total worker health 101: basic principles...tips to reduce workplace stress • create more control...
TRANSCRIPT
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