��>� HJ���G�������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������'` �� 6bjbj @��������������D@����,�4@������������$�h���u����������V��������������k 0VW�� F7�l0�?,vO�vkv�kP�������������������@@@� $�@@@$@@@���������� Workplace Health Program Development Checklist Assessment m A site visit or site review of the workplace has been conducted. �% Interviews with key managers and employees conduced �% Environmental assessment performed �% Write site visit report m An inventory of current health-related activities has been completed. �% Programs and services reviewed �% Policies reviewed �% Benefits reviewed �% Environmental changes reviewed m Data on employee health has been collected. �% Determine method(s) of data collection (e.g., paper, electronic, focus group) �% Determine topic areas of interest (health status, health behavior, use of preventive services, etc.) �% Administer the survey �% Analyze data m Data on health care and pharmaceutical claims has been collected. �% Determine the period of review, unit of analysis, and diseases and conditions of interest �% Obtain data from health insurance provider(s) �% Analyze data m Review additional organizational data related to employee health. �% Employee demographics �% Organizational structure �% Health benefits plans �% Time and attendance �% Vacation, overtime, sick leave policies �% Injuries, disability, and worker s compensation �% Employee engagement survey m Write an integrated workplace health assessment report Planning/Workplace Governance m Support from leadership including senior executives has been received. m A workplace health committee or council has been formed. �% Workplace Health Coordinator identified �% Committee has representatives from a broad range of organizational units �% Committee has diverse representation of managers, employees and their representatives (unions), and community organizations m The necessary resources to conduct the workplace health program have been secured. �% Staffing �% Space �% Finances such as vendor contracts or incentives �% Partnerships with community organizations �% Equipment, materials and supplies m A workplace health improvement plan has been written including: �% A vision and mission stateJL`bdz|~�   ^ p t v � � � � � � � � � � � � � � � �    J \ b d ǵtititiitititithT�hT�B*phhT�B*CJOJQJaJphhT�hT�B*CJaJph%hT�hT�B*CJOJQJaJphhT�hT�B*OJQJph#hT�hT�5B*OJQJ\phhT�5B*OJQJ\ph%hT�hT�B*CJOJQJaJph+hT�hT�5B*CJOJQJ\aJph)Lbd|~ t � � � � � �  ^ b � T ������������������7$8$H$^`gdT� 7$8$H$^gdT�ﷳ$8$H$^`�0gdT� ��7$8$H$^gdT� 7$8$H$gdT� $7$8$H$a$gdT� 6�d � � � �  b d f � & 0 2 8 : j l � � ����24TVX������HJz|���df��hT�hT�CJOJQJaJhC�B*CJOJQJaJphh�hT�B*phhT�hT�B*CJaJphh�B*CJOJQJaJphhT�B*CJOJQJaJphhT�hT�B*ph%hT�hT�B*CJOJQJaJph2T d � 8 j � � �2RT�Hz��d�������������������������7$8$H$^`��gd� ����7$8$H$^`��gd� 7$8$H$gdT� 7$8$H$^gdT� ��7$8$H$gdT����$bdfh�����rt���`bZ^`bd $&68����>@BDF��( ((�(�(&)()�)�)**H*J*L*N*n*p*�*ΰηηη�UhT�CJOJQJaJ h�hT�h�h�CJaJh�hT�5OJQJh�CJOJQJaJh�CJOJQJaJhT�hT�CJOJQJaJhT�hT�CJaJ? "$bd��r�`^` $6��������������������� 7$8$H$^gd�ﷳ$8$H$^`�0gd���7$8$H$^`��gd� 7$8$H$gd� $7$8$H$a$gdT� 7$8$H$gdT���@B� (�(&)�)*H*J*n*�*�+�,f-h-�-������������������ 7$8$H$gdhrV 7$8$H$gdT���7$8$H$^`��gdhrV ����7$8$H$^`��gd���7$8$H$^`��gd� 7$8$H$gd� 7$8$H$^gd�ment �% Measurable goals and objectives aligned with overall business objectives �% Priority interventions with timelines and budget are selected �% Defined roles and responsibilities for key stakeholders including vendors or community partners �% An evaluation plan �% A communication plan m Communications �% Program has branded the health strategy, including a logo �% Target audience(s) identified and background information such as demographics, interests, and information preferences obtained �% Materials and messages are culturally competent, relevant, and at a sufficient level of health literacy �% Messages use a variety of channels such as e-mail, newsletters, intranet, etc. m Data Collection and Analysis �% Establish a routine data collection system of important health indicators �% Determine how data will be stored and who will have access to it �% Regularly report progress to key stakeholders Implementation m Strategies and interventions are first pilot tested on a smaller scale. m Strategies and interventions are put in place according to the workplace health improvement plan timelines and budget. m Protocols from health-related programs are implemented as proposed (i.e., program fidelity). m Feedback on the process steps taken should be collected at regular intervals during the program s implementation. 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