Town Hall Meeting Presentation

TWH- TpTAL WORKER HEALTH"

Proposed National Total Worker
Health Tm Agenda Town-Hall
1St

International Symposium to Advance Total Worker HealthTM
Oct. 6-8, 2014

Sara L. Tamers, PhD, MPH, Health Research Scientist and Coordinator for Research
Program Development and Collaboration
Office for Total Worker HealthTM Coordination and Research Support, National
Institute for Occupational Safety and Health, CDC
The findings and conclusions in this presentation have not been formally disseminated by the National Institute for
Occupational Safety and Health, and should not be construed to represent any agency determination or policy.

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Purpose of Town-hall Meetings
Elicit oral comment from stakeholders to
develop the most relevant National Total
Worker HealthTM (TWHTM) Agenda

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Proposed Strategic Goal 1
Research: Advance and conduct etiologic,
surveillance, and intervention research that
builds the evidence base for effectively
integrating health protection and health
promotion activities in the workplace.

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Proposed Strategic Goal 2
Practice: Increase the awareness and adoption
of effective, integrated occupational safety
and health protection and health promotion
activities in the workplace.

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Proposed Strategic Goal 3
Policy: Create guidance for policies that
promote integration of occupational safety
and health protection and health promotion
activities in the workplace.

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TWH- I'OTA[. WORKER HEALTH

Proposed Strategic Goal 4
Capacity-Building: Build professional capacity
to strengthen the TWH workforce and TWH
field to support the development, growth,
and maintenance of integrated occupational
safety and health protection and health
promotion activities in the workplace.

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Questions to Consider
1. Do you see your own organization's goals
reflected in the Proposed National Total
Worker Health Agenda?
2. What are the bridges between your own
work and the Proposed National Total
Worker Health Agenda?
3. Are there any missing components or gaps in
the Proposed National Total Worker Health

Agenda?
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How will the NIOSH Total Worker
Health Program Select Partners.?
Potential consideration identified:
—suitability criteria for employers to meet in
order to engage in a TWH-related partnership
with NIOSH
NIOSH undertaking simultaneous effort to
develop "partnering" criteria
Models to consider include the OSHA Voluntary
Protection Program criteria
Stakeholder input for other criteria will be sought
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Rules for Townmhall Oral Comments
Introduce yourself (name and affiliation)
Limit comments to 5 minutes maximum
—Questions to NIOSH are included in the 5
minute time allotment per speaker
Highlight critical points to be included in the
National TWH Agenda
— Remaining points should be submitted to the
Docket
Oral comments given at the meeting will be
recorded and included in NIOSH-275 Docket
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Opportunity for Written Comment
Submit written comments (CDC-2014-0014, Docket
Number NIOSH-275) by one of the following:
— Internet: http://www.regulations.gov Enter CDC2014-0014 in the search field and click "Search."
— Mail: National Institute for Occupational Safety and
Health, NIOSH Docket Office, 1090 Tusculum Avenue,
MS C-34, Cincinnati, Ohio 45226-1998. Identify the
submission for NIOSH Docket-275

Written comments must be made by 11:59 PM EST
on December 22, 2014
All comments will be reviewed and responded to
accordingly

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Auxiliary Slides

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Strategic Goals and Sub-Goals

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I'OTAL WORKEK F1EAI:C11

Proposed Goals
• Proposed National TWH Agenda includes four strategic
goals: research, practice, policy, and capacity-building
• Achievement of goals will move Nation towards creation
of work environments that support TWH approaches
• Each strategic goal supported by sub-goals that lead to the
achievement of the strategic goal
• Intent is to jumpstart national conversation and elicit
input/comment from stakeholders to develop the most
relevant TWH agenda

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TWH_

Research Goals
Strategic Goal 1. Advance and conduct etiologic,
surveillance, and intervention research that builds
the evidence base for effectively integrating health
protection and health promotion activities in the
workplace.
Etiologic/health effects research
Investigate work and non-work contributions to
worker safety and health conditions to better
understand their sources and identify TWH
interventions.

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Ib'CAL WORKER }IEAI:I'li

Research Goals (cont'd)
Surveillance research
• Improve surveillance systems to expand study of risks to
worker safety, health, and well-being by incorporating more
information on:
— work-related exposures in public health surveys and other
surveillance systems; and
— non-work conditions and exposures in occupational safety
and health hazard surveys and other surveillance systems.
• Expand current surveillance systems or develop new ones to
track the adoption and reach of TWH interventions over time.
• Develop measures to guide integrated interventions in
organizations, such as Health Risk Appraisals, that reliably
capture both work-related and non-work exposures that pose
safety and health risks.

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Research Goals (cont'd)
Intervention research
• Investigate the merits of integrated interventions relative to
comprehensive but parallel worksite health promotion (WHP) and
occupational safety and health (OSH) protection interventions, and to
unilateral WHP or OSH interventions.
• Address a broad range of outcomes to include:
— subclinical (e.g., biomarkers), health status (morbidity and mortality),
and health-related quality of life indicators of illness, injury, and wellbeing to better understand the efficacy and effectiveness of
integrated intervention strategies; and
— measures of organizational effectiveness (e.g., turnover,
presenteeism, and other performance indicators) and economic
indicators to better understand the cost-effectiveness of TWH
programs and help establish the business case for integrated
prevention strategies.
• Give further attention to the theoretical underpinnings of TWH
intervention studies to better understand why and under what
circumstances TWH interventions can be effective.

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I O"fAL WORKER HEAI:f H`

Research Goals (intervention-cont"d
• Investigate organizational policies and practices that support or
detract from the adoption, development, effectiveness, efficacy, and
sustainability of integrated occupational safety and health
protection and health promotion programs.
• Investigate the broader integration of:
— workplace prevention activities (i.e., benefit programs and
policies, Employee Assistance Programs) together with
occupational safety and health and health promotion activities;
and
— community and public health prevention activities together with
workplace prevention activities.
• Design TWH interventions to target workers at high-risk for
exposure to both work-related and non-work hazards.
• Design TWH interventions for especially prevalent and costly
conditions (e.g., mental health outcomes) that result from joint
exposure to work-related and non-work hazards.

TWH-

Practice Goals
Strategic Goal 2. Increase the awareness and adoption of effective, integrated
occupational safety and health protection and health promotion activities in the
workplace.
• Increase adoption of TWH best practices developed based on research evidence
and scientifically-derived consensus statements.

• Establish partnerships with corporate, labor, government, professional, and
academic organizations to foster the uptake of TWH practices in the workplace.
• Increase awareness among workers, employers, professional associations, labor
unions and other stakeholders of TWH practices and their benefits in order to
promote adoption of TWH approaches.
— Increase translation and dissemination of TWH research information and
practice models.
— Develop an internet-based open source system for disseminating TWH best
practices recommendations, tool kits, mobile apps, and model programs.
— Organize national and regional conferences, distance-learning events, and
other web-based educational offerings on TWH.
— Conduct a national survey to assess the adoption of TWH practices to target
dissemination and promotion activities.

TWH'-

Policy Goals
Strategic Goal 3. Create guidance for policies that promote
integration of occupational safety and health protection and
health promotion activities in the workplace.
• Develop policy guidance on TWH best practices.
• Establish mechanisms to promote corporate TWH
responsibility and sustainability.
• Offer direction on TWH approaches specifically for high-risk
worksites and small- and medium-sized companies.
• Explore strategies for the transfer of integrated OSH
prevention activities to the general health care delivery
system.

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Capacity-Building Goals
Strategic Goal 4. Build professional capacity to strengthen the TWH
workforce and TWH field to support the development, growth, and
maintenance of integrated occupational safety and health protection
and health promotion activities in the workplace.
• Identify training needs and develop core competencies and guidance

for certificates, degree programs, and continuing education fostering

integration of occupational safety and health protection with health
promotion.
• Identify existing educational programs and curricula that support TWH
concepts and training, and the best ways that federal programs and
granting agencies can support these educational activities.
• Promote events and foster partnerships among TWH, OSH, public
health, health promotion, and other stakeholders from multidisciplinary sectors to strengthen the TWH field.
• Explore the benefits of creating a professiona) organization for TWH
professionals.
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Background

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T V V H i'OTAL WORKER HEALTFI

National Occupational Research Agenda
• National Occupational Research Agenda (NORA) is a

research framework for NIOSH and the Nation
• Fuels innovative research and enhanced workplace
practices
• Stakeholders collaborate to pinpoint vital issues in
workplace safety and health and identify goals
• NORA organized by 10 sector programs and 24 cross-sector

programs
• Total Worker HealthTM (TWH TM) is a cross-sector program,
with potential to impact each sector
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T V V H_ ('OTAL WORKER N 1''"'

Proposed National Total Worker Health Tll

Agenda
• First national effort to create agenda for field of integrated
occupational safety and health protection and health promotion
• Includes goals to address priority areas in TWH
— Internal and external stakeholder input
— Evidence-based sources: Cherniack, Henning et al. 2010,
Hymel, Loeppke et al. 2011, Sorensen, Landsbergis et al.
2011 1 NIOSH 2O12...
• Provides guidance for TWH stakeholders/audiences
— Research funding entities, labor, industry, safety and health
practitioners, health promotion professionals, future TWH
workforce...
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Federal Register / Vol. 79, No. 184 / Tuesday, September 23, 2014 / Notices

Analysis and Services Office, 1600
Clifton Rd. NE., MS: K–48, Atlanta, GA
30329, email: cyr9@cdc.gov.
The Director, Management Analysis
and Services Office, has been delegated
the authority to sign Federal Register
notices pertaining to announcements of
meetings and other committee
management activities, for both the
Centers for Disease Control and
Prevention, and Agency for Toxic
Substances and Disease Registry.
Claudette Grant,
Acting Director, Management Analysis and
Services Office, Centers for Disease Control
and Prevention.
[FR Doc. 2014–22533 Filed 9–22–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Board of Scientific Counselors,
National Center for Health Statistics
(BSC, NCHS)

mstockstill on DSK4VPTVN1PROD with NOTICES

In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the Centers for Disease
Control and Prevention (CDC), National
Center for Health Statistics (NCHS)
announces the following meeting of the
aforementioned committee:
Times and Dates: 11:00 a.m.–5:30 p.m.,
October 29, 2014; 8:30 a.m.–1:00 p.m.,
October 30, 2014.
Place: NCHS Headquarters, 3311 Toledo
Road, Hyattsville, Maryland 20782.
Status: This meeting is open to the public;
however, visitors must be processed in
accordance with established federal policies
and procedures. For foreign nationals or nonU.S. citizens, pre-approval is required (please
contact Gwen Mustaf, 301–458–4500, glm4@
cdc.gov, or Virginia Cain, vcain@cdc.gov at
least 10 days in advance for requirements).
All visitors are required to present a valid
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required by the Federal Property
Management Regulations, Title 41, Code of
Federal Regulation, Subpart 101–20.301, all
persons entering in or on Federal controlled
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other containers in their immediate
possession are subject to being x-rayed and
inspected. Federal law prohibits the knowing
possession or the causing to be present of
firearms, explosives and other dangerous
weapons and illegal substances. The meeting
room accommodates approximately 100
people.
Purpose: This committee is charged with
providing advice and making
recommendations to the Secretary,
Department of Health and Human Services;
the Director, CDC; and the Director, NCHS,
regarding the scientific and technical

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program goals and objectives, strategies, and
priorities of NCHS.
Matters for Discussion: The agenda will
include:
1. Welcome remarks by the Director, NCHS
2. National Health & Nutrition Examination
Survey DNA Collection Plans
3. Office of Research and Methodology
update
4. National Health Interview Survey Sexual
Orientation Data presentation
Requests to make oral presentations should
be submitted in writing to the contact person
listed below. All requests must contain the
name, address, telephone number, and
organizational affiliation of the presenter.
Written comments should not exceed five
single-spaced typed pages in length and must
be received by October 17, 2014.
The agenda items are subject to change as
priorities dictate.
Contact Person for More Information:
Virginia S. Cain, Ph.D., Director of
Extramural Research, NCHS/CDC, 3311
Toledo Road, Room 7208, Hyattsville,
Maryland 20782, Telephone: (301) 458–4500,
Fax: (301) 458–4024.
The Director, Management Analysis and
Services Office, has been delegated the
authority to sign Federal Register notices
pertaining to announcements of meetings and
other committee management activities for
both CDC and the Agency for Toxic
Substances and Disease Registry.
Claudette Grant,
Acting Director, Management Analysis and
Services Office, Centers for Disease Control
and Prevention.
[FR Doc. 2014–22529 Filed 9–22–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[CDC–2014–0014, Docket Number NIOSH–
275]

Proposed National Total Worker
HealthTM Agenda
National Institute for
Occupational Safety and Health
(NIOSH) of the Centers for Disease
Control and Prevention (CDC),
Department of Health and Human
Services (HHS).
ACTION: Notice of opportunity to provide
oral comments at three town-hall
sessions, and the opportunity to provide
written comments.
AGENCY:

The National Institute for
Occupational Safety and Health
(NIOSH) of the Centers for Disease
Control and Prevention (CDC)
announces the opportunity for comment
on the Proposed National Total Worker
HealthTM Agenda. To view the Agenda
and submit written comments, visit,
SUMMARY:

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www.regulations.gov, and enter CDC–
2014–0014 in the search field and click
‘‘Search.’’ There is also an opportunity
to submit oral comments at one of three
town-hall sessions during the following
two scientific meetings: The 1st
International Symposium to Advance
Total Worker HealthTM and The
Healthier Federal Workers Conference.
For information on how to register for
the conferences and town-hall sessions
see the Supplementary Section. All
comments are welcome, but NIOSH
specifically seeks those that address the
following questions:
• Do you see your own organization’s
goals reflected in the Proposed National
Total Worker HealthTM Agenda?
• What are the bridges between your
own work and the Proposed National
Total Worker HealthTM Agenda?
• Are there any missing components
or gaps in the Proposed National Total
Worker HealthTM Agenda?
DATES:
Meeting date and time:
(1) October 6–8, 2014; 2 town-hall
sessions: October 7, 2014, 12:30–
1:45 p.m. Eastern Time and 5–6:15
p.m. Eastern Time
(2) October 9, 2014, 1:15–2:30 p.m.
Eastern Time
Registration to speak: Participants
who wish to speak during one of the
town-hall sessions must register by
sending an email to stamers@cdc.gov by
October 1, 2014.
Public comment period: Comments
must be received by December 22, 2014.
ADDRESSES: Both meetings will be held
at the National Institutes of Health,
Natcher Conference Center (Bldg. 45),
9000 Rockville Pike, Bethesda,
Maryland 20892.
Security Considerations: Due to
mandatory security clearance
procedures, in-person attendees must
present valid government-issued picture
identification (passport for non-U.S.
citizens) to security personnel upon
entering the NIH Campus.
You may submit comments, identified
by CDC–2014–0014 and Docket Number
NIOSH–275, by one of the following
three methods:
• Internet: http://
www.regulations.gov. Enter CDC–2014–
0014 in the search field and click
‘‘Search.’’
• Mail: National Institute for
Occupational Safety and Health, NIOSH
Docket Office, 1090 Tusculum Avenue,
MS C–34, Cincinnati, Ohio 45226–1998.
Identify the submission for NIOSH
Docket-275.
• In-person: Only individuals who
are registered for one and/or both
conferences and one of three town-hall

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mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 79, No. 184 / Tuesday, September 23, 2014 / Notices
sessions will have the opportunity to
provide oral public comment.
Instructions: All information received
in response to this notice must include
the agency name and docket number
[CDC–2014–0014; NIOSH–275]. All
electronic comments should be
formatted as Microsoft Word. All
comments received will be posted
without change to http://
www.regulations.gov, including any
personal information provided. All
information received in response to this
notice will also be available for public
examination and copying at the NIOSH
Docket Office, 1150 Tusculum Avenue,
Room 109, Cincinnati, OH 45226–1998.
FOR FURTHER INFORMATION CONTACT: Sara
L. Tamers, Ph.D. MPH, NIOSH/CDC,
Telephone: (202) 245–0677, Fax: (202)
245–0664, STamers@cdc.gov.
SUPPLEMENTARY INFORMATION:
Attendance: The town-hall sessions,
and oral comments during the town-hall
sessions, are open to participants who
have registered and paid to attend one
or both of the conferences, limited only
by the capacity of the conference room
(up to 140 participants).
Information on the conferences and
town-hall sessions:
• The 1st International Symposium to
Advance Total Worker HealthTM
(October 6–8, 2014; 2 town-hall
sessions: October 7, 2014, 12:30–1:45
p.m. Eastern Time and 5–6:15 p.m.
Eastern Time): http://www.eagleson.org/
conferences/total-worker-health.
• The Healthier Federal Workers
Conference (October 8–10, 2014; 1
town-hall session: October 9, 2014,
1:15–2:30 p.m. Eastern Time): http://
www.eagleson.org/conferences/
healthier-federal-workers-2014.
Registration for both conferences may
be done up until the day of each
conference.
Registration to speak: Participants
who wish to speak during one of the
town-hall sessions must register by
sending an email to stamers@cdc.gov by
October 1, 2014. Each speaker will have
5 minutes to speak. It is recommended
that the speaker not read written
comments, but rather highlight critical
points in the written material that
should be submitted to the docket.
Please note that you may only sign up
for one town-hall session. An email
confirming registration will be sent from
NIOSH and will include details needed
to participate. Oral comments made at
the meeting will be recorded and
included in docket NIOSH–275. All
relevant comments received will be
posted without change to NIOSH–275
including any personal information
provided.

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Background: Total Worker HealthTM
is a strategy integrating occupational
safety and health protection with health
promotion to prevent worker injury and
illness and to advance health and wellbeing. The town-hall sessions will be
forums for NIOSH to receive stakeholder
input on the draft National Total Worker
HealthTM Agenda. This Agenda is meant
to stimulate innovative research,
practical applications, policy guidance,
and capacity building of Total Worker
HealthTM practitioners to improve
workplace practices as they relate to
Total Worker HealthTM. For more
information, visit: http://www.cdc.gov/
niosh/TWH/.
Dated: September 15, 2014.
John Howard,
Director, National Institute for Occupational
Safety and Health, Centers for Disease Control
and Prevention.
[FR Doc. 2014–22465 Filed 9–22–14; 8:45 am]
BILLING CODE 4163–19–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Advisory Committee to the Director
(ACD), Centers for Disease Control and
Prevention (CDC)—State, Tribal, Local
and Territorial (STLT) Subcommittee
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the Centers for Disease
Control and Prevention (CDC)
announces the following meeting of the
aforementioned subcommittee:
Time and Date: 8:30 a.m.–4:00 p.m. e.d.t.,
October 10, 2014.
Place: CDC, Building 19, Auditorium B3,
1600 Clifton Road NE., Atlanta, Georgia
30333.
Status: This meeting is open to the public,
limited only by the space available. The
meeting room accommodates approximately
20 people. The public is welcome to
participate during the public comment,
which is tentatively scheduled from 3:15
p.m. to 3:35 p.m. This meeting is also
available by teleconference. Please dial (888)
233–0592 and enter code 33288611.
Web Links:
Windows Media-1: http://
wm.onlinevideoservice.com/CDC1
Flash-2: http://
www.onlinevideoservice.com/clients/
CDC/?mount=CDC3
Technical Support 404–639–3737
Purpose: The Subcommittee will provide
information through the ACD to the CDC
Director on strategies and future needs and
challenges faced by State, Tribal, Local and
Territorial health agencies, and will provide
guidance on opportunities for CDC.

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Matters for Discussion: The STLT
Subcommittee members will discuss progress
on implementation of ACD-adopted
recommendations related to the health
department of the future and how CDC can
best support STLT health departments in the
transforming health system.
The agenda is subject to change as
priorities dictate.
Contact Person for More Information:
Judith A. Monroe, M.D., FAAFP, Designated
Federal Officer, State, Tribal, Local and
Territorial Subcommittee, Advisory
Committee to the Director, CDC, 1600 Clifton
Road NE., M/S E–70, Atlanta, Georgia 30333,
Telephone (404) 498–0300, Email:
OSTLTSDirector@cdc.gov.
The Director, Management Analysis and
Services Office, has been delegated the
authority to sign Federal Register notices
pertaining to announcements of meetings and
other committee management activities, for
both the Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Claudette A. Grant,
Acting Director, Management Analysis and
Services Office, Centers for Disease Control
and Prevention.
[FR Doc. 2014–22528 Filed 9–22–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Board of Scientific Counselors,
National Institute for Occupational
Safety and Health (BSC, NIOSH)
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the Centers for Disease
Control and Prevention (CDC)
announces the following meeting for the
aforementioned committee:
Time and Dates: 1:00 p.m.–4:00 p.m., E.T.,
November 7, 2014.
Place: Teleconference and webinar format.
Status: Open to the public, limited only by
the space available on the webinar system,
which accommodates a maximum of 100
people (no limit on the teleconference line).
If you wish to attend by webinar, please see
the NIOSH Web site to register (http://
www.cdc.gov/niosh/bsc/) or call (404) 498–
2539 at least 48 hours in advance.
Teleconference is available toll-free; please
dial (888) 397–9578, Participant Pass Code
63257516.
Purpose: The Secretary, the Assistant
Secretary for Health, and by delegation the
Director, Centers for Disease Control and
Prevention, are authorized under Sections
301 and 308 of the Public Health Service Act
to conduct directly or by grants or contracts,
research, experiments, and demonstrations
relating to occupational safety and health and
to mine health. The Board of Scientific
Counselors shall provide guidance to the
Director, National Institute for Occupational

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