Health & Wellness Branch Welcomes You!

1. Health & Wellness Branch Welcomes You! Open Web Meeting 7/11/14

2. HOW IT ALL BEGAN

3. Wellness & Safety Integration KerreAufsesser

4. Wellness & Safety A synergistic relationship where the total is greater than the sum of the parts • Personal Health and Personal Safety • Effectively combined in a symbiotic manner that increases their impact on overall health and productivity • Both disciplines • Are behavioral • Address risks to existing and potential personnel • Focus on Prevention

5. The Relationship Between Wellness & Safety 1. Health Risks affect Job Performance and Risk for Injury • Good physical condition, absence of chronic illness, and good mental health are associated with low occupational injury rates1 • Good physical condition is essential to safely perform strenuous and repetitive job tasks • Obesity and Back Injuries • Stress and Work Related Illness • Inadequate sleep and fatigue • Directly reduce concentration & ability to work safely

6. The Relationship Between Wellness & Safety 2. Disease Risk is increased by exposure to both occupational hazards and risk related behaviors • Occupational disease and health behaviors account for a considerable proportion of the burden of disease in the United States. 2 • Effects of life risks and job risks are not independent of one another

7. The Relationship Between Wellness & Safety • High Risk Exposure at work leads to increased engagement in risk related health behaviors. • Exposures to job and life risk are concentrated among those employed in working class occupations46 • Smoking prevalence among blue collar workers is than the overall population8 • Unhealthy dietary habits11, overweight, obesity are also inversely related with the latter 9,10. • Binge Drinking12, psychological distress, depression, anxiety, sleep disturbances are also inversely related with the latter.

8. The Relationship Between Wellness & Safety 4. Absenteeism and Presenteeism • Both disciplines aim to affect positive change • Work related injury and illness significantly impacts both employee productivity and absenteeism3 • Just because a worker isn’t absent or have a lost time injury doesn’t mean they are healthy and productive. 5. Issues arise in both fields from work related factors and lifestyle health factors • Effective and comprehensive programs reduce employee health costs

9. Integration A good company will have workers come to work every day and keep them safe at work A great company (the best companies) also invest in making that worker a healthier overall employee • Culture is Paramount for workplace safety programs to really affect change • Integrating wellness and safety (two parallel pathways for promoting worker health) is the optimal way to create that culture and ultimately see positive shift

10. Integration Promoting Overall Member Health and Preventing Work Place Injuries and Illnesses • An Integrated and Holistic Program • Elements may include; • Job safety initiatives • Efforts to create cultures of health and safety • Early recognition and treatment of injury or illness; • Disability prevention and return to work programs; • Assessment of worker health status • Emergency preparedness planning; and • Behavioral health and environment safety issues

11. Incorporating Wellness Into Your Safety Program-Why? Michael Topf

12. Past HistoryRole of health & wellness unknown or downplayed.Focus on safety & observable behaviors.Not the complete picture!

13. Our well-being can cause incidents, injuries and health issues or cause us to be safe and healthy!

14. Facts About Today’s Workforce • Workers are stressed! • 3 out of 4 American workers say work is stressful • 54% of workers are concerned about health problems caused by stress. • 45% of workers list job insecurity has a significant impact on work stress levels. • Workplace stress costs employers 200 billion per year related to absenteeism, lower productivity, staff turnover, workers comp, medical insurance, D&A use & abuse

15. Work-related Stress is a Growing Health Concern • 33% of the 40.2 million workdays lost by illness and injury are from stress, anxiety, and depression. • Stress can be a hidden trigger behind cardiovascular problems, musculoskeletal disorders, obesity, depression, and violence.

16. Facts About Today’s Workforce • More workers suffer from mental health issues than ever before • An estimated 121 million people world-wide currently suffer from depression. (W.H.O) 18.8 million Americans • Eight to 20 percent of older adults experience symptoms of depression. (Surgeon General) • Depression often co-occurs with anxiety disorders and substance (legal and illegal) abuse. • (NIMH)

17. Facts About Today’s Workforce • Aging workforce • Age related injuries will rise • Low claim frequency but high claim severity

18. Facts About Today’s Workforce • Obesity • Obese workers filed 2X the number of workers' compensation claims • Obese workers had 7X higher medical costs • Obese workers lost 13X more days of work from work injury or work illness than did non-obese workers. • The average medical claim costs per 100 employees were $51,019 for the obese and $7,503 for the non-obese • (Duke University Medical Center Study)

19. ROI in Worksite Health Promotion

20. Why H&W Now? • Focus on productivity – doing more with less • Proactive cost-containment approach • Investment in human capital • Increased stress levels due to economic climate

21. What are some Employers Doing? Willis Wellness Survey Weight management 64% Physical activity 65% Smoking cessation 71% Medical screenings 49% General health website 52% Disease management 47% Periodic health fairs 41% Health risk assessments 50%

22. Wellness Strategy Productivity Moral Employee Engagement Work-Life Balance Absenteeism Turnover Healthcare Cost Workplace Accidents Wellness Strategy Goals

23. Wellness Resource: NIOSH and the Centers of Excellence for Total Work Health™ Deb Fell-Carlson & Dede Montgomery

24. Objectives: • Describe NIOSH Total Worker Health initiative • Background • Website resources • Describe the NIOSH Centers of Excellence for Total Worker Health • Where they are • Center purpose • Types of resources offered

25. National Institute for Occupational Health and Safety (NIOSH) Total Worker Health™ • Background • 2003 Steps to a Healthier Workforce • 2004 White papers commissioned • 2005 Name change: WorkLife • 2006-7 First three centers funded • 2011 Total Worker Health launched

26. ...strategy integrating occupational safety and health protection with health promotion to prevent worker injury and illness and to advance health and well-being. http://www.cdc.gov/niosh/twh/

27. NIOSH Harvard School of Public Health Center for Work, Health, and Well-being centerforworkhealth.sph.harvard.edu/

28. SafeWell Integrated Management System for Worker Health centerforworkhealth.sph.harvard.edu/resources/safewell-resources

29. NIOSH Center for the Promotion of Health in the New England Workplace (CPH-NEW) www.uml.edu/Research/centers/CPH-NEW/

30. NIOSH Iowa Healthier Workforce Center for Excellence www.public-health.uiowa.edu/hwce/

31. NIOSH Oregon Healthy Workforce Center http://www.ohsu.edu/ohwc

32. http://www.ohsu.edu/ohwc/translation-to-practice/index.cfm

33. Upcoming webinars • Too old to work? Too sick to work? Too stressed to work? A look at the latest strategies for optimizing the intersection of health and work. L. Casey Chosewood, M.D. Senior Medical Officer for Total Worker Health; Wednesday July 23, 2014 at 11am CST, 12pm EST. • Using the CDC NHWP Health and Safety Climate Survey (INPUTS™)—Nicholas Warren, ScD, MAT, University of Connecticut Health Center; Wednesday, October 29, 2014 at 11am CST, 12pm EST. • Intervening for Work Stress: Work-life Stress and Total Worker Health Approaches, NIOSH Total Worker Health™ Webinar Series, Leslie Hammer, Ph.D., Associate Director Oregon Healthy Workforce Center; Tuesday, August 19, 2014, 12pm EST.

34. How H&W Branch Can Help You and You Help the Branch! Leigh Freeman

35. How we can help you Newsletter – published online 3 times per year Monthly branch advisory committee conference calls to discuss activities Events at Professional Development Conference Webinars with cutting edge information Branch members available to talk over ideas Health & Wellness Branch webpage – body of knowledge contributions

36. How can we help you? • Ideas/topics you would like to know more about? • How can we improve the branch? • Other questions or ideas?

37. H&W Advisory CommitteeWants You!Email Janet: jhayward@onsitephysicalrehab.com