OREGONINSTITUTEOFOCCUPATIONALHEALTHSCIENCES|OREGONOSHA|SAIF

TotalWorkerHealth® 101:BasicPrinciples

Instructors:LizHill,MPH,CIH,CSPSAIF

DedeMontgomery,MS,CIHOHSU

CourseIntroduction,Participantintroductions,AllianceCurriculum&Objectives

Keyobjectives

DefineTotalWorkerHealth®(TWH)&keyterms

Identify TWH101HealthCorePrinciples

IdentifythefivedefiningelementsofTWH

IllustratehoworganizationscanimplementTWH

Develop“nextsteps”applicabletoyourorganization

TotalWorkerHealth101:Coreprinciples

• HowwedefineTWHandkeyconcepts.

• Leadership,employeeengagementandcultureallaffectTWH.

• Health,safetyandwell-beingoutcomesintertwineandinteract.

• TWHaffectsorganizationalvalueandcosts.

• EffectiveTWHprogramsrequireevaluation,sustainabilityandcontinuousimprovementandconfidentiality.

Part1:UnderstandingTWH

WhatisTotalWorkerHealth®?

TotalWorkerHealth®

Create Worker

Well-being

Grow Health

Keep workers

safe

What is Total Worker Health® ?

….policies,programs,andpracticesthat

integrateprotectionfromwork-relatedsafety&healthhazardswithpromotionofinjuryandillnesspreventionefforts

toadvanceworkerwell-being.

NIOSHTotalWorkerHealth®network

©OregonTotalWorkerHealthAlliance

OtherAffiliates: AAOHN,ACOEM,ASSP,ACPM,AIHA,AOHP,NIH,NSC,SOHP

Whydoesworkinfluenceourhealthandwell-being?

Whydoesworkinfluenceourhealthandwell-being?

• Workconditionsdetermineriskforinjury,illnessanddisability

• Workprovidesaccesstomosthealth-relatedbenefits

• Importantaspectsofourworksuchaswageandlocationinfluences ourhealthandthecommunitiesinwhichwelive

• Ourworkinfluenceourcommuteswhichimpactourhealth.

• Workcontrolsmanyelementsofourdailylife,particularlythetimewehaveforphysicalactivity,healthyeating,relationships,andrestandsleep.

Part2:TWHConcepts

WorkerWell-being

Measuringwell-being

Meaningful Work

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Movement Break

JohnHowardonStress

PsychosocialStress

• Experiencecomingfromanytypeofinteractionwithpeople.

• Youmayfeelhighbloodpressure,sweating,rapidheartbeat,dizzinessandfeelingsofirritabilityorsadness.

• Whatmightbedifferentstressorsorcausesofpsychosocialstress?

StressandHealth

• Themorecontrolwehaveoverourlifeorschedulegivesushigherwellbeingandmaybufferothernegativestressors.

• Thehigherourskilllevel,occupationalgrade,andjobcomplexitythehigherourgeneralphysicalandmentalwellbeing

• Socialsupportandsocialintegrationareassociatedwithbetterhealthandlongevity.

Tipstoreduceworkplacestress

• Createmorecontrolandautonomy

• SocialSupport

• Demonstratecommitmenttoofferinghelp

• Encouragepeopletocareforoneanother

• Fixthelanguage

• Supportsharedconnections

Whatelseaffectshealth?

Whataffectshealth?

©OregonTotalWorkerHealthAlliance Social determinants of health” from The California Healthy Places Index (HPI)

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Part3:TWHDefiningElements

FundamentalsofTWH

• Element1:Demonstrateleadershipcommitmenttosafetyandhealthatalllevels.

• Element2:Designworktoeliminateorreducesafetyandhealthhazards&promoteworkerwell-being.

• Element3:Promoteandsupportworkerengagementthroughprogramdesign&implementation.

• Element4:Ensureconfidentialityandworkerprivacy.

• Element5:Integraterelevantsystemstoadvanceworkerwell-being.

Leadership commitment

HealthierandsupportivesupervisionSupervisorscanbesupportiveby:

• Recognizingpressuresanddemandsofpersonal/familyresponsibilities

• Communicatinggenuineconcernandunderstanding

• Beingknowledgeableaboutwork-lifeprograms,resourcesandpolicies

• Sharinghowtheymanagetheirown work-liferesponsibilities

• Beingclearaboutexpectationsandhowthejobshouldbedone;Providingguidanceonhowtobestcommunicateinateam

Design work

NIOSHCompanionHierarchyofControls

The Hierarchy of Controls Applied to NIOSH Total Worker Health®

Traditional Hierarchy of Controls – NIOSH 2015

BiketoworkDay

Confidentiality and worker privacy

Integration

Injury&WCdata

Medicalhealthinsuranceinfo

Employeesurvey&

assessments

Safety&healthchecklists/audits

OrganizationalNeedsAssessment

©OregonTotalWorkerHealthAlliance

NIOSHpromisingpracticesHealthysupervision

Paidsickleave

Flexibilityandcontrolofschedule

Ergonomicallyfriendlyworkspace

Activemeetings

WhatcanorganizationsdotobuildandsustainTWH?• Workerparticipationinworkplaceproblemsolving

• Paidfamily&sickleave,paidmedicalbenefits

• Equitablewages,safestaffinglevels,voluntaryovertime

• Respect,fairperformanceappraisals&advancementopportunities

• Attentiontowork-lifeIntegration

• Recognitionofworkfactorsaspotentialcausesofchronicconditions

WhatcanorganizationsdotobuildandsustainTWH?• Discrimination,harassment,andviolenceprevention

• Health-enhancingworkorganizationandhealthier

• Confidentialoccupationalhealthandpreventionservices

• Programstohelpworkersmanagetheirhealthchallenges

• Supportforproductiveagingacrosstheworkinglifespan

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Movement Break

Whatdoesitlooklikeintherealworld?

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Part4:Businessandvaluepropositions

$2.01 $4.61

ROI

ODGDataoncomorbidityimpact

Backsprain,Oregon,20yearsold,sedentaryworker

Average:3days

+diabetes:20days

+obesity:29days

+bothdiabetesandobesity:43days

ODGDataoncomorbidityimpact

Meniscustear,Oregon,20yearold,sedentaryworker

• Average:27days

• +smoking:57days

• +diabetes:67days

• +obesity:90days

• +allthree:146days

IssuesRelevanttoAdvancingWorkerWell-beingThroughTotalWorkerHealth®

Prevention and Control of Hazards and Exposures

Built Environment Supports Healthy Leadership

Compensation and Benefits Community Supports

Workforce Demographics Policies

Work Arrangements Technology

Organization of Work

Part5.Programevaluation,sustainabilityandcontinuousimprovement

Whyisprogramevaluationimportant?

Howdoyoudoaneffectiveevaluation?

Part6:Puttingitalltogether

Casestudy–RisingEmployeeHealthExpenses

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Ideastoimplementnow…

Dedicateaportionoftimeatmeetingsfor

updates…Holdjointmeetings... Discussplansforthe

future...

Askemployeeswhatfactorsaregettinginthewayandtoshareexamplesofthingsthat

work.

Sponsorbrieflunch-and-learns

Ideastoimplementnow…

Incorporatenewinfointoexisting

training…

Considersharingphysicalresources

andspaces...

Giveworkersmoreflexibilityandcontrol...

Ensurebuiltenvironment,policiesandworkschedulesenhancesafetyandwell-being

Final thoughts