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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.

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cdc initiative in worksite health promotion
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

* 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.

workplace health model



(e.g. demographics, health risks, use of services)


(e.g. current practices, work environment, infrastructure)


(e.g. transportation, food and retail, parks and recreation)

Environmental Support

(e.g. access, opportunity, physical/social)




(e.g. education andcounseling)


(e.g. organizational rules)

Health Benefits

(e.g. insurance, incentives)




(e.g. absenteeism, presenteeism)



(e.g. quality of care, performance standards)

Improved HealthOutcomes

(e.g. reduced disease and disability)

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)

Workplace Health Model

Worksite Health ScoreCard

Workplace Health Toolkit

The Purchaser’s Guide










NIOSH WorkLife Initiative

Healthier Worksite Initiative



NIOSH Total Worker Health

Business Cooperative Agreement

cdc healthier worksite initiative

For worksite health promotion to become a part of CDC culture

Increase “healthy days” among CDC employees


Formative research


Physical Environment modifications

Policy modifications

CDC Healthier Worksite Initiative

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®

Tobacco Free Campus
a purchaser s guide to clinical preventive services moving science into action
A Purchaser’s Guide to Clinical Preventive Services: Moving Science into Action
  • 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)

essential elements of integrated programs
Essential Elements of Integrated Programs
  • Find and Use the Right Tools
  • Adjust the Program as Needed
  • Make Sure the Program Lasts
  • Ensure Confidentiality

Program Implementation & Resources

  • Be Willing to Start Small & Scale Up
  • Provide Adequate Resources
  • Communicate Strategically
  • Build Accountability into Program Implementation

Program Evaluation

  • Measure and Analyze
  • Learn from Experience

Organizational Culture & Leadership

  • Develop a “Human Centered Culture”
  • Demonstrate Leadership
  • Engage Mid-Level Management

Program Design

  • Establish Clear Principles
  • Integrate Relevant Systems
  • Eliminate Recognized Occupational Hazards
  • Be Consistent
  • Promote Employee Participation
  • Tailor Programs to the Specific Workplace
  • Consider Incentives and Rewards
the cdc worksite health scorecard hsc
The CDC Worksite Health ScoreCard (HSC)

Assesses best practice health promotion interventions (policies, programs, environmental supports)

  • 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
NHWP Training and Assistance Continuum

Planning & Implementation

Program Evaluation

Data Collection

Making the Business Case

Leadership and Culture

Driving senior leadership support

Creating a healthy worksite culture

Building infrastructure and capacity

Relationship between health and performance

Impact of worksite

health program

Key components of a compre-hensiveworksite

health program

Determining program

goals and objectives

Developing detailed

worksite health plans

Putting assessment and planning into practice

Worksite health

assessment process

Types of data to collect

Using data for program


Measuring process and


Key evaluation


Module 1

Module 2

Module 3

Module 4

Module 5

nhwp wh 101 training manual http www cdc gov nationalhealthyworksite join training materials html
NHWP WH 101 Training Manual
  • Work@HealthTMis 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@health tm program structure
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
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
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@health tm program components
Work@HealthTM Program Components
  • Formal Training
  • Technical Assistance
  • Seed Funding Support
work@health tm training modalities
Work@HealthTM Training Modalities

Employer Training Model


Seminars, case studies and practical demonstrations delivered through distance-based mechanisms such as webinars.


Employers participate in in-person interactive workshops that provide content through a variety of approaches, including lectures and case studies.


Involves a combination of distance-based or

e-learning (online

model) and in-person

classroom sessions

(hands-on model).

employer curricula
Employer Curricula

Core Elements

work@health tm technical assistance
Work@HealthTM Technical Assistance

Core Training


Curriculum Continuum

Work@Health™ Technical Assistance Learning Community



Technical Assistance


Technical Assistance



2014 training dates and locations
2014 Training Dates and Locations


Online – March 16 – April 5

In-person, blended, T3 – April 8-10

work@health tm program evaluation
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
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
cdc worksite health promotion programs
CDC Worksite Health Promotion Programs

thank you
Thank You

For more information please contact Centers for Disease Control and Prevention

E-mail: Web:

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