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Worksite health promotion is an investment in human capital. Employees are more likely to be on the job and performing well when they are in optimal physical and psychological health. Scientific research shows the linkage between a company's productivity and the health of its employees.
Facts - The indirect costs (e.g., absenteeism, presenteeism) of poor health can be two to three times the direct medical costs.1-4
- Productivity losses related to personal and family health problems cost U.S. employers $1,685 per employee per year, or $225.8 billion annually.5
- A review of 73 published studies of worksite health promotion programs shows an average $3.50-to-$1 savings-to-cost ration in reduced absenteeism and health care cost.6
- A meta-review of 42 published studies of worksite health promotion programs shows:7
- Average 28% reduction in sick leave absenteeism
- Average 26% reduction in health costs
- Average 30% reduction in workers' compensation and disability management claims costs
- Average $5.93-to-$1 savings-to-cost ratio
| Sources: | | | 1. | Edington DW, Burton WN. Health and productivity. In: McCunney, RJ: A Practical Approach to Occupational and Environmental Medicine. Philadelphia: Lippincott Williams & Wilkins. 3rd ed. 2003:140-152; | | 2. | Burton WN, Pransky G, Conti DJ, Chen CY, Edington DW. The association of medical conditions and presenteeism. J Occup Environ Med. 2004;46(6) suppl:S38-S45: | | 3. | Pelletier B, Boles M, Lynch W. Change in health risks and work productivity over time. J Occup Environ Med. 2004;46(7):746-754: | | 4. | Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W. Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. Employers. J Occup Environ Med. 2004;46(4):398-412; | | 5. | Stewart WF, Ricci JA, Chee E, Morganstein D. Lost productive work time costs from health conditions in the United States: results from the American productivity audit. J Occup Environ Med. 2003;45(12):1234-124; | | 6. | Aldana SG. Financial impact of health promotion programs: a comprehensive review of the literature. Am J Health Promotion. 2001;15(5):296-320; | | 7. | Chapman LS. Meta-evaluation of worksite health promotion economic return studies. The Art of HealthPromotion. 2003;6(6):1-16. |
Partnership for Prevention Worksite Health Resources - Congressional briefings on topics relative to employee health management. Read more.
- New video series on employer strategies for tobacco control. Click here for videos.
- Communication series featuring business leaders, public health experts, and policy makers speaking on the benefits of creating healthy worksites and promoting employee wellness. Click here for podcast
 | Healthy Workforce 2010 and Beyond: An Essential Health Promotion Sourcebook NEW! Completely redesigned and revised edition of our popular 2001 monograph, Healthy Workforce 2010 and Beyond: An Essential Health Promotion Sourcebook for both Large and Small Employers provides valuable tools and resources that public and private-sector employers of any size can use to develop a comprehensive worksite health promotion program. It’s a sourcebook that includes current approaches and tactics supported by research findings or “promising practices” used in leading programs. Healthy Workforce 2010 and Beyond outlines the current status of the health of American workers, and provides the business case for investing in worksite health promotion. Assessments, strategies for implementing comprehensive programming, and attaining Healthy People objectives are included. (2009) PDF ORDER |  | Investing in a Tobacco-Free Future: How it Benefits Your Bottom Line and Community Tobacco use is the leading preventable cause of death and disease in the United States, imposing a huge health and financial burden on businesses and families. Businesses can benefit by understanding the Serious Impact of tobacco, implementing programs and policies to achieve Serious Gains and supporting a healthier community for Maximum Return. (2009) PDF ORDER |  | Why Invest? Recommendations for Improving Your Prevention Investment A report offering an overview of the results of a national survey determining employer coverage for clinical preventive services, and comparing the results to key findings from Partnership's most recent analysis of services recommended by the U.S. Preventive Services Task Force (USPSTF) and the Advisory Committee on Immunization Practices (ACIP). The report also includes examples from organizations investing in preventive services for their employees and recommendations to employers for increasing the coverage and use of preventive services. (2008) PDF |  | Investing in Health: Proven Health Promotion Practices for Workplaces Investing in Health provides employers with guidance for establishing health promotion practices in the workplace. These practices improve employee health by controlling tobacco use, promoting cancer screening and early detection, and encouraging physical activity and healthy eating. Using evidence-based recommendations from the U.S. Preventive Services Task Force and the Task Force on Community Preventive Services, Partnership’s Investing in Health translates scientific research into easy-to-follow action steps to help employers improve the health of their employees. (2008) PDF ORDER |  | Healthcare Provider Reminder Systems, Provider Education and Patient Education: Working with Healthcare delivery Systems to Improve the Delivery of Tobacco-Use Treatment to Patients, An Action Guide Provides strategies for working with health care delivery systems to improve the delivery of tobacco-use treatment in both inpatient and outpatient settings. PDF ORDER |  | The Community Health Promotion Handbook: Action Guides to Improve Community Health An evidence-based tool that consists of an introduction and five Action Guides. Each Action Guide translates a specific recommendation from The Guide to Community Preventive Services (Community Guide) into “how to” guidance to help public health practitioners and others interested in promoting health implement effective community-level health promotion strategies. The five Action Guides address diabetes management, physical activity, and tobacco-use treatment. Each Action Guide contains an overview of the recommendation and supporting evidence, links to tools and resources for planning and implementation, tips for implementation and overcoming potential obstacles, suggested resource needs, and questions and potential data sources for evaluation planning. (2008) PDF ORDER |  | Leading by Example: Leading Practices for Employee Health Management Our newest “Leading by Example” publication, released by Partnership for Prevention and the U.S. Chamber of Commerce in 2007, showcases innovative ways 18 U.S. Chamber member companies are managing the health of their employees and holding the line on increasing health care costs. (2007) PDF ORDER |  | Coverage for Clinical Preventive Services in Employer-Sponsored Health Plans Partnership conducted a national survey to determine the extent that employers nationwide cover recommended clinical preventive services. Results have been published in the Jan/Feb 2006 issue of the American Journal of Health Promotion 20(3):214-22. Click here to view the abstract. (2006) | 
| Leading by Example: CEOs on the Business Case for Worksite Health Promotion Leading by Example is a CEO-to-CEO initiative designed to leverage the workplace to improve health by promoting greater involvement in health promotion and disease prevention by featuring real life examples from CEOs and State Governors who view employee health as an investment. (2005) PDF |  | Preventive Services: Helping Employers Expand Coverage Focus groups with employers provide insight into how employers make decisions regarding preventive service coverage. (2002) PDF |  | Healthy Workforce 2010: An Essential Health Promotion Sourcebook for Employers, Large and Small Guide for employers outlining strategies that translate Healthy People 2010 Goals to the business setting. (2001) PDF |
Other Worksite Health Resources
 | American Cancer Society Workplace Solutions (http://www.acsworkplacesolutions.com/) The American Cancer Society offers the following employee wellness and support programs free of charge: Active for Life a flexible online program that encourages employees to be more physically active on a regular basis; Choose to Change an evidence-based program that helps employees achieve and maintain a healthy weight by making lasting changes in their lives; Freshstart a group-based tobacco cessation support program; and the American Cancer Society Quitline which provides tobacco users the support and help they need to stay focused on their personal reasons for quitting. ACS also offers services for employers including Workplace Solutions Assessment services to help companies build a healthier workforce, and Meeting Well a planning tool to help companies organize meetings and events with good health in mind. | | A Purchaser’s Guide to Clinical Preventive Services: Moving Science into Coverage (http://www.businessgrouphealth.org/preventive/), developed by the National Business Group on Health in collaboration with the CDC translates clinical guidelines and medical evidence into lay terms, providing employers with information to select, define, and implement preventive medical benefits for 46 unique health conditions. An article is also available that describes how to use the Purchasers Guide (http://www.cdc.gov/PCD/issues/2008/apr/pdf/07_0220.pdf). The Guide is only available electronically. |  | The Guide to Community Preventive Services (http://www.thecommunityguide.org/) summarizes what is known about the effectiveness, economic efficiency, and feasibility of interventions to promote community health and prevent disease. Several reviews have been done for worksites. Based on the evidence gathered in the rigorous and systematic scientific reviews of published studies conducted by the review teams of the Community Guide, The Task Force on Community Preventive Services makes recommendations for the use of various interventions. The findings from the reviews are published in peer-reviewed journals and also made available on the Internet. |  | The Essential Elements of Effective Workplace Programs and Policies for Improving Worker Health and Wellbeing (www.cdc.gov/niosh/worklife/essentials.html), developed by the National Institute for Occupational Safety and Health (NIOSH), identifies twenty components of a comprehensive work-based health protection and health promotion program and includes both guiding principles and practical direction for organizations seeking to develop effective workplace programs. |  | CDC Healthier Worksite Initiative (http://www.cdc.gov/nccdphp/dnpa/hwi/index.htm) addresses a wide range of workforce health promotion topics, including the planning and implementation of program, policy, and environmental change strategies for several health topics. |  | The CDC Community Health Resources (www.cdc.gov/communityhealthresources) web site is a searchable database with a worksite wellness section that includes communications and marketing campaigns, cross-cutting programs, data and statistics, guidelines and recommendations, and policy, partnership, and planning tools. |  | The Successful Business Strategies to Prevent Heart Disease and Stroke Toolkit (http://www.cdc.gov/dhdsp/library/toolkit/index.htm), developed by the CDC, provides employers with guidelines and recommendations to reduce costs through investing in comprehensive cardiovascular health programs and services in worksites, health care settings, and communities. It also includes ways to collaborate and establish partnerships with state and local health departments and other organizations. Contained within the toolkit is a six-step guide to show employers how to reduce costs by investing in worksite health promotion. Only electronic copies of the Toolkit are currently available. Hard copies of the six-step guide are available at this time. (http://www.cdc.gov/dhdsp/library/toolkit/pdfs/six_step_guide.pdf). |  | Moving into Action for Employers (http://www.cdc.gov/dhdsp/library/moving_into_action/index.htm) provides a range of actions employers can take to promote heart-healthy and stroke-free worksites and communities. Included are examples gathered from states and communities. |  | Diabetes at Work (www.diabetesatwork.org) is a tool designed to engage the business community and help them make decisions about diabetes. This easy-to-use Web site helps businesses understand diabetes and assess its impact in the workplace. The site also provides resources and tools to create and implement worksite education programs to prevent and control diabetes. Diabetes at Work was developed in collaboration with the CDC, the National Diabetes Education Program, the National Business Group on Health, the National Business Coalition on Health, and America’s Health Insurance Plans. |  | School Employee Wellness: A Guide for Protecting the Assets of Our Nation’s Schools (www.schoolempwell.org), developed by the Directors for Health Promotion and Education in collaboration with the CDC, is a comprehensive guide that provides information, practical tools, and resources for school employee wellness programs. This guide will help schools, school districts, and states develop and support the implementation of school employee wellness programs that promote employee health, improve workforce productivity, and reduce the costs of employee absenteeism and health care. |  | A Practical Guide to Working with Health-Care Systems on Improving Tobacco Use Treatment (http://www.cdc.gov/tobacco/quit_smoking/cessation/practical_guide/pdfs/practical_guide.pdf) was developed by state experts working with health care systems to improve the treatment of tobacco use. State health departments and businesses are uniquely positioned to expand the provision of tobacco dependence treatment through partnerships and purchasing strategies. The guide reviews what is known about implementing comprehensive tobacco-control and treatment strategies in the United States. |  | Telephone Quitlines: A Resource for Development, Implementation, and Evaluation (www.cdc.gov/tobacco/quit_smoking/cessation/quitlines/) is designed to provide assistance to health departments, health care organizations, and businesses to contract for and monitor telephone counseling services for tobacco cessation. |  | Save Lives, Save Money: Make Your Business Smoke-Free (www.cdc.gov/tobacco/basic_information/secondhand_smoke/guides/business/index.htm) provides reasons for going smoke-free, key policy content areas, and strategies and resources for implementation. |  | Tobacco, the Business of Quitting, (www.businessgrouphealth.org/tobacco), a Web site developed by the National Business Group on Health and supported by the CDC, lists multiple tobacco control resources and is publically available. |  | Tobacco Cessation Benefit Coverage and Consumer Engagement Strategies: A California Perspective (www.pbgh.org/news/pubs/reports.asp) summarizes current employer coverage of smoking cessation benefits, examples of implementation strategies of several Pacific Group on Health (PBGH) large member employers, and results from the eValue8 survey of cessation benefits provided through the major PBGH member health plans. |  | Make It Your Business: Insure a Tobacco-Free Workplace (www.makeityourbusiness.net) provides employers with tobacco cessation information, including coverage, promotion of the benefit, development and support for smoke-free policies, and resources to assist in developing the process. |  | CDC’s LEAN Works! (www.cdc.gov/leanworks) is a free Web-based resource that offers interactive tools and resources to help employers design effective worksite obesity prevention and control programs. The site contains an obesity cost calculator to determine how much obesity costs your organization and how much you could save by establishing an obesity prevention and control program at your worksite. |
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