PROMISING AND BEST PRACTICES IN
TOTAL
WORKER
HEALTH™
WORKSHOP SUMMARY
Victoria Weisfeld and Tracy A. Lustig, Rapporteurs
Board on Health Sciences Policy
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
THE NATIONAL ACADEMIES PRESS • 500 Fifth Street, NW • Washington, DC 20001
NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This activity was supported by Contract No. 200-2011-38580 between the National Academy of Sciences and the Centers for Disease Control and Prevention. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.
International Standard Book Number-13: 978-0-309-31211-0
International Standard Book Number-10: 0-309-31211-6
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Copyright 2014 by the National Academy of Sciences. All rights reserved.
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Note: The trademark symbol (™) follows the phrase “Total Worker Health” on the cover of this report because NIOSH asserts common law trademark rights for this term.
Suggested citation: IOM (Institute of Medicine). 2014. Promising and best practices in Total Worker HealthTM: Workshop summary. Washington, DC: The National Academies Press.
“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
—Goethe
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
Advising the Nation. Improving Health.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Victor J. Dzau is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.
PLANNING COMMITTEE FOR A WORKSHOP ON TOTAL WORKER HEALTH: BEST PRACTICES IN THE INTEGRATION OF OCCUPATIONAL HEALTH AND SAFETY AND HEALTH PROMOTION IN THE WORKPLACE1
GLORIAN SORENSEN (Chair), Professor, Harvard School of Public Health; and Director, Center for Community-Based Research, Dana-Farber Cancer Institute
CHIA-CHIA CHANG, Public Health Analyst, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention
RON Z. GOETZEL, Visiting Professor and Director, Institute for Health and Productivity Studies, Johns Hopkins Bloomberg School of Public Health; and Vice President, Consulting and Applied Research, Truven Health Analytics
LUANN HEINEN, Director, Institute on Health, Productivity and Human Capital; and Vice President, National Business Group on Health
PAMELA ANN HYMEL, Chief Medical Officer, Walt Disney Parks and Resorts
NICOLAAS P. PRONK, Vice President for Health Management and Chief Science Officer, HealthPartners, Inc.
MARGARET ROBBINS, National Director, Occupational Safety and Health, Coalition of Kaiser Permanente Unions
IOM Staff
TRACY A. LUSTIG, Forum Director
Y. CRYSTI PARK, Senior Program Assistant
ANDREW M. POPE, Director, Board on Health Sciences Policy
_________________
1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
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Reviewers
This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:
Marianne Fazen, Dallas-Fort Worth Business Group on Health
William H. Kojola, AFL-CIO (retired)
Garry Lindsay, Federal Occupational Health
James A. Merchant, The University of Iowa
Jennifer Sponsler, National Business Group on Health
Victoria Weldon, ExxonMobil
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Linda Hawes Clever, California Pacific Medical Center and RENEW. Appointed by the Institute of Medicine, she was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered.
Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.
Organization of the Summary Report
2 TOTAL WORKER HEALTH IN THE REAL WORLD
The Occupational Health–Lifestyle Link
3 THE VALUE IN PURSUING TOTAL WORKER HEALTH
Defining and Measuring Success
A Labor Perspective on the Value of Total Worker Health
4 TOTAL WORKER HEALTH IN LARGE BUSINESSES
The Community Context for Health
5 TOTAL WORKER HEALTH FOR SMALL- AND MEDIUM-SIZED BUSINESSES