www.uml.edu/centers/cph-new designing healthy workplaces: the cph-new healthy workplace...

www.uml.edu/centers/CPH-NEW

Designing Healthy Workplaces:The CPH-NEW Healthy Workplace

Participatory ProgramJennifer Cavallari, ScD, CIH

Assistant Professor, UConn Health

2015 Connecticut Public Health AssociationAnnual Meeting and Conference

October 23, 2015

A NIOSH Center for Excellence to Promote a Healthier Workforce



Designing Overall Healthy Workplaces

Discuss wellness at work

Describe Total Worker Health™ (TWH)

Explain why workplaces should embrace TWH

Introduce the CPH-NEW approach to implementing TWH and how workplaces can implement TWH


What does wellness mean to you?


What does wellness mean to you?

World Health Organization definition of Health: a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948

Dimensions of Wellness

Wellness

Physical

Social

Intellectual

Spiritual

Occupational

Financial

Dimensions of Wellness

Wellness

Physical

Social

Intellectual

Spiritual

Occupational

Financial

Work satisfaction

Satisfaction with financial situation

Connection, belonging, support network

Physical health status

Creativity, building skills and knowledge

Sense of purpose, meaning


Social-Ecological Modela framework for wellness

hello

Policy

Community/Society

Organizational

Interpersonal

Individual


The workplace is a place to support wellness


How does your workplace support wellness?



Images from wikipedia


Health Promotion Programs: to reduce lifestyle risks



Safety Programs:to reduce work hazards & exposures



Traditional program approachSilos, top-down

Health and Safety

Reducing hazards

and exposures

at work to

prevent injury

and illness

Health Promotion

Reducing lifestyle

risk factors

to prevent

disease


WHAT IS TOTAL WORKER HEALTH™?


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-beingwww.cdc.gov/niosh/twh

The workplace is a place to prevent work-related injury and illness

and support wellbeing

http://www.cdc.gov/niosh/twh


The National Institute for Occupational Safety and Health (NIOSH)

NIOSH is the U.S. federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is part of the Centers for Disease Control and Prevention (CDC) in the U.S. Department of Health and Human Services

Mission: To develop new knowledge in the field of occupational safety and health, and to transfer that knowledge into practice.


What is an integrated approach to total worker health?

Well-being Safety

ManagementWorkers

Coordinated planning

All levels participate


WHYTOTAL WORKER HEALTH™?


Why we need a safety/wellness program for employees

• Annually employees report nearly 4 million nonfatal workplace injuries and illnesses

• Nearly 50% of Americans have one chronic health condition, and almost 1/2 of this group have more than one condition

• By 2015 1 in 5 American workers will be 55 years of age or older

• 44% of Americans reported work as always or often stressful in 2010

NIOSH Top Reasons to Create a New Pathway for a Safer and Healthier Workforce, 2014


WHO ARE CPH-NEW AND HOW DO THEY DO TOTAL WORKER HEALTH™?


Center for Promotion of Health in the New England Workplace(CPH-NEW)

• Umass Lowell

• UConn Health Center

• UConn Storrs

22


CPH-NEW’s goals include(From NIOSH Total Worker Health™ Mission)

www.cdc.gov/niosh/twh

1. Implement and evaluate models for improving worker health by combining: Worksite health promotion (WHP) Workplace safety & health (OSH)

2. To promote participatory approaches that engage all levels of an organization in the design of effective, sustainable workplace interventions.

http://www.cdc.gov/niosh/twh


What is a Participatory Approach?

Maximizing employee involvement in identifying and solving problems

Used in Community-based Participatory Research (CBPR)


What happens when a program is introduced into a community

without input from the intended recipients?


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


HOW CAN COMPANIES IMPLEMENT TOTAL WORKER HEALTH™?


CPH-NEW Healthy WorksiteParticipatory Program Website

http://www.uml.edu/cphnewtoolkit


CPH-NEW R2P Toolkit promotespromotes a healthy organization

Engages employees in setting priorities and developing solutions

Improves organizational communication & collaboration about health, safety, wellness

Integrates ergonomics with health promotion initiatives

Establishes a sustainable process for continuous health/safety improvement

Develops a contextual business case for Health & Safety interventions, one intervention at a time.


• Two committees – manager, non-managerEngages all levels of the workforce

• Trained facilitator – subject knowledgeGuides, coordinates committees

• IDEAS intervention planning processBuilds solutions one intervention at a time

CPH-NEW Healthy WorkplaceParticipatory Program:

CORE ELEMENTS

30


Design Team

Steering Committee

Roles of Steering Committee (SC) & Design Team (DT)

Action Feedback Teamwork

Allocates and coordinates resources Considers interventions

Makes strategic decisions Supports implementation, evaluation

Selects health and safety issues Designs interventions

Develops business case Proposes solutions

31

ActionFeedback Teamwork


Step 1Identify

Problems &

Contributing

Factors

Step 2 Develop

Objectives & Activities

Step 3 Set

Selection Criteria

Step 4Apply

Selection Criteria

Step 5a/5bRate/Select

Intervention

Alternatives

Step 6 Plan and

Implement Interventio

ns

Step 7 Monitor & Evaluate Interventi

on

How Does the IDEAS Tool Work?

Trained facilitatormoderates each step at safety committee meetings.

Team needs meeting time to reflect, brainstorm

Facilitator documents team work in worksheets

Step 1 Understanding the problem

Step 2Creating full set of possible solutions

Steps 3,4Analyzing costs, benefits, barriersFormulate alternatives

Step 5Rating, selectingbest option


Structured process

Uncovers root causes

Leads to more complete solutions

Engages/empowers employees

Builds self-efficacy

Advantages of Using theIDEAS Tool

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&docid=68U7S09wSATW-M&tbnid=Ade81Uc50N4r5M:&ved=0CAYQjRw&url=http://abovethelaw.com/2013/12/biglaws-most-underrated-firms-by-practice-area-2/thumbs-up/&ei=qdEhU_z-N5HfkQeUtIGoBg&bvm=bv.62922401,d.aWc&psig=AFQjCNF4P4sINyTByE65BsrRTv3Ep7W0aw&ust=1394811673241361


Interactive Tools

Worksheets and Quick Reference Guides for Facilitators

Online readiness survey

http://www.uml.edu/Research/Centers/CPH-NEW/Healthy-Work-Participatory-Program/survey/


What if I work at a small company or a non-traditional

workplace, can I still implement the

Healthy Workplace Participatory Program?


Elements of the HWPP have been adapted in:

A variety of size companies

A variety of sectors– Healthcare– Correctional Facilities– Manufacturing


A few words from test sites….Design Team members (office workers)

“It enables you to make a proposal for presentation to management. It made us more equipped to answer some of their questions.”

Steering Committee members (office workers)

“This experience allowed design team members to build new skills.”

“The ideas proposed went way beyond my expectations ….”

Design Team (real estate management firm)

“If this group was not around, our ideas would not be heard as much and less would be accomplished.” (maintenance technician)

“He looked forward to the meetings and felt empowered to go and have a say in things”- (property manager)


CPH-NEW Resources

Website www.uml.edu/cphnew– Mailing list – Quarterly Newsletter– CPH-NEWs and Views—fact sheets

Speakers Bureau

Pilot grants

Healthy Worksite Program Toolkit

38

http://www.uml.edu/cphnew


CPH-NEW Healthy Workplace Services

Consultation – telephone or onsiteProgram design, implementation, evaluation

Workforce assessment – Employee focus groups

Coaching and workshop facilitation – Using the IDEAS tool for intervention planning

Request services

Webinar evaluation survey

E-mail [email protected]

mailto:[email protected]


Take home back to work messages

The workplace can support wellness

Total Worker Health™ approaches integrate health protection and promotion to achieve worker wellbeing

Healthy workplaces can be achieved using a participatory TWH Approach

CPH-NEW is a resource for achieving TWH


Contributors

Suzanne Nobrega, MS

Laura Punnett, ScD– University of Massachusetts Lowell

Robert Henning, PhD, CPE

Nicholas Warren, ScD – University of Connecticut

Michelle Robertson, PhD, CPE – Liberty Mutual Research Institute for Safety

and the CPH-NEW Research Team


Please use and recommend our tools!


Jennifer Cavallari

E-mail: [email protected]

Phone: (860) 679-4720

www.uml.edu/centers/cph-new designing healthy workplaces: the cph-new healthy workplace...

Documents