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NIOSH Total Worker HealthTM Affiliate Program

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The mission of the NIOSH Total Worker HealthTM Affiliate (Affiliate) Program is to advance greater integration of worker health protection and health promotion through collaborations with public and not-for-profit organizations.

The goals of the Affiliate Program are:

  1. Increase the visibility, uptake, and impact of Total Worker Health (TWH) to advance the safety, health and well-being of workers.
  2. Attract new collaborators to enrich and broaden current NIOSH TWH translational research.
  3. Attract new collaborators to enrich and broaden current NIOSH TWH practice and dissemination efforts.
  4. Publicly recognize the contributions of the Affiliates to the development and dissemination of TWH research and practice.

Current Affiliates

NIOSH Total Worker Health™ (TWH™) Affiliates

map of NIOH Affiliates

Center for Worker Health and Environment, Colorado School of Public Health: At the University of Colorado School of Public Health, the Center is committed to improving the lives and health of workers and communities throughout Colorado and around the world. The Center for Worker Health and Environment has a robust and growing continuing education program, public-private partnerships, and community-based initiative to integrate worksite health promotion and health protection.

Dartmouth–Hitchcock: Dartmouth-Hitchcock's vision is to achieve the healthiest population possible, leading the transformation of health care in the Northeast U.S. region and setting the standard for our nation. In the eyes of Dartmouth-Hitchcock leadership, achieving the healthiest population possible starts with the organization's own workforce. Live Well/Work Well's mission is to improve and maintain the health and well-being of Dartmouth-Hitchcock employees and their families by creating a supportive culture which provides access to resources and services that motivate, encourage and promote healthy lifestyles and foster resilience. Dartmouth-Hitchcock links employee safety with employee health and well-being and fosters an organizational culture in which all employees are responsible for creating a safer and healthier work environment.

International Brotherhood of Boilermakers, Iron Ship Builders, Blacksmiths, Forgers and Helpers (IBB): The International Brotherhood of Boilermakers, Iron Ship Builders, Blacksmiths, Forgers and Helpers (IBB) developed Boilermaker Total Health (BtH) – a strategy integrating OH&S protection and health promotion to further protect and improve Boilermaker health both on and off the job. The BtH program has two components: 1. HealthBenchmark – designed to set meaningful standards for functional abilities and medical assessment for pre-apprentices entering the trade. 2. HealthArc – a comprehensive health and wellness program designed to promote member health 24/7, on and off the job.

Kentucky Department for Public Health: The Kentucky Department for Public Health, through the Worksite Wellness Initiative, the Kentucky Injury Prevention and Research Center, and the Kentucky Safety and Prevention Alignment Network, is developing a partnership that will establish and promote Total Worker Health in Kentucky. This partnership will serve as the catalyst in the formation of a state level steering committee made up of private and public sector organizations who will provide leadership in the development of a whole person safety and health model for employers and a public awareness campaign for TWH in Kentucky.

Kentucky Injury Prevention and Research Center (KIPRC): The mission of the Kentucky Injury Prevention and Research Center (KIPRC) as a NIOSH TWH Affiliate is to join worker safety and health with community safety and health promotion through collaborations with public and not-for-profit organizations. KIPRC envisions Total Worker HealthTM in Kentucky as a holistic and empowering strategy to meld worker well-being with injury and illness prevention in local businesses and communities. Within KIPRC, a number of programs and activities support the TWH mission, such as the National Center for Injury Prevention and Control-funded state violence and injury prevention program, Kentucky Safety and Prevention Alignment Network (KSPAN), NIOSH-funded Kentucky Fatality Assessment and Control Evaluation and Kentucky Occupational Safety and Health Surveillance programs, National Safety Council-funded Safe Communities Kentucky program, and the Kentucky Department for Public Health-funded Community Injury Prevention Program.

Mount Sinai Health System: The Mount Sinai Health System explores strategies that integrate health protection and health promotion activities for its 36,000 employees. As TWH Clinical Centers of Excellence, the Mount Sinai Selikoff Centers for Occupational Health, the health care delivery cores for the Department of Preventive Medicine within the Icahn School of Medicine at Mount Sinai, will offer health promotion services to patients and collaborate with employers and organizations to develop comprehensive workplace health and safety programs. The Department of Preventive Medicine will spearhead research initiatives to evaluate the effectiveness of TWH interventions and train future health care professionals on integrated TWH strategies in general preventive medicine and occupational and environmental medicine through its residency training programs.

National Aeronautics and Space Administration (NASA): In 2005, NASA was recognized in an Institute of Medicine report, Integrating Employee Health: A Model Program for NASA, for "being forward-looking in designing programs aimed at improving the health and wellness of its employees." NASA has proactively taken steps to bring together its diversity of occupational health, environmental health, workers compensation, wellness, and employee assistance programs to integrate occupational safety and health protection with health promotion.

National Safety Council: The National Safety Council (NSC) is a nonprofit organization whose mission is to save lives by preventing injuries and death at work, in homes and communities, and on the road through leadership, research, education and advocacy. NSC advances this mission by partnering with businesses, government agencies, and the public to make an impact where the most preventable injuries and deaths occur.

Nebraska Safety Council: The Nebraska Safety Council/WorkWell is committed to providing leadership and resources that promote safe and healthy environments in the workplace, on the roads and in our homes and communities. The Council promotes the Total Worker Health through 1) worksite implementation (Community Based Pilot Grant from the University of Iowa Healthier Workforce Center for Excellence); 2) worksite consultation; 3) state awards at an annual conference; 4) trainings, networking meetings, regional and national presentations; 5) promotional and educational materials. The purpose is to meet organizations where they are at; help determine their current state of programs, data, and organizational culture; and provide support and guidance to further advance their workplace initiatives through integration and evidenced based practices.

SAIF: SAIF is Oregon’s not-for-profit, state-chartered workers’ compensation company. Its vision is to be an industry innovator that makes Oregon the safest place to work. Its goal is to serve and protect the Oregon workforce, meet the needs of workers and employers, and strengthen Oregon’s economy. As an Affiliate, SAIF aims to improve the well-being of its employees, as well as nearly 50,000 policyholders and 600,000 covered workers. SAIF is committed to focusing on actions at the organizational level that improve health and support a zero-injury work environment.

University of Michigan: The Health Management Research Center in the University of Michigan (UM-HMRC) School of Kinesiology has been a leader in establishing the scientific foundation linking modifiable health risks to health care costs, disability, worker’s compensation, absenteeism and presenteeism. UM-HMRC has a growing interest in Total Worker Health, recognizing that providing a safe work environment is a prerequisite for establishing the trust and that programs protecting worker safety and health have the same individual and outcome goals as programs promoting health. Interests of UM-HMRC include developing the business case for Total Worker Health; identifying the most effective strategies to integrate health promotion and health protection within organizations; and articulating the mechanism through which organization culture influences individual behavior and the most effective strategies to leverage culture to improve health.


Potential Affiliates include:

  • academic institutions
  • labor organizations
  • public sector entities, including Federal, state, or local government agencies
  • non-profit associations that are related to occupational safety, health, or health promotion

Potential Affiliates should disclose to NIOSH any significant existing or potential occupational safety and health issues which create or may create an appearance of misalignment with the principles of TWH. This includes investigations or citations by federal, state, or local health, environment, and labor agencies and violations of occupational safety and health regulations or laws.

Potential Activities

Affiliates and NIOSH may consider the following as collaborative activities:

  • conduct joint research
  • develop programs, interventions, and other work-products
  • collaborate on seminars, meetings, trainings, and educational events
  • create and disseminate publications and other communication products
  • cross-promote individual and joint activities

To learn more about the NIOSH TWH Affiliate Program, please see the attached FAQs.

How can my organization become an Affiliate?

Academic, non-profit, and similar parties with an interest in advancing workplace safety, health, and well-being by becoming a NIOSH TWH Affiliate may contact us at

Contact Us: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Road Atlanta, GA 30329-4027, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO
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