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10/09/2015
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SAIF Corporation’sTotal Worker Health™ Initiative
Deb Fell-Carlson, RN, MSPH, COHN-S, FAAOHNPolicyholder Safety and Wellness Adviser
AASCIF Safety and Health Committee Meeting, October, 2015
Objectives
• Define Total Worker Health™ (TWH)
• Share SAIF’s wellness journey over the past few years—internally and externally
• Discuss how wellness relates to SAIF’s mission of making Oregon the safest state
• Discuss how SAIF is collaborating with community partners to drive injuries, illnesses and costs down
SAIF Corporation | Total Worker Health Initiative
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SAIF’s wellness journey
Circa 1988
Smoking prohibited at desks (except for private offices) and restricted to ventilated smoking rooms
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Circa 1992
Employee Health Services Clinic established, providing no cost health services to SAIF employees and family members.
SAIF Corporation | Total Worker Health Initiative
Circa 1995
Company sponsored exercise classes on campus. Health club memberships at reduced rates.
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Circa 2002
• Early-mid 2000s—SAIF sponsored various informal activities (Hood to Coast relay race, company golf tournament).
• Health clinic nurse practitioners conducted a variety of health education programs.
SAIF Corporation | Total Worker Health Initiative
Circa 2003
• Urban walking routes identified with mileage.
• Security teams established.
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Circa 2005
Employee sustainability initiative launched
• Telecommuting
• Flexible schedules
• Informal common area
• Courtyard makeover
SAIF Corporation | Total Worker Health Initiative
Circa 2007
Loss control analysis is completed.
Safety, risk, and wellness coordinator is hired to manage internal effort.
Consultants attended Northwest Occupational Health Conference featuring John Howard from NIOSH:
“It’s not your father’s workplace: Promoting wellness in the changing workplace and diverse workforce”
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Circa 2008Tobacco free campus announced and phased in over next year with a smoking cessation support program.
Consultants “winging it” in response to increasing policyholder requests for wellness education with health and productivity management philosophy.
SAIF Corporation | Total Worker Health Initiative
Circa 2010
Employee health clinic transitioned to the Health and Wellness Center with a stronger emphasis on improving the health of SAIF employees and eligible family members.
Curative >>> PreventiveSAIF Corporation | Total Worker Health Initiative
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Circa 2010
Know your numbers campaign: participation required for low cost health plan
July 15, 2010: first policyholder training on the impact of health on injury prevention and recovery
Partnerships forming (Oregon OSHA, Wellness@Work, CROET (renamed Oregon Institute for Occupational Health Sciences)
SAIF Corporation | Total Worker Health Initiative
Circa 2011
• Pedometer walking program with prizes linked to low cost health plan
• Corporate Strategic Plan initiative—work began on delivery model for Loss Control
• TWH leadership team formed
• NIOSH coined Total Worker Health™
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SAIF Corporation | Total Worker Health Initiative
Circa 2012
• SAIF leadership approved corporate strategic plan; converted to corporate project
• SAIF policyholder safety and wellness advisor hired
• Showcased in summer CompNews
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Circa 2013
SAIF’s booth at Governor’s Occupational Safety and Health (GOSH) conference transformed:
• Activities demonstrated the connection between health improvement and injury prevention for the first time
• Introduced concept of “presenteeism”
SAIF Corporation | Total Worker Health Initiative
Circa 2014
• Awareness campaigns nudge our culture toward improved health.
• Policyholder TWH initiative released to move forward.
• Networking trip is made to visit Pinnacol and the Colorado School of Public Health Center for Health, Work, and Environment.
• Consultant training is completed.
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Circa 2014
Total Worker Health topics gain popularity in SAIF trainings and conferences across safety and occupational health disciplines.
• ASSE
• AAOHN
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Circa 2015
• GOSH booth with more advanced TWH activities
• Consultants gaining skills through joint field visits
• Total Worker Health Comp News published; flies off the shelves
• Trainings continue ...
SAIF Corporation | Total Worker Health Initiative
Educational and networking venues
SAIF Corporation | Total Worker Health Initiative
January 22, 2015: Designing for Synergy: Developing a Safety Program with Wellness in Mind. January 27 – Mid Oregon Construction Safety Summit- Safety what’s health got to do with itFebruary 11 Designing for synergy: Building a wellness program with safety in mindFebruary 12 Safety: what’s health got to do with it? Redmond, ORFebruary 19 Designing for synergy: Building a wellness program with safety in mind – EugeneFebruary 24, 2015 Safety: what’s health got to do with it? - SalemFebruary 25, 2015 Unwinding your organizational stressors: Developing a resilient workforce. - Eugene March 3, 2015 Safety: what’s health got to do with it? - SalemMarch 6, 2015 (OHCA): Dodging the Bugs: Infectious Disease Prevention in the LTC Workplace. - SalemMarch 9, 2015 (GOSH): Designing for Synergy: Building a Wellness Program with Safety in Mind and Managing the Complexities of Injured Workers -Portland March 12, 2015 (GOSH): Total Worker Health: Tips and Strategies for Safety and Health Professionals -PortlandMarch 18, 2015 Safety: what’s health got to do with it? - Salem
March 24, 2015: OEA Choice Trust Collaborating for synergy – Partnering for Total Worker Health™- BendApril 2, 2015 Staying sharp: Web-resources to help you keep a cutting-edge practice- Vancouver BCApril 9, 2015: Safety: What’s health got to do with it. - BendApril 16, 2015: Heartland ERC Total Worker Health Conference for Occupational Health Nurses. Unlocking discretionary effort: Engagement for Total Worker Health – Cedar Rapids, IAApril 21 Eugene ASSE – Dodging the bugs -SpringfieldApril 22 REV Inernal training. TWH update - SalemMay 1, 2015: OTA Conference, Total Worker Health for the long haul. – Lincoln CityMay 7, 2015: Turning silver into gold: adapting to your aging workforce –Northern Region Policyholder Training - AstoriaMay 14, 2015 - VPP Conference Safety - What’s health got to do with it - PortlandJune 2, 2015 – Blue Mountain Conference Safety: What’s health got to do with it? - PendletonJune 18, 2015 – State Agency policyholder trainingTurning silver into gold: adapting to your aging workforce - SalemJuly 6 –Nutrition and fitness for the brain: alert workers are safe workers – Southern Oregon policyholder training - Medford
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Aligning health improvement with SAIF’s mission
How does health improvement match up with SAIF’s vision to make Oregon the safest state?
SAIF Corporation | Total Worker Health Initiative
Making
Oregon the
safest place
to work.
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The only way to zero injuries is through health.
The future of safety is health.
SAIF Corporation | Total Worker Health Initiative
Making
Oregon the
safest place
to work.
Assuming they do match up, how deep do we want to get?
SAIF Corporation | Total Worker Health Initiative
Workers’comp
Healthinsurance
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Injuries and health conditions impact each other, on and off the job
Injuries are costly no matter where they occur―fifth leading cause of death for all age groups, but first for ages 1 through 24 and 25 through 44.
Chronic conditions impact frequency and severity.
Chronic conditions include:
Pain Cancer
Diabetes Dementia
Arthritis Obesity
Heart disease Pain
SAIF Corporation | Total Worker Health Initiative
Lifestyle and job risks are interdependent.
Total Worker Health™
Total Worker Health™ integrates occupational safety and health protection with workplace policies, programs and practices that promote health and prevent disease to advance worker safety, health and well-being.
This is a 24/7 endeavor. Employers who opt for wellness programs in the absence of adequate workplace safety and health protections are not applying the principles of Total Worker Health.
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Adapted from Glorian Sorensen, 2010; Steven Sauter, NIOSH, 2011
SAIF Corporation | Total Worker Health Initiative
Integrated, collaborative management: silos create inefficiencies and gaps
Leadership commitment
and supportive
work environment
FMLA/OFLA, ADA
Workplace health
promotion
Occupational health
Occupational safety
Industrial hygiene
Health and disability benefits
Return to work
Employee assistance
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Four cornerstones
Management systems
Culture of health and
safety
Personal responsibility
Environment
MUST HAVE ALL 4 FOR AN EFFECTIVE TWH EFFORT
Eat healthy foods
Stay hydrated
Get good sleep
Move intentionally
Chronic stress
Nicotine
What to eat…
What to avoid…
What to do…
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Eat healthy foods
Stay hydrated
Get good sleep
Move intentionally
Avoid chronic stress
Avoid nicotine
SAIF Corporation | Total Worker Health Initiative
Each has organizational level strategies.
Each impacts the frequency and severity of injuries.
Each addresses a risk factor for chronic disease.
Organizational focus helps keep it simple.
TWH consulting: what it IS
• A way to address injuries without obvious patterns
• A way to improve safety engagement
• A way to address fatigue, stress, inactivity, poor nutrition and hydration, etc., as hazards that can be controlled at the organizational level—emphasis is on the upstream risk factor—not the health condition
SAIF Corporation | Total Worker Health Initiative
Our areas of focus are presenteeism and functional fitness
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TWH consulting—what it’s NOT
• Intensive on-site assistance
• Biometric screening
• Health coaching
• Disease-specific education, coaching, or consulting
SAIF Corporation | Total Worker Health Initiative
There is no expectation for safety consultants to be experts on health conditions.
SAIF Corporation | Total Worker Health Initiative
Reactive Compliant Managed Integrated
Has no formal approach to safety
Desires to stay out of trouble
Thinks “common sense” is a safety
principle
Holds employees accountable for not
using “common sense”
Disciplines employees most often
after an incident or accident
Expects employees to be responsible
for their own behavior
Committed to a cost and compliance
based safety program
Defines success as avoiding OSHA
and keeping insurance costs down
Expects safety modeling only from
individual or committee responsible
for safety
Uses time-based incentives to
motivate staff
Sees OSHA and workers’
compensation as negative
consequences
Disciplines by policing and as a way
to ensure compliance
Designs incentives in a way that
might discourage injury reporting
Demonstrates safe behavior,
starting with management
Developing hazard management
systems
Focuses on safety as a key program
Uses safety as a measurement in
performance reviews
Identifying trends using “historical
information”
Establishing safety and performance
goals
Defines leadership roles to make
them accountable for safety
Holds employees accountable to
defined responsibilities and
procedures
Incorporates safety expectations
into annual performance reviews
Bases incentives on improving results
such as incident rate or lack of claims
Values safety as an instinctual
precondition of work
Expects consistent safe behavior
from leadership
Recognizes employees for modeling
safe behavior
Measures activities that lead positive
results
Challenges employees to improve
safety
Tracks behavioral observations
Measures employee perceptions
Shares responsibility
Rewards and recognizes safety
efforts and positive behaviors, not
results
Makes employees accountable to
each other
Empowers employees at all levels to
make safety changes
Safety Culture Spectrum
LEADERSHIP
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SAIF Corporation | Total Worker Health Initiative
Total Worker Health Culture Spectrum
LEADERSHIP
Reactive Exploring Managed Integrated
Demonstrates indifference to efforts
to improve worker well-being
Views worker well-being as an
individual responsibility
Selects a few well-being awareness
activities based on a cursory review of
where the healthcare utilization might
be highest.
Prioritizes well-being activities based
on cost and ease of implementation.
Regards workplace culture,
management practices, and
environment as part of a broad
strategy for improving worker well-
being.
Collaboration between wellness and
safety staff to avoid redundancy and
assure consistency of purpose
Involves all levels of management
Measures well-being outcomes
quantitatively as well as qualitatively
Broadens well-being effort to reach
all workers – especially difficult-to-
reach groups
Probes for gaps in the workplace
environment and culture that may
create barriers to safe and healthy
behaviors
Considers impact on worker safety
and well-being during operational
decision-making at all levels
Treats employees as valuable human
capital to be invested in, nurtured, and
preserved
Tailors strategies based on industry-
specific and workforce-specific needs
Proactively identifies and
responds to emerging risks to worker
well-being and opportunities for
enhancement
“Walks the talk” by practicing open
communication, mutual trust and
respect, and autonomy
Demonstrates characteristics of a
learning organization where creative
risk-taking is embraced
Expects leaders at all levels to model
emotional intelligence
Articulates strategic value of safety
and well-being at all levels.
Matches technology to organizational
need
Reaching out: “Safety—What’s health got to do with it?”
• Principle presentation for employers interested in the Total Worker Health approach
• Describes connection between injuries and health
• Provides information on topics such as fatigue, functional fitness, healthy foods, chronic stress
• Gives SAIF and non-SAIF resources to get started and keep going
• Co-presented with SAIF consultant champions
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Regular posts on SAIF’s FaceBook page
http://www.cdc.gov/niosh/twh/
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2015
http://www.uml.edu/Research/centers/CPH-NEW/
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2015http://centerforworkhealth.sph.harvard.edu/
2015http://www.public-health.uiowa.edu/hwce/
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http://www.ohsu.edu/xd/research/centers-institutes/oregon-institute-occupational-health-sciences/oregon-healthy-workforce-center/
SAF Corporation | Total Worker Health Initiative
http://www.ohsu.edu/xd/research/centers-institutes/oregon-institute-occupational-health-sciences/oregon-healthy-workforce-center/
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Questions?
Chuck Easterly, Loss Control Program Manager
503.373.8834
Deb Fell-Carlson, RN, MSPH, COHN-S, FAAOHN
503.373.8743
SAIF Corporation | Total Worker Health Initiative
© SAIF CORPORATION | October 9, 2015
