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# Proposed National Total Worker Health Tm

Agenda Town-Hall

1St 

### International Symposium to Advance Total Worker HealthTM Oct. 6-8, 2014

Sara L. Tamers, PhD, MPH, Health Research Scientist and Coordinator for Research Program Development and Collaboration
Office for Total Worker HealthTM Coordination and Research Support, National Institute for Occupational Safety and Health, CDC

The findings and conclusions in this presentation have not been formally disseminated by the National Institute for Occupational Safety and Health, and should not be construed to represent any agency determination or policy.~ TrYH - Tn i Ai.l1'owiucee Heni'rii 

# Purpose of Town-hall Meetings

Elicit oral comment from stakeholders to develop the most relevant National Total Worker HealthTM 

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# Proposed Strategic Goal 1
Research: Advance and conduct etiologic, surveillance, and intervention research that builds the evidence base for effectively integrating health protection and health promotion activities in the workplace.

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# Proposed Strategic Goal 2
Practice: Increase the awareness and adoption of effective, integrated occupational safety and health protection and health promotion activities in the workplace.

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# Proposed Strategic Goal 3
Policy: Create guidance for policies that promote integration of occupational safety and health protection and health promotion activities in the workplace.

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# Proposed Strategic Goal 4
Capacity-Building: Build professional capacity to strengthen the TWH workforce and TWH field to support the development, growth, and maintenance of integrated occupational safety and health protection and health promotion activities in the workplace.

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# Questions to Consider

1. Do you see your own organization's goals reflected in the Proposed National Total Worker Health Agenda? 2. What are the bridges between your own work and the Proposed National Total Worker Health Agenda? 3. Are there any missing components or gaps in the Proposed National Total Worker Health 

# Agenda?

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# How will the NIOSH Total Worker Health Program Select Partners.?

Potential consideration identified: —suitability criteria for employers to meet in order to engage in a TWH-related partnership with NIOSH NIOSH undertaking simultaneous effort to develop "partnering" criteria Models to consider include the OSHA Voluntary Protection Program criteria Stakeholder input for other criteria will be sought

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# Rules for Townmhall Oral Comments
Introduce yourself (name and affiliation) Limit comments to 5 minutes maximum 

## —Questions to NIOSH are included in the 5 minute time allotment per speaker Highlight critical points to be included in the National TWH Agenda — Remaining points should be submitted to the Docket Oral comments given at the meeting will be recorded and included in NIOSH-275 Docket

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# Opportunity for Written Comment

Submit written comments 

## (CDC-2014-0014, Docket Number NIOSH-275) by one of the following: — Internet: http://www.regulations.gov Enter CDC2014-0014 in the search field and click "Search." — Mail: National Institute for Occupational Safety and Health, NIOSH Docket Office, 1090 Tusculum Avenue, MS C-34, Cincinnati, Ohio 45226-1998. Identify the submission for NIOSH Docket-275 

### Written comments must be made by 11:59 PM EST on December 22, 2014 All comments will be reviewed and responded to accordingly

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# Auxiliary Slides

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# Strategic Goals and Sub-GoalsT WH I'OTAL WORKEK F1EAI:C11 

# Proposed Goals

• Proposed National TWH Agenda includes four strategic goals: research, practice, policy, and capacity-building • Achievement of goals will move Nation towards creation of work environments that support TWH approaches • Each strategic goal supported by sub-goals that lead to the achievement of the strategic goal • Intent is to jumpstart national conversation and elicit input/comment from stakeholders to develop the most relevant TWH agenda

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# Research Goals

Strategic Goal 1. Advance and conduct etiologic, surveillance, and intervention research that builds the evidence base for effectively integrating health protection and health promotion activities in the workplace. Etiologic/health effects research Investigate work and non-work contributions to worker safety and health conditions to better understand their sources and identify TWH interventions.T r r H_ Ib'CAL WORKER }IEAI:I'li



# Research Goals (cont'd)

Surveillance research • Improve surveillance systems to expand study of risks to worker safety, health, and well-being by incorporating more information on: — work-related exposures in public health surveys and other surveillance systems; and — non-work conditions and exposures in occupational safety and health hazard surveys and other surveillance systems. • Expand current surveillance systems or develop new ones to track the adoption and reach of TWH interventions over time. • Develop measures to guide integrated interventions in organizations, such as Health Risk Appraisals, that reliably capture both work-related and non-work exposures that pose safety and health risks.TWHr I'OT.,.wO........



# Research Goals (cont'd)

Intervention research • Investigate the merits of integrated interventions relative to comprehensive but parallel worksite health promotion (WHP) and occupational safety and health (OSH) protection interventions, and to unilateral WHP or OSH interventions. • Address a broad range of outcomes to include: — subclinical (e.g., biomarkers), health status (morbidity and mortality),and health-related quality of life indicators of illness, injury, and wellbeing to better understand the efficacy and effectiveness of integrated intervention strategies; and — measures of organizational effectiveness (e.g., turnover, presenteeism, and other performance indicators) and economic indicators to better understand the cost-effectiveness of TWH programs and help establish the business case for integrated prevention strategies. • Give further attention to the theoretical underpinnings of TWH intervention studies to better understand why and under what circumstances TWH interventions can be effective.T Wil I O"fAL WORKER HEAI:f H` 

# Research Goals (intervention-cont"d

• Investigate organizational policies and practices that support or detract from the adoption, development, effectiveness, efficacy, and sustainability of integrated occupational safety and health protection and health promotion programs. • Investigate the broader integration of: — workplace prevention activities (i.e., benefit programs and policies, Employee Assistance Programs) together with occupational safety and health and health promotion activities; and — community and public health prevention activities together with workplace prevention activities. • Design TWH interventions to target workers at high-risk for exposure to both work-related and non-work hazards. • Design TWH interventions for especially prevalent and costly conditions (e.g., mental health outcomes) that result from joint exposure to work-related and non-work hazards.TWH 

# Practice Goals

Strategic Goal 2. Increase the awareness and adoption of effective, integrated occupational safety and health protection and health promotion activities in the workplace. • Increase adoption of TWH best practices developed based on research evidence and scientifically-derived consensus statements. • Establish partnerships with corporate, labor, government, professional, and academic organizations to foster the uptake of TWH practices in the workplace. • Increase awareness among workers, employers, professional associations, labor unions and other stakeholders of TWH practices and their benefits in order to promote adoption of TWH approaches. — Increase translation and dissemination of TWH research information and practice models. — Develop an internet-based open source system for disseminating TWH best practices recommendations, tool kits, mobile apps, and model programs. — Organize national and regional conferences, distance-learning events, and other web-based educational offerings on TWH. — Conduct a national survey to assess the adoption of TWH practices to target dissemination and promotion activities.TWH' - 

# Policy Goals

Strategic Goal 3. Create guidance for policies that promote integration of occupational safety and health protection and health promotion activities in the workplace. • Develop policy guidance on TWH best practices. • Establish mechanisms to promote corporate TWH responsibility and sustainability. • Offer direction on TWH approaches specifically for high-risk worksites and small- and medium-sized companies. • Explore strategies for the transfer of integrated OSH prevention activities to the general health care delivery system.TWH'_ 

# Capacity-Building Goals

Strategic Goal 4. Build professional capacity to strengthen the TWH workforce and TWH field to support the development, growth, and maintenance of integrated occupational safety and health protection and health promotion activities in the workplace. • Identify training needs and develop core competencies and guidance 

### for certificates, degree programs, and continuing education fostering integration of occupational safety and health protection with health promotion. • Identify existing educational programs and curricula that support TWH concepts and training, and the best ways that federal programs and granting agencies can support these educational activities. • Promote events and foster partnerships among TWH, OSH, publichealth, health promotion, and other stakeholders from multidisciplinary sectors to strengthen the TWH field. • Explore the benefits of creating a professiona) organization for TWH professionals.

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# Background

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# National Occupational Research Agenda

• National Occupational Research Agenda (NORA) is a 

### research framework for NIOSH and the Nation • Fuels innovative research and enhanced workplace practices • Stakeholders collaborate to pinpoint vital issues in workplace safety and health and identify goals • NORA organized by 10 sector programs and 24 cross-sector 

## programs • Total Worker HealthTM (TWH TM) is a cross-sector program, with potential to impact each sector

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# Proposed National Total Worker Health Tll



# Agenda
• First national effort to create agenda for field of integrated occupational safety and health protection and health promotion • Includes goals to address priority areas in TWH — Internal and external stakeholder input — Evidence-based sources: Cherniack, Henning et al. 2010, Hymel, Loeppke et al. 2011, Sorensen, Landsbergis et al. 2011 1 NIOSH 2O12...

• Provides guidance for TWH stakeholders/audiences — Research funding entities, labor, industry, safety and health practitioners, health promotion professionals, future TWH workforce...

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