Health Links Assessment

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1 Health Links Assessment ORGANIZATION INFORMATION This section is used to captue infomation about you oganization and employee population. Oganization Name Website Mailing Addess Name of Pimay Contact Seconday Contact Position Phone Position Assessment Histoy: How have you woked with Health Links in the past? This is ou fist time We have been ecognized as kick-stat o cetified business befoe We have attended a Health Links taining We have woked with a Health Links adviso If so, name of the adviso? Othe Industy: What industy does you oganization identify with? Agicultue, foesty, fishing, and hunting Mining, oil, and gas extaction Infomation Manufactuing Administation & Suppot, Waste Management, & Remediation Sevices Constuction Tanspotation, Waehousing, & Utilities Education sevices Ats, Entetainment, and Receation Retail and wholesale tade Health Cae & Social Assistance Accommodation and food sevice Real Estate & Rental & Leasing Cetification Application 1

2 Finance and Insuance Public Administation Othe: Numbe of Employees Total numbe of employees, including full-time, pat-time, and contactos. Full-time employees (moe than 50% time) Pat-time employees (less than 50% time) Contingent wokes (e.g. contacted, tempoay, seasonal, feelance, consultants) Men Women List the numbe of employees in each age ange < 21 yeas of age yeas of age yeas of age yeas of age > 65 yeas of age Do you puchase woke s compensation coveage fom Pinnacol Assuance? Yes No, we povide coveage though: Don t Know What type of health insuance coveage do you povide? UC Health Kaise Pemanente Aetna UnitedHealthcae Bight Health Humana Self-insued None, don t cuently povide coveage Othe Motivation fo oganizational commitment to health and safety. Please select the pimay easons fo pioitizing wokplace health, safety and well-being: (check all that apply) Cetification Application 2

3 To impove the health of ou employees and thei families To impove employee moale To enhance poductivity To contain costs To decease absenteeism To incease employee etention Othe ORGANIZATIONAL SUPPORTS Oganizational suppot is a citical component of sustainable cultue fo employee health and safety. To evaluate leadeships commitment, benefits, and dedication of esouces please answe the following questions: Leadeship Suppot. Ou leades suppot is demonstated though: (check all that apply) Leades consistently communicates the impotance of health pomotion and safety activities Leades ae ole models fo pioitizing health, safety and wok-life balance. Fo example, they do not send s on vacation, they take beaks duing the day. (They walk the talk!) Leades ecognize employees fo healthy and safe decisions Leades povide esouces (in the fom of time, money, etc.) to suppot health and safety Top management holds manages and supevisos accountable fo suppoting health, safety, and well-being. A leade (othe than a owne o CEO) has authoity to take action to achieve the oganization s health and safety goals None of the above The Champions. Who ae you wokplace health pomotion champion(s)? This is one o moe people who actively pomote pogams to impove woksite health pomotion in you oganization. Senio Executive (CEO, CFO, COO) Manages and Supevisos Safety Manage Employee(s) Do not cuently have a champion In the last 12 months, what esouces have you dedicated to wokplace health and safety effots? (Check all that apply) Dedicated staff time to pogam plan and coodinate health and safety Time fo staff to paticipate in activities Physical Space fo holding health and safety activities Employee taining Budget Health consultants Safety consultants Vendo Sevices Health Sceenings and Sevices No additional esouces Cetification Application 3

4 Benefits Does you oganization offe health insuance coveage to its employees? Yes, fully insued Yes, self-insued No, not cuently No, but planning to offe next yea Do you offe Paid Time Off (PTO) fo days o hous due to illness o vacation fo employees (full-time, non-exempt)? Yes No Does you oganization have woke s compensation insuance? Yes No No, but we povide othe types of insuance to employees injued on the job (such as wage eplacement, medical benefits) Does you oganization offe paid paental leave, sepaate fom any accued sick leave, annual leave, o vacation time? Yes No HEALTH & SAFETY TEAM A healthy wokplace engages multiple membes of the oganization to facilitate pogams, policies, and activities Does you oganization give staff time to coodinate you health and safety effots fo all elated activities? Yes No Do you cuently have a designated health and safety committee? Yes No How many employees ae on you wokplace health pomotion committee? How many employees ae on you wokplace safety committee? Is you oganization s health pomotion activities integated with you woksite safety activities in any of the following ways? Safety and injuy pevention ae elements of the health pomotion goals and objectives Cetification Application 4

5 Health pomotion elements, such as physical activity, nutition, o stess management, ae included in ou safety pogamming Wokplace safety data is combined with employee health pomotion data fo identifying, epoting, and pefoming analytics None of the above We do not have a safety pogam WORKPLACE ASSESSMENT Woksite assessments addess two main aeas: the needs and inteests of you employees. Fequent assessments povide infomation about what hazads exist, what employees value, and why they e motivated. How have you detemined the health and safety needs of you employees? (Check all that apply) Fo Health Fo Safety Employee Suvey Health Risk Assessment Physical Woksite Assessment Health Sceening Causes of Job Absence Disability Claims Healthcae Claims & Costs Causes of Injuies and Accidents Wokes Compensation Claims & Costs Othe (please specify): We have not cuently done anything. Cetification Application 5

6 HEALTH PROMOTION POLICIES AND PROGRAMS It is impotant that an oganization takes a compehensive view of health and consides a ange of health and wellness topics to meet the unique needs of all employees. Wokplace Health Pomotion Plan. Does you oganization set annual objectives fo wokplace health pomotion? Yes No Health Policies and Pogams. How do you suppot the health and well-being of you employees? (Check all that apply) Tobacco Contol Witten Policy that bans tobacco and nicotine use on company popety Witten policy that bans tobacco and nicotine use on company time Povide tobacco and nicotine cessation educational mateials Refe employees to quit lines and othe esouces Othe Nutition Povide places to puchase food and beveage Make healthie food and beveage choices available in cafeteias, snack bas, and vending machines, and company meetings Povide educational seies, wokshops, employee taining on nutition Povide nutitional infomation (beyond standad nutition infomation on labels) following AHA o USDA guidelines on sodium, caloies, tans fats, o satuated fats fo food and beveages sold o offeed onsite Have a witten fomal policy fo odeing healthie food and beveage choices fo meetings Othe Mental Health (Such as depession, anxiety, PTSD) Povide access to an employee assistance pogam (EAP) Povide fee o subsidized clinical sceening fo depession, substance abuse, o othe mental health concens Povide access to online o pape self-assessment depession sceening tools Povide bochues, educational mateials o online esouces that addesses mental health Povide fee o subsidized individual o goup counseling Othe Family-Fiendly Offe and encouage paid paental leave Povide beastfeeding accommodations fo new mothes (a pivate space and flexible paid o unpaid beak times to allow mothes to beast pump) Have a witten policy on beastfeeding fo new mothes Othe Cetification Application 6

7 Physical Activity Povide flextime to encouage employees to paticipate in physical activities Encouage active foms of tanspotation fo commuting to, fom and duing wok (biking, walking, public tanspot) Povide oganized physical activity pogams (walking goups, stetching, yoga, weight taining) Pomote walking meetings Povide subsidized o discounted access to onsite o offsite execise facility Othe Stess Management Povide and encouage flextime fo employees to pomote wok-life balance Povide stess elief theapies onsite (yoga, massage, counseling) Povide financial advising fo employees Povide family counseling Povide stess management and education and taining Othe Disease Pevention Povide communication and education that addesses the high isk of chonic disease (including pediabetes, heat disease, stoke) Povide bochues, videos, postes o othe educational mateials that addess the high isk of chonic disease Povide fee o subsidized health sceenings (blood pessue, cholesteol, BMI) Povide fee, subsidized efeal to chonic disease self-management pogam (lifestyle modification, medication adheence, blood pessue monitoing) Othe Cetification Application 7

8 SAFETY PROGRAMS AND POLICIES Woke well-being includes both health and safety. As pat of this application, tell us about how you oganization addesses the safety of employees. Does you oganization wok to keep employees safe? Yes No What effots has you oganization taken to contol and pevent physical injuy? (select all that apply) Eliminated hazadous mateials fom wokplace Replaced hazadous mateials with safe ones Changed the way we do ou wok to educe the isk of injuies Engineeing contols (Examples: exhaust ventilation, fie detection system) Administative contols (Examples: Adjusted wok tasks o schedules to educe isk of injuy o hazadous exposue) Povided Pesonal Potective Equipment to employees (Examples: Respiatos, had hats, safety glasses) Ceated an witten accident pevention plan Othe We do not cuently do any of these Do you have a witten safety policy? Yes No Do you have a safety committee o safety coodinato? Yes No Do you have a witten Retun-to-Wok Modified Duty policy? Yes No Do you have a violence and haassment pevention taining and/o policy? Yes No What steps has you oganization taken to pevent chonic injuies and musculoskeletal disodes? (check all that apply) Conducted egonomic assessment Limited amount of time wokes pefom epetitive tasks Modified wokstations o wok tasks (othe than computes) Othe We have not cuently done any of these Cetification Application 10

9 Have you developed a plan fo disaste and emegency pepaedness? Yes No ENGAGEMENT Engagement is a dynamic benchmak that includes stategic communication, incentives, equity and pogam each to all employees, thei families and the community Ae you inclusive in deliveing health and safety; do you conside ethnicity, language, eading levels, age, gende o divesity of you employees? Yes No How do you communicate with you employees about health and safety? (check all that apply) Fequent communication (at least monthly) Company and employee meetings Multiple communication channels ( , newslette, diect mail) Witten communications plan Banded communications with pogam logo, name, tagline Regula updates to infom stakeholdes (boad of diectos, company shaeholdes, management teams) Tainings and employee evaluations (duing on-boading, pefomance eviews, etc.) Social Media (Facebook, Twitte, LinkedIn) No additional esouces We do not cuently do anything. Do you policies and activities include employees who wok off-site? Yes, we offe health and wellness to offsite employees Yes, we offe safety to offsite employees No, not cuently We don t have any offsite wokes Please indicate whethe the following populations have access to health and wellness activities. (Check all that apply) Pat-time o seasonal Contacted Union Employees Employees on disability leave Spouses o domestic patnes Dependents othe than spouses o domestic patnes Retiees Not applicable Please indicate whethe the following populations have access to safety sevices. (Check all that apply) Pat-time o seasonal Contacted Cetification Application 10

10 Union Employees Employees on disability leave Spouses o domestic patnes Dependents othe than spouses o domestic patnes Retiees Not applicable In the past 12 months, did you oganization engage and/o invest in health and safety initiatives in you community? Yes, please explain how: No Altogethe, how effective do you think you engagement stategies ae in encouaging employees to paticipate in pogams, monito thei health goals, o take action to impove health, safety, and well-being? Vey Effective Somewhat Effective Not Vey Effective Not at all Effective What types of incentives do you offe to encouage employee paticipation? Recognition and/o awads Cash and/o pizes Discounted health insuance pemiums Contibutions o discounts fo health activities, gea o equipment (gym membeships, po foms, ski passes) Othe EVALUATION Stategic evaluation should be linked back to health and safety goals. It measues policy adheence, wokplace injuies and illness, and employee engagement. It involves collecting and analyzing data. In the past 12 months, what data have you collected and evaluated to measue the impact of you health and safety policies and pogams? (check all that apply) Employee paticipation Employee satisfaction Employee health isk factos Employee poductivity Employee moale and engagement Oganizational cultue change Quality of life Health cae claims and costs Safety claims and costs (injuies, accidents, nea misses) Othe How effectively ae you using the data you collect and tack to set goals and impove you pogams? Cetification Application 10

11 Vey Effective Somewhat Effective Not Vey Effective Not at all Effective Please indicate how impoving the health and safety of you employees impacts you costs of doing business: HIGH MEDIUM LOW NO IMPACT IMPACT IMPACT IMPACT Bette poductivity Lowe absenteeism Employee job satisfaction Employee ecuitment Employee etention Health insuance costs Wokes compensation costs THANK YOU Cetification Application 10