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CDC Workplace Health Tools and Resources


                        Jason Lang, MPH, MS
 National Center for Chronic Disease Prevention and Health Promotion
             Centers for Disease Control and Prevention
                           June 16, 2011



                                                                       TM
Learning Objectives

     Describe CDC’s health promotion framework and
      strategy for chronic disease prevention in the
      workplace.
     Provide examples of CDC Workplace Health
      information, tools, resources, and guidance
     Discuss ongoing efforts to develop additional
      Workplace Health resources



Disclaimer: The findings and conclusions in this presentation are those of the author and do not necessarily represent
                        the official position of the Centers for Disease Control and Prevention                          TM
Reasons Employers Are Not Taking Action

 Lack of:
  – Resources
  – Understanding of health risk/conditions and
    effective interventions
  – Capacity
  – Publicly available tools



                                                  TM
CDC Organizational Priorities
 Mission: Collaborating to create the
  expertise, information, and tools that
  people and communities need to protect
  their health – through health promotion,
  prevention of disease, injury and
  disability, and preparedness for new
  health threats
 Priorities
    – Strengthen surveillance and epidemiology
    – Improving support to states and localities
    – Improving policy effectiveness, including
      health reform
    – Better address the leading causes of death
      and disability
    – Provide global health leadership             TM
Workplace Health Goals

 Create the standard for what employers should do; and
  how to measure progress


 Increase the number of employers that provide
  workplace health promotion programs


 Improve the quality of employer efforts
   – Implement cross-cutting interventions that address
     multiple outcomes simultaneously
   – Apply existing, categorical, evidenced-based
     interventions in a comprehensive, strategic, and
     sustained fashion
                                                          TM
CDC’s Roles in Promoting a
             Healthy Workforce

 Expand the science base for effective prevention
  approaches at the workplace
 Promote action through partnerships
 Monitor workplace policies, programs and practices
 Provide high quality information that addresses
  business needs




                                                       TM
Expand the Science Base for Effective
     Prevention Approaches at the
              Workplace
 Determine effective interventions to prevent chronic
  disease that are relevant for the workplace


 Translate the interventions with the most rigorous
  evaluations and evidence for effectiveness in workplace
  settings


 Disseminate resources and tools to employers that
  address business needs

                                                            TM
The Guide to Community Preventive
      Services – (The Community Guide)

 Summarizes what is known about the effectiveness,
  economic efficiency, and feasibility of interventions to
  promote health and prevent disease




               www.thecommunityguide.org

                                                             TM
Community Guide Worksite Reviews
    www.thecommunityguide.org/worksite/index.html
 Deceasing Tobacco Use in Worksite Settings (2000)
 Promoting Physical Activity and Obesity Prevention (2001-
  2007)
 Interventions to Promote Seasonal Influenza Vaccinations
  (2008)
 Assessment of Health Risks with Feedback (AHRF)
  (2008)




                                                              TM
Peer Reviewed Publications




     www.cdc.gov/pcd         TM
A Purchaser’s Guide to Clinical Preventive Services

 Developed by CDC, the
  Agency for Healthcare
  Research and Quality
  (AHRQ), and the National
  Business Group on Health
  (NBGH)
 Recommended clinical
  preventive services for health
  benefits design
 Targeted to all health care
  purchasers (public and
  private)


                                                  TM
Purchaser’s Guide 2.0
http://www.businessgrouphealth.org/preventive




                                                TM
Physical Activity Guidelines Employer
                Toolkit




                                        TM
Health and Sustainability Guidelines for
Federal Concessions and Vending Operations
http://www.cdc.gov/chronicdisease/resources/guidelines/food
                  -service-guidelines.htm

 Goal of the Guidelines
  is to assist contractors
  in increasing healthy
  food and beverage
  choices and
  sustainable practices
  at federal worksites
 Translates the 2010
  Dietary Guidelines for
  Americans
                                                              TM
Promote Action Through Partnership




                                     TM
Partnership for Prevention
http://www.prevent.org/Initiatives/Leading-by-Example.aspx
  Leading by Example (LBE): Leading
   Practices for Employee Health
   Management (2007)
  Investing in Health (2008)
  Community Health Promotion Action
   Guides (2008)
  LBE Resource Guide for Small and
   Mid-size Employers (2011)
  Creating Healthy Communities
   through Corporate Engagement
   (2011)
                                                             TM
Leading by Example Employer Guides




                                     TM
Leading by Example: The Value of Worksite
  Health Promotion to Small and Medium-
              Sized Employers
 Small Employer Sidebars
 Business Case
 Wellness Strategies and
  Interventions
 Health Management
  Initiative Assessment
 Invitation to Join the Leading
  by Example Initiative


                                             TM
Support for Business Cooperative
               Agreement
 National Business
  Group on Health
  – Employer Case Studies
  – Monthly Health Tips to
    Members
  – Purchaser’s Guide to
    Clinical Preventive
    Services: Moving Science
    into Coverage
  – Tobacco: The Business of
    Quitting Website
    (http://www.businessgroup
    health.org/tobacco/)
                                       TM
Support for Business Cooperative
               Agreement
 National Safety
  Council
  – Development and
    delivery of Web-based
    safety and health
    decision support tools
    with Information on best
    practices for employee
    health management
    and development of
    effective health and
    safety promotion
    programs
                                       TM
National Safety Council Off the Job
             Resource
     http://beyondworkplace.nsc.org




                                      TM
Support for Business Cooperative Agreement

 National Business
  Coalition on Health
  – Community Health
    Partnerships
  – Diabetes Seed
    Grant Program
  – eValue8
  – Health Risk
    Appraisals (HRA)
    at the Worksite:
    Basics for HRA
    Decision Making     www.nbch.org         TM
School Employee Wellness Guide
                    www.schoolempwell.org

 Developed with Directors of
  Health Promotion and
  Education (DHPE)
 Addresses 4% of the
  nation’s workforce
 Addresses the Employee
  Wellness component of the
  coordinated school health
  model
 Provides a model for
  establishing programs and
  tools to implement them


                                            TM
Monitor workplace policies, programs and
                practices

            CDC HealthScoreCard (HSC)
 Update of original Heart Check and Heart Check Lite
  assessment tools
 Emphasis on heart disease and stroke prevention
 Approximately 100 item instrument
 Assist employers in creating healthier worksites through
  organizational questions (program, policy, and practice) that
  identify best practice, opportunities, and gaps
 Comprehensive in organization and content
 Conduct reliability, validity, and feasibility with employers

                                                                  TM
CHANGE Assessment Tool
             Community Health Assessment aNd Group Evaluation
                                                       Purpose of the CHANGE
                                                        tool
                                                          – Capture current snapshot
                                                            of the community
                                                          – Group activity/consensus
                                                            building


                                                       5 Sectors: Community,
                                                        Worksite, School,
                                                        Community-Based
                                                        Institution, and Healthcare


                                                       Modules: Demographics,
                                                        Physical Activity, Nutrition,
                                                        Tobacco Use, Chronic
                                                        Disease Management,
http://www.cdc.gov/healthycommunitiesprogram/tools/     Leadership, & After-School
                    change.htm
                                                                                        TM
Provide high quality information in
 Business Terms that Address Business
                Needs
 Enhance communication by
   Developing effective employer and community
    communication and education programs focused on the
    benefits of and options for health promotion and
    disease and injury prevention, and
   Using proven marketing and social marketing
    techniques to promote individual behavioral and
    community change




                                                          TM
CDC Workplace Health Promotion Toolkit
             and Portal
    www.cdc.gov/workplacehealthpromotion




                                           TM
CDC LEANWorks!
www.cdc.gov/leanworks




                        TM
Healthier Worksite Initiative (HWI)
http://www.cdc.gov/nccdphp/dnpao/hwi/index.htm

 Began October 2002
  as an internal
  initiative for worksite
  health promotion to
  become a part of
  CDC culture
 Expanded to include
  development of tools
  to share information
  and lessons learned
  with other federal
  agencies
                                                 TM
Tobacco Cessation Resources




www.cdc.gov/workplacehealthpromotion/implementation/topics/tobacco-use.html

                                                                              TM
Successful Business Strategies to Prevent
       Heart Disease and Stroke Toolkit

 Provides information on
  recommended preventive health
  benefits and services and worksite
  health promotion interventions


 Available at:
  http://www.cdc.gov/dhdsp/pubs/
  employers_toolkit.htm




                                               TM
Moving into Action Guides
 Updates to 2005 guides
 Target Audiences: Governors,
  State Legislators, Local Leaders,
  and Employers
 Comprehensive approach
  through policy and legislation
 Examples with sample policy
  language, highlights, emerging
  opportunities, tools and
  resources, and testimonials
 Available at:
  http://www.cdc.gov/dhdsp/mov
  ing_into_action.htm



                                          TM
National Diabetes Education Program (NDEP) Business Health
        Strategy Workgroup (BHS) Goals and Partners

 To increase awareness of the
  benefits of quality diabetes care
  among employers, benefits
  managers and managed care
  decision makers
 To provide employers, health plans
  and employees with tools and
  information for incorporating
  diabetes education programs into
  the workplace
 To promote the value of investing
  in prevention
 Available at:
  www.Diabetesatwork.org and
  www.ndep.nih.gov


                                                              TM
Integration of Traditional Occupational
    Health with Health Promotion

                      WorkLife
              A National Institute for Occupational
                   Safety and Health Initiative
                 www.cdc.gov/niosh/worklife


              Essential Elements of Effective
               Workplace Programs
              Stress…At Work
              Resources Page: 99 Web-Links
               Worth Having                           TM
CDC Workplace Health Promotion Toolkit
             and Portal
    www.cdc.gov/workplacehealthpromotion




                                           TM
CDC Workplace Health Promotion Toolkit
             and Portal
1
                               3




            2

                                         TM
Orientation Videos




    http://bcove.me/r43dob93


                               TM
Other CDC Access Portals




    www.cdc.gov/workplace
                            TM
Community Health Resources Web Portal

     www.cdc.gov/communityhealthresources




                                            TM
Walking the Walk – CDC’s Wellness
                 Program
 Tobacco Cessation
 Garden Markets
 Stairwell Campaign
 Fall Flu Campaign
 Go Green Get Healthy
 Walking Clubs
 Occupational Health Clinics
 Lifestyles Program
                                         TM
Acknowledgements
 Wendy Heaps – Office of the Associate Director for Policy, CDC
 Casey Chosewood – National Institute for Occupational Safety and Health,
  CDC
 Pam Allweiss – National Center for Chronic Disease Prevention and Health
  Promotion, CDC
 Dyann Matson Koffman – National Center for Chronic Disease Prevention and
  Health Promotion, CDC
 Tina Lankford – National Center for Chronic Disease Prevention and Health
  Promotion, CDC
 Bo Kimsey – National Center for Chronic Disease Prevention and Health
  Promotion, CDC
 Suzanne Mercure – National Business Coalition on Health
 Tess Benham – National Safety Council
 Ron Finch – National Business Group on Health
 Katherine Ruffatto – Partnership for Prevention
 Amy Slonim and Margaret Hawkins - AARP                                      TM
Thank You


Contact Information:


    Jason Lang
  jlang@cdc.gov


                       TM

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CDC Workplace Health Tools and Resources State of Wellness

  • 1. CDC Workplace Health Tools and Resources Jason Lang, MPH, MS National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention June 16, 2011 TM
  • 2. Learning Objectives  Describe CDC’s health promotion framework and strategy for chronic disease prevention in the workplace.  Provide examples of CDC Workplace Health information, tools, resources, and guidance  Discuss ongoing efforts to develop additional Workplace Health resources Disclaimer: The findings and conclusions in this presentation are those of the author and do not necessarily represent the official position of the Centers for Disease Control and Prevention TM
  • 3. Reasons Employers Are Not Taking Action  Lack of: – Resources – Understanding of health risk/conditions and effective interventions – Capacity – Publicly available tools TM
  • 4. CDC Organizational Priorities  Mission: Collaborating to create the expertise, information, and tools that people and communities need to protect their health – through health promotion, prevention of disease, injury and disability, and preparedness for new health threats  Priorities – Strengthen surveillance and epidemiology – Improving support to states and localities – Improving policy effectiveness, including health reform – Better address the leading causes of death and disability – Provide global health leadership TM
  • 5. Workplace Health Goals  Create the standard for what employers should do; and how to measure progress  Increase the number of employers that provide workplace health promotion programs  Improve the quality of employer efforts – Implement cross-cutting interventions that address multiple outcomes simultaneously – Apply existing, categorical, evidenced-based interventions in a comprehensive, strategic, and sustained fashion TM
  • 6. CDC’s Roles in Promoting a Healthy Workforce  Expand the science base for effective prevention approaches at the workplace  Promote action through partnerships  Monitor workplace policies, programs and practices  Provide high quality information that addresses business needs TM
  • 7. Expand the Science Base for Effective Prevention Approaches at the Workplace  Determine effective interventions to prevent chronic disease that are relevant for the workplace  Translate the interventions with the most rigorous evaluations and evidence for effectiveness in workplace settings  Disseminate resources and tools to employers that address business needs TM
  • 8. The Guide to Community Preventive Services – (The Community Guide)  Summarizes what is known about the effectiveness, economic efficiency, and feasibility of interventions to promote health and prevent disease www.thecommunityguide.org TM
  • 9. Community Guide Worksite Reviews www.thecommunityguide.org/worksite/index.html  Deceasing Tobacco Use in Worksite Settings (2000)  Promoting Physical Activity and Obesity Prevention (2001- 2007)  Interventions to Promote Seasonal Influenza Vaccinations (2008)  Assessment of Health Risks with Feedback (AHRF) (2008) TM
  • 10. Peer Reviewed Publications www.cdc.gov/pcd TM
  • 11. A Purchaser’s Guide to Clinical Preventive Services  Developed by CDC, the Agency for Healthcare Research and Quality (AHRQ), and the National Business Group on Health (NBGH)  Recommended clinical preventive services for health benefits design  Targeted to all health care purchasers (public and private) TM
  • 13. Physical Activity Guidelines Employer Toolkit TM
  • 14. Health and Sustainability Guidelines for Federal Concessions and Vending Operations http://www.cdc.gov/chronicdisease/resources/guidelines/food -service-guidelines.htm  Goal of the Guidelines is to assist contractors in increasing healthy food and beverage choices and sustainable practices at federal worksites  Translates the 2010 Dietary Guidelines for Americans TM
  • 15. Promote Action Through Partnership TM
  • 16. Partnership for Prevention http://www.prevent.org/Initiatives/Leading-by-Example.aspx  Leading by Example (LBE): Leading Practices for Employee Health Management (2007)  Investing in Health (2008)  Community Health Promotion Action Guides (2008)  LBE Resource Guide for Small and Mid-size Employers (2011)  Creating Healthy Communities through Corporate Engagement (2011) TM
  • 17. Leading by Example Employer Guides TM
  • 18. Leading by Example: The Value of Worksite Health Promotion to Small and Medium- Sized Employers  Small Employer Sidebars  Business Case  Wellness Strategies and Interventions  Health Management Initiative Assessment  Invitation to Join the Leading by Example Initiative TM
  • 19. Support for Business Cooperative Agreement  National Business Group on Health – Employer Case Studies – Monthly Health Tips to Members – Purchaser’s Guide to Clinical Preventive Services: Moving Science into Coverage – Tobacco: The Business of Quitting Website (http://www.businessgroup health.org/tobacco/) TM
  • 20. Support for Business Cooperative Agreement  National Safety Council – Development and delivery of Web-based safety and health decision support tools with Information on best practices for employee health management and development of effective health and safety promotion programs TM
  • 21. National Safety Council Off the Job Resource http://beyondworkplace.nsc.org TM
  • 22. Support for Business Cooperative Agreement  National Business Coalition on Health – Community Health Partnerships – Diabetes Seed Grant Program – eValue8 – Health Risk Appraisals (HRA) at the Worksite: Basics for HRA Decision Making www.nbch.org TM
  • 23. School Employee Wellness Guide www.schoolempwell.org  Developed with Directors of Health Promotion and Education (DHPE)  Addresses 4% of the nation’s workforce  Addresses the Employee Wellness component of the coordinated school health model  Provides a model for establishing programs and tools to implement them TM
  • 24. Monitor workplace policies, programs and practices CDC HealthScoreCard (HSC)  Update of original Heart Check and Heart Check Lite assessment tools  Emphasis on heart disease and stroke prevention  Approximately 100 item instrument  Assist employers in creating healthier worksites through organizational questions (program, policy, and practice) that identify best practice, opportunities, and gaps  Comprehensive in organization and content  Conduct reliability, validity, and feasibility with employers TM
  • 25. CHANGE Assessment Tool Community Health Assessment aNd Group Evaluation  Purpose of the CHANGE tool – Capture current snapshot of the community – Group activity/consensus building  5 Sectors: Community, Worksite, School, Community-Based Institution, and Healthcare  Modules: Demographics, Physical Activity, Nutrition, Tobacco Use, Chronic Disease Management, http://www.cdc.gov/healthycommunitiesprogram/tools/ Leadership, & After-School change.htm TM
  • 26. Provide high quality information in Business Terms that Address Business Needs  Enhance communication by  Developing effective employer and community communication and education programs focused on the benefits of and options for health promotion and disease and injury prevention, and  Using proven marketing and social marketing techniques to promote individual behavioral and community change TM
  • 27. CDC Workplace Health Promotion Toolkit and Portal www.cdc.gov/workplacehealthpromotion TM
  • 29. Healthier Worksite Initiative (HWI) http://www.cdc.gov/nccdphp/dnpao/hwi/index.htm  Began October 2002 as an internal initiative for worksite health promotion to become a part of CDC culture  Expanded to include development of tools to share information and lessons learned with other federal agencies TM
  • 31. Successful Business Strategies to Prevent Heart Disease and Stroke Toolkit  Provides information on recommended preventive health benefits and services and worksite health promotion interventions  Available at: http://www.cdc.gov/dhdsp/pubs/ employers_toolkit.htm TM
  • 32. Moving into Action Guides  Updates to 2005 guides  Target Audiences: Governors, State Legislators, Local Leaders, and Employers  Comprehensive approach through policy and legislation  Examples with sample policy language, highlights, emerging opportunities, tools and resources, and testimonials  Available at: http://www.cdc.gov/dhdsp/mov ing_into_action.htm TM
  • 33. National Diabetes Education Program (NDEP) Business Health Strategy Workgroup (BHS) Goals and Partners  To increase awareness of the benefits of quality diabetes care among employers, benefits managers and managed care decision makers  To provide employers, health plans and employees with tools and information for incorporating diabetes education programs into the workplace  To promote the value of investing in prevention  Available at: www.Diabetesatwork.org and www.ndep.nih.gov TM
  • 34. Integration of Traditional Occupational Health with Health Promotion WorkLife A National Institute for Occupational Safety and Health Initiative www.cdc.gov/niosh/worklife  Essential Elements of Effective Workplace Programs  Stress…At Work  Resources Page: 99 Web-Links Worth Having TM
  • 35. CDC Workplace Health Promotion Toolkit and Portal www.cdc.gov/workplacehealthpromotion TM
  • 36. CDC Workplace Health Promotion Toolkit and Portal 1 3 2 TM
  • 37. Orientation Videos http://bcove.me/r43dob93 TM
  • 38. Other CDC Access Portals www.cdc.gov/workplace TM
  • 39. Community Health Resources Web Portal www.cdc.gov/communityhealthresources TM
  • 40. Walking the Walk – CDC’s Wellness Program  Tobacco Cessation  Garden Markets  Stairwell Campaign  Fall Flu Campaign  Go Green Get Healthy  Walking Clubs  Occupational Health Clinics  Lifestyles Program TM
  • 41. Acknowledgements  Wendy Heaps – Office of the Associate Director for Policy, CDC  Casey Chosewood – National Institute for Occupational Safety and Health, CDC  Pam Allweiss – National Center for Chronic Disease Prevention and Health Promotion, CDC  Dyann Matson Koffman – National Center for Chronic Disease Prevention and Health Promotion, CDC  Tina Lankford – National Center for Chronic Disease Prevention and Health Promotion, CDC  Bo Kimsey – National Center for Chronic Disease Prevention and Health Promotion, CDC  Suzanne Mercure – National Business Coalition on Health  Tess Benham – National Safety Council  Ron Finch – National Business Group on Health  Katherine Ruffatto – Partnership for Prevention  Amy Slonim and Margaret Hawkins - AARP TM
  • 42. Thank You Contact Information: Jason Lang jlang@cdc.gov TM