed.D.
University of MA Lowell

40. Healthy Worksite Training Series
Introduction to the Healthy Worksite website
Get ready for program start-up
Build your program team
Data and assessment
Using the IDEAS tool for participatory
intervention planning: steps 1 and 2
Using the IDEAS tool: steps 3, 4, 5
Using the IDEAS tool: step 6, 7 and
evaluation
http://www.uml.edu/Research/Centers/CPH-NEW/Healthy-Work-
Participatory-Program/Webinars.aspx

41. Implement and evaluate models for improving worker health
by combining:
• Worksite health promotion (WHP)
• Workplace safety and health (OSH)
Promote participatory approaches that engage all levels of
an organization in the design of effective, sustainable
workplace interventions
CPH-NEW’s goals include:
(From NIOSH Total Worker Health™ Mission)

42. Why a participatory workplace process?
Employee
health self-
efficacy
Increased program sustainability
Increased confidence to change
unhealthy conditions
Insights derived
from workers’
perspective
Find (other) root causes of
physical & psychosocial stressors
Find (other) root causes of
unhealthy behaviors
Reflect own experiences, needs
and language of the intended
program participants
Increased decision latitude
Increased social support

43. www.uml.edu/cphnewtoolkit
Dual committee program structure
• Engages employees in setting priorities and developing solutions
• Improves organizational communication and collaboration
IDEAS intervention planning process
• Integrates ergonomics with health promotion initiatives
• Develops a contextual business case for health and safety
interventions, one intervention at a time
• Establishes a sustainable process for continuous health/safety
improvement
CPH-NEW Healthy Workplace
toolkit promotes a healthy organization:

44. Design Team
Steering Committee
Recommended participatory program structure
Roles of Steering Committee (SC) & Design Team (DT)
Action &
feedback
Action &
feedback
• Forms DT & provides necessary resources
• Invites DT to develop and propose interventions
• Selects most feasible/desirable interventions
• Develops or extends interventions to middle
management & staff (with help from DT)
• Helps promote & evaluate all interventions
• Identifies & prioritizes employee health issues
• Comes up with ideas for workplace interventions
• Proposes best intervention ideas to SC
• Helps promote & evaluate all interventions
• Helps refine interventions, as needed

45. Step 1
Identify
Problems &
Contributing
Factors
Step 2
Develop
Objectives &
Activities
Step 3
Set
Selection
Criteria
Step 4
Apply
Selection
Criteria
Step 5a/5b
Rate/Select
Intervention
Alternatives
Step 6
Plan and
Implement
Interventions
Step 7
Monitor &
Evaluate
Intervention
How Does the IDEAS Tool Work?
Designing
interventions
with IDEAS
is an
iterative
process
Intervention, Design, and Analysis Scorecard

46. www.uml.edu/cphnewtoolkit
How to Use the Website
Program start up guides and tutorials
• Readiness and resource self-assessment
• Committee formation
• Assessment and problem identification
• Intervention planning
• Develop and evaluate solutions/interventions
IDEAS intervention planning tool for integrated
health protection/health promotion

47. CPH-NEW Healthy Worksite
Participatory Program Website

48. Interactive Tools
Worksheets and
Quick Reference
Guides for Facilitators
Online Readiness
Survey

50. A CPH-NEW Research-to-Practice (R2P)
Toolkit to promote Total Worker HealthTM
Toolkit was field tested 2010-2012
4 New England employer organizations
Evaluated ease of use, satisfaction, effectiveness
Toolkit addresses 3 shortcomings of conventional
workplace HP programs:
– Little sense of employee ownership, participation
– Little attention to conditions of job demands
– Activities can be event driven, lack sustainability
www.uml.edu/centers/CPH-NEW

51. SUCCESSS STORY
Examples of interventions designed at one field
test site….
Resident education materials for move-ins
New uniforms to address overheating
Work order process and policy changes
New hiring addressed staffing issue
Email for all maintenance technicians
Note: Study site continued the program after the end of the study.

52. Raised awareness
– Employee health, wellness, and safety
Improved communication
– Between workers and supervisors
New ideas for interventions
– Made change happen, solution-driven
“If this group was not around, our ideas would
not be heard as much and less would be
accomplished.” --DT member at study site
Impacts to Organization

53. Design Team
– New skills- problem solving, communication
– Feelings of value, pride, and respect
– Team building, meeting other co-workers
“He looked forward to the meetings and felt
empowered to go and have a say in things.”
-- Manager at study site
Personal Impacts

54. Structured process
Uncovers root causes
Leads to more complete solutions
Engages/empowers employees
Builds self-efficacy
Main Reasons for Using the
IDEAS Tool

55. Resources for workplace health
promotion professionals:
The SafeWell Guidelines
Glorian Sorensen (PI)
Jack Dennerlein, (Co-PI)
Deborah McLellan, (SafeWell PI)
22 August 2014

56. www.centerforworkhealth.sph.harvard.edu
PI: Glorian Sorensen
Co PI Jack Dennerlein
Manager: Lorraine Wallace
Be Well, Work
Well
Integrated approaches
for
health care workers
2007-
All the Right
Moves
Integrated approaches
for construction workers
2011-
SafeWell
Disseminating integrated
programs to small, medium
businesses
2011 -
56

57. www.centerforworkhealth.sph.harvard.edu
SafeWell Practice Guidelines
57
• SafeWell Practice Guidelines: An Integrated
Approach to Worker Health
• Purpose: To provide a real-world model of evidence-
based guidelines and tools for TWH programs
• Built on 20 years of research and informed by those
who practice integrated approaches.
available at: http://centerforworkhealth.sph.harvard.edu

58. www.centerforworkhealth.sph.harvard.edu
What’s in the Guidelines?
• Chapter 1: Providing the foundation: Organizational
leadership and commitment and employee
participation
• Chapter 2: Program planning
• Chapter 3: Implementation
• Chapter 4: Evaluation and continual improvement
58

59. www.centerforworkhealth.sph.harvard.edu
Chapter 1:
Providing the foundation
59
• Culture of Health
• Eliminate work hazards (physical
and psychosocial)
• Worker health and safety is
business success
• Multiple levels of management
• Top management has to
demonstrate commitment
• Mid-levels are on the front line

60. www.centerforworkhealth.sph.harvard.edu
Systems approach to worker
health and safety
McLellan D et al, 2012
60

61. www.centerforworkhealth.sph.harvard.edu
Making the Business Case:
Talking points
• Integrated approaches have
been shown to:
• Improve health behaviors1,2
• Improve employee participation
in programs3
• Reduce occupational injury
rates4
• Improve working conditions5
• Improve health and safety
programs5
1. Sorensen, Cancer Causes Ctrl 2002; 2. Sorensen, AJPH 2005; 3. Hunt, Hlth
Educ Beh 2005; 4. Maniscalco, JOEM 1999; 5. LaMontagne, OEM 2004; 6.
Pronk, JOEM , 2013;61

62. www.centerforworkhealth.sph.harvard.edu
Chapter 2: Program planning
Appoint a program planning
team
• Assess organizational
resources and needs
• Health and Safety
Assessment
• Communicate
• Strategic plan using
integrated approaches
• Communicate
62

63. www.centerforworkhealth.sph.harvard.edu
Chapter 3: Implementation
• Involves conducting activities of the
program plan
• For the SafeWell approach,
implement
• On physical environmental,
organizational, individual levels;
• And link health promotion, safety
and health, and employee
benefits and supports
• Examples:
http://www.cdc.gov/niosh/twh
63

64. www.centerforworkhealth.sph.harvard.edu
Implementation example –
WellWorks II
• Selected outcomes
• Reducing hazardous
respiratory exposures
• Reducing smoking rates
• Carbon monoxide (CO)
analysis activity1
• Identify high CO levels
• Provides feedback for
smokers
• Flags exposure to CO at
worksites
1 Available in SafeWell Guidelines, Chapter 3, Appendix 1, Page 141
64

65. www.centerforworkhealth.sph.harvard.edu
Chapter 4: Evaluation
and Continuous Improvement
65
Evaluate for..
• Accountability
• Decision-making
• Improvement
• Surveillance
• longitudinal analysis
• knowledge discovery
Approaches
• A team across departments
• Integrated data management
• Costs, benefits, ROI
• Milestones
• Communicate

66. www.centerforworkhealth.sph.harvard.edu
Specific resources
66
• Appendix 1.1: Soliciting Employee Advisory Board (EAB) members and EAB job
description (examples from the WellWorks-2 Project)
• Appendix 2.1: Selecting vendors: Topics and questions
• Appendix 2.2: Example of a baseline occupational safety and health audit
• Appendix 2.3: SIMS Checklist
• Appendix 2.4: Example of an injury/exposure investigation form
• Appendix 2.5: JourneyWell Dimensions of Corporate Wellness Scorecard
• Appendix 2.6: Examples of questions for individual worker interviews to
understand their experience specifically on worksite hazards and risks.
• Appendix 2.7: Example of an Assessment Report Outline
• Appendix 3.1: Sample SafeWell programs
• Appendix 3.2: Workplace health promotion and health protection tools and
resources

67. www.centerforworkhealth.sph.harvard.edu
Acknowledgements and links
• Developed in partnership with
• Dartmouth-Hitchcock Health Care (Robert McLellan)
• HealthPartners (Nico Pronk)
• Partners Health Care (Dean Hashimoto)
• Funded by NIOSH Total Worker HealthTM
U19OH008861
• Distributed by NIOSH at
• http://www.cdc.gov/niosh/twh/
• http://centerforworkhealth.sph.harvard.edu/resources/
safewell-resources
67

68. Oregon Healthy Workforce Center
• Oregon Health and Science University
– Oregon Institute of Occupational Health Sciences
– Division of Health Promotion and Sports Medicine
• Portland State University, Occupational Health
Psychology Program
• Labor Education and Research Center,
University of Oregon
• Kaiser Center for Health Research
Dede Montgomery montgomd@ohsu.edu

69. OHWC Research
• Employs randomized control trial design
• Team-based & technology-based
• Work populations:
– Homecare
– Construction
– Corrections
– Young Workers
http://www.ohsu.edu/ohwc/projects/

70. http://www.croetweb.com