Implementing an Integrated Approach

Implementing an Integrated Approach Weaving Worker Health, Safety, and Well-being into the Fabric of Your Organization Implementing an Integrated Approach Weaving Employee Health, Safety, and Well-Being into the Fabric of Your Organization Harvard T.H. Chan School of Public Health Center for Work, Health, and Well-being August 2017 Authors Deborah McLellan, PhD, MHS William Moore, MS Eve Nagler, ScD, MPH, CHES Glorian Sorensen, PhD, MPH Acknowledgments These guidelines were greatly improved by the scientific and practical input of Dr. Elizabeth Barbeau, Race Point Consulting; Dr. Robert McLellan, Dartmouth-Hitchcock Medical Center; Vicki Missar, Aon Global Risk Consulting; and Dr. Nicolaas Pronk, HealthPartners Institute. We appreciate the collaboration with Dave Lagerstrom, TURCK, Inc. and Robert McLellan, who shared their organizations’ journeys using an integrated approach to worker safety, health, and well-being. William Moore took drafts of academic writing and turned them into the final product you see here. Mary Jo Mitchell provided the graphic design for the narrative. Additional acknowledgments go to Lisa Burke, Jack Dennerlein, Melissa Karapanos, Gregory Wagner, and Lorraine Wallace who assisted in reviewing and drafting this guide. We are grateful to the many workers, organizations, unions, managers, senior leadership, and researchers who have been collaborators and have informed the thinking and activities in these guidelines. This work was supported by a grant from the National Institute for Occupational Safety and Health (U19 OH 008861). Their Total Worker Health® Initiative served as inspiration for the work. Harvard T.H. Chan School of Public Health Center for Work, Health, and Well-being c/o Center for Community-Based Research Dana-Farber Cancer Institute 450 Brookline Ave, LW717 Boston, MA 02215 http://centerforworkhealth.sph.harvard.edu © 2017 Dana-Farber Cancer Institute, Inc. All Rights Reserved. No part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by an information storage or retrieval system, without permission in writing from Dana-Farber Cancer Institute, Inc. Implementing an Integrated Approach | i Implementing an Integrated Approach Weaving Worker Health, Safety, and Well-being into the Fabric of Your Organization Executive Summary 1 Approach 2 Leadership and Collaboration 3 Planning 4 Implementation 5 Evaluation and Improvement Implementing an Integrated Approach | ii Table of Contents Executive Summary �� v References ��xii Chapter 1 An Integrated Approach to Worker Safety, Health, and Well-being . .1 What is an integrated approach? . .3 What makes it different? . .3 What makes it valuable? . .4 What will it take?. .5 Can you measure it? . .5 What does it look like in practice? . .5 What This Guide Offers ��7 Chapter 2 Integrated Leadership and Collaboration . 8 Top Leadership Support . 10 The Champion ��11 Collaboration with an Integrated Team ��13 Collaboration with Middle Management. 16 Collaboration with Workers ��17 Final Thoughts on Leadership and Collaboration ��20 Chapter Checklist ��21 Chapter 3 Integrated Planning ��22 The Value of Integrated Planning ��24 Define Your Goal ��26 Choose Specific Objectives ��28 Identify Relevant Working Conditions . 29 Gather Essential Information ��33 Analyze Your Findings . 37 Select Your Tactics ��40 How to Prioritize Training ��43 Create an Integrated Action Plan ��44 Identify Required Resources ��45 Putting It All Together: A Plan to Reduce Health Care Worker Injuries . 47 Final Thoughts on Planning . 48 Chapter Checklist ��49 Implementing an Integrated Approach | iii Chapter 4 Integrated Implementation ��50 Start Small to Build Momentum . 52 Change Working Conditions through Policies and Practices . 53 Monitor Progress . 54 Encourage Accountability . 58 Foster Participation through Ongoing Communication . 58 Train Employees for Successful Implementation . 61 Putting It All Together: A Creative Approach for Healthier Backs . 64 Final Thoughts on Implementation ��65 Chapter Checklist ��66 Chapter 5 Integrated Evaluation and Improvement . .67 Why Evaluation Matters ��69 Integrated Evaluation ��69 Information Gathering ��71 Integrated Evaluation Team . 72 When to Evaluate ��73 How to Communicate Findings ��73 Continual Improvement. 75 Putting It All Together: Evaluation, Improvement, and Safer Health Care Workers ��75 Final Thoughts on Evaluation and Continual Improvement . 76 Chapter Checklist . 77 References ��78 Tools & Resources ��82-127 Leadership and Collaboration Chapter Table of Contents ��83 Planning Chapter Table of Contents . 94 Implementation Chapter Table of Contents ��119 Evaluation and Improvement Chapter Table of Contents . 126 Implementing an Integrated Approach | iv Executive Summary

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