CDC Initiative in Worksite Health Promotion
Jason E. Lang, MPH, MS
Team 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
Other Wellness Program*
26%
10%
Offer at Least One
Specified Wellness Program*
99%
76%
Class in Nutrition/Healthy Living*
50%
20%
Flu Shot or Vaccinations*
87%
53%
Employee Assistance Program
(EAP)*
79%
22%
Weight Loss Programs*
58%
31%
Biometric Screening*
55%
26%
Lifestyle or Behavioral Coaching*
57%
33%
Wellness Newsletter*
47%
Web-based Resources for
Healthy Living*
47%
Smoking Cessation Program*
60%
78%
69%
21%
0%
20%
* 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.
All Small
Firms (3-199
Workers)
71%
39%
Gym Membership Discounts or
On-Site Exercise Facilities*
All Large
Firms (200 or
More
Workers)
40%
60%
80%
100%
Workplace Health Model
Assessment
Planning/
Implementation
Evaluation
Individual
Organizational
Community
(e.g. demographics, health
risks, use of services)
(e.g. current practices, work
environment, infrastructure)
(e.g. transportation, food and
retail, parks and recreation)
Programs
Policies
Health Benefits
(e.g. education
and counseling)
(e.g. organizational
rules)
(e.g. insurance,
incentives)
Worker
Productivity
Healthcare
Costs
(e.g. absenteeism,
presenteeism)
(e.g. quality of care,
performance
standards)
Improved Health
Outcomes
(e.g. reduced disease
and disability)
Environmental
Support
(e.g. access,
opportunity,
physical/social)
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)
Contextual Factors
(e.g. company size, company sector, capacity, geography)
Timeline
The Purchaser’s
Diabetes@Work
Guide
1999
2002
2005
Healthier
Worksite
Initiative
2006
NIOSH
WorkLife
Initiative
Worksite
Health
ScoreCard
Workplace
Health
Toolkit
2010
2011
2012
NHWP
NIOSH Total Worker Health
Business Cooperative
Agreement
2013
Work@Health
CDC Healthier Worksite Initiative
http://www.cdc.gov/hwi
• 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
CDC Healthier Worksite Initiative
Garden Market
CDC Healthier Worksite Initiative
StairWELL 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
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http://www.businessgrouphealth.org/preventive
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)
CDC Workplace Tools and Resources
Essential Elements of Integrated
Programs
Organizational Culture &
Leadership
1.
2.
3.
Develop a “Human Centered
Culture”
Demonstrate Leadership
Engage Mid-Level Management
Program Design
4.
5.
6.
Establish Clear Principles
Integrate Relevant Systems
Eliminate Recognized
Occupational Hazards
7.
Be Consistent
8. Promote Employee Participation
9. Tailor Programs to the Specific
Workplace
10. Consider Incentives and
Rewards
11.
12.
13.
14.
Find and Use the Right Tools
Adjust the Program as Needed
Make Sure the Program Lasts
Ensure Confidentiality
Program Implementation &
Resources
15.
16.
17.
18.
Be Willing to Start Small & Scale Up
Provide Adequate Resources
Communicate Strategically
Build Accountability into Program
Implementation
Program Evaluation
19. Measure and Analyze
20. Learn from Experience
The CDC Worksite Health ScoreCard (HSC)
http://www.cdc.gov/dhdsp/pubs/docs/HSC_Manual.pdf
Assesses best practice health promotion interventions
(policies, programs, environmental supports)
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Organizational supports
Tobacco control
Nutrition
Lactation support
Physical activity
Weight management
Stress management
Depression
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.
NHWP Training and Assistance Continuum
Making the
Business
Case
Relationship
between health
and performance
Impact of
worksite
health program
Key components
of a comprehensive worksite
health program
Module 1
Leadership
and Culture
Driving senior
leadership support
Creating a healthy
worksite culture
Building
infrastructure and
capacity
Module 2
Data
Collection
Planning &
Implementation
Program
Evaluation
Worksite health
assessment
process
Determining
program
goals and objectives
Measuring
process and
outcomes
Types of data
to collect
Developing detailed
worksite health
plans
Key evaluation
metrics
Using data for
program
planning
Module 3
Putting assessment
and planning into
practice
Module 4
Module 5
NHWP WH 101 Training Manual
http://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
What you receive:
 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.
Benefits to Certified Trainers
What you receive:
 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.
Work@HealthTM Program Components
 Formal Training
 Technical Assistance
 Seed Funding
Support
Work@HealthTM Training Modalities
Employer Training Model
Online
Seminars, case
studies and practical
demonstrations
delivered through
distance-based
mechanisms such as
webinars.
Hands-On
Employers 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
Curriculum Continuum
Work@HealthTM Technical Assistance
Core Training
ASSESSMENT
Work@Health™ Technical Assistance Learning
Community
Structured
Technical
Assistance
Organic
Technical
Assistance
PLANNING
IMPLEMENTATIO
N
EVALUATION
2014 Training Dates and Locations
BALTIMORE
Online – March 16 – April 5
In-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 Toolkit
www.cdc.gov/whp
CDC Worksite Health Promotion Programs
www.cdc.gov/workathealth
www.cdc.gov/NationalHealthyWorksite
Thank You
For more information please contact Centers for Disease Control and Prevention
E-mail: jlang@cdc.gov
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