Strategic Foresight at NIOSH

Strategic foresight is an action-oriented discipline. It evolved from futures studies, a field that systematically explores multiple possible, probable, and preferable futures. Strategic foresight is not a practice that tries to accurately predict the future. It is also not intended to be a replacement for traditional strategic planning. Instead, strategic foresight is a practice that looks ahead and asks what may be coming, how it might affect us, and what we can do today to start moving toward a preferred future outcome. This forward-facing perspective can be a particularly useful element of strategic planning efforts during periods of complex instability or uncertainty, reducing the likelihood of being unprepared for or surprised by the future when it arrives as part of the mainstream.

Diagram of three gears, with arrows to denote they are working together. The top gear is labeled “Signals of change.” The middle gear is labeled “Plausible future scenarios.” The bottom gear is labeled “Strategic plans and approaches.”

The term “foresight professional” or “futurist” refers to anyone who systematically thinks about and analyzes the future.  Foresight professionals (futurists) work across a variety of industries and use a number of different tools to look for signals of change, identify primary drivers of the future, and craft a set of plausible future scenarios. These foresight outputs can then serve as valuable inputs to the development of strategic approaches and the proactive preparation for an uncertain future.

In January 2021, the NIOSH Office of Research Integration established the NIOSH Strategic Foresight Initiative (SFI) to lead strategic foresight activities and build foresight awareness and capacity at NIOSH and throughout the occupational safety and health (OSH) community.

NIOSH Foresight Framework for OSH

As one of its first tasks, the SFI developed the NIOSH Foresight Framework for OSH shown in Figure 1. The framework is an adaptation of the Framework Foresight method developed by the University of Houston, an internationally renowned approach that is versatile an flexible enough to accommodate a variety of project topics and aims while also providing a clear roadmap through the foresight process.

Visual depiction of the stages of the NIOSH Foresight Framework for OSH as a linear sequence of 6 boxes. Box 1 is labeled “Framing the OSH domain.” Box 2 is labeled “Scanning signals of change.” Box 3 is labeled “Futuring plausible scenarios.” Box 4 is labeled “Visioning implications.” Box 5 is labeled “Designing strategic approach.” Box 6 is labeled “Monitoring the OSH domain.”

Figure 1. NIOSH Foresight Framework for OSH.

Like the University of Houston Framework Foresight, the NIOSH Foresight Framework for OSH has six discrete stages that are interrelated and interdependent:

  1. Framing: identifying and describing the OSH domain or topic of interest and other project parameters.
  2. Scanning: searching for information about how things might be different in the future for the domain of interest. A variety of information sources should be reviewed during the scan.
  3. Futuring: developing alternative future scenarios (i.e., stories) for the domain.
  4. Visioning: considering the implications of the different scenarios to uncover potential risks, challenges, and opportunities and assess future preparedness.
  5. Designing: planning and constructing strategic approaches in support of a desired future.
  6. Monitoring: continuing to scan for new signals of change and updating the domain topic as needed to further refine future foresight efforts.

Partners, including representatives from government, industry, labor, and OSH research and practice, should be engaged throughout the strategic foresight process. Their involvement at each stage in the framework should be tailored to effectively support the project purpose. Additionally, though the framework is visually represented by a sequential model, the strategic foresight process is not entirely linear. Both during and at the end of each stage, the activities and outputs of all previous stages should be carefully considered to determine if any additional work is needed before proceeding through the remaining framework stages.

Building Foresight Interest and Capacity in OSH

Throughout the year, the SFI provides opportunities to learn about foresight principles and their application to OSH. Additional information is provided below for Foresight Friday @ NIOSH, the SFI flagship effort to bring foresight to OSH.

Foresight Friday @ NIOSH

The purpose of the Foresight Friday @ NIOSH  webinar series is to expand strategic foresight capacity in OSH and advance the role of foresight in OSH research, service, and practice. The series engages an interdisciplinary audience of researchers, practitioners, and other subject matter experts to share resources, support, and best practices for the application of foresight to OSH. It also provides a place where members of a growing OSH community of interest can regularly come together to strengthen their connections to foresight experts and one another.

Foresight Friday @ NIOSH is free and open to the public. Events are virtual and occur quarterly, typically on a Friday from 11:00 am – 12:00 pm ET.

Please direct any questions about Foresight Friday @ NIOSH to the NIOSH Office of Research Integration (

Upcoming Foresight Friday @ NIOSH

October 13, 2023 11 AM ET

Ask the Experts: A Conversation with Strategic Foresight Leaders

Register Here

For the October 2023 installment of Foresight Friday @ NIOSH, we are excited to welcome a panel of experts to provide insights on the application of strategic foresight across various settings, including government, industry, and academia. Audience members will also have an opportunity to pose questions to the panel during the live event. We hope you can join us for this rich foresight discussion!

Featured Speakers:

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Sharaelle Grzesiak, is a dedicated public servant with a longstanding track record as a foresight strategist and policy analyst within various Departments in the U.S. Government, both in the Executive and Legislative branch, to include DHS, HHS, VA and more recently within the GAO. In her current role, she serves as the Director, for the Center for Strategic Foresight, where she was instrumental in helping establish the first-ever GAO Center for Strategic Foresight.  At GAO she also leads the development of the agency wide Strategic Plan.  While at the VA, in the Strategic Studies Group, she led department-wide environmental scans and other foresight methods.  Ms. Grzesiak’s has been added to the List of the World’s Top Female Futurists. She has a Master of Arts from the National Defense University where she studied Strategic Security Studies and holds a Bachelors of Art in Sociology, Minor in Political Science – International Relations from Northern Illinois University.


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Cho-Oon Khong is a scenarios practitioner and geopolitical analyst, Associate Fellow of the Saïd Business School at the University of Oxford and Distinguished International Fellow of the Centre for Strategic Futures in the Government of Singapore. Cho teaches as a core faculty member on the Oxford Scenarios Programme.  Cho was a senior member of the Shell scenarios team from 1994-2021, where he led Shell’s external environment assessments for country and regional reviews and led focused scenario projects on a range of topics of strategic business significance. Cho graduated with First Class Honours in Political Science from the University of Singapore. He did postgraduate studies on a Ford Foundation Fellowship at the London School of Economics, where he received his MSc and PhD in International Relations.


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Cole Oman is Foresight Leader in Deloitte’s Office for the Future. He partners with senior leadership to help future proof their organization. Cole consults on nascent technologies and discontinuous forces of change to assist businesses in effectively managing across time horizons and avoid disruption. He leads teams in the development of robust solutions to address the most significant challenges facing business and society. Prior to this role, Cole served in the Monitor Deloitte Strategy practice with a primary focus on scenario planning, competitive response, customer strategy, and artificial intelligence. Before Deloitte, Cole was an investment banker focused on M&A, leveraged buyouts, and capital markets transactions. He also served as a microfinance consultant for an international non-profit abroad. Cole earned an MBA from the Yale School of Management and a Bachelor of Arts in Business Economics and Accounting from the University of California Los Angeles.

Past Foresight Friday @ NIOSH

Preparing the Occupational Safety and Health Workforce for Future Disruptions | July 14, 2023

This webinar featured Jessica MK Streit, Deputy Director of the Office of Research Integration in the National Institute for Occupational Safety and Health (NIOSH). Jessica discussed how we might better prepare the OSH community to support worker safety, health, and well-being through large-scale threats and crises. She reviewed methods the NIOSH Office of Research Integration recently used to lead a team of volunteers through a strategic foresight exercise exploring how future pandemics and other sudden disruptions might impact work and jobs and shape the practice of OSH.

Thriving in An Age of Discontinuity: The Practice of Strategic Foresight | April 7, 2023

This webinar featured Cole Oman, Foresight Leader in the Office for the Future at Deloitte. Cole explained why he feels understanding and practicing strategic foresight is necessary to navigate uncertainty, manage across time horizons, and build agility and resiliency within organizations to ensure long-term success. He explored how strategic foresight can challenge long-held orthodoxies, build new mindsets and muscles, and reframe challenges.

Investigating the Growth of Strategic Foresight in the U.S. Government | January 13, 2023

This webinar featured Peter Scoblic, co-founder of Event Horizon Strategies and senior fellow at New America. Peter spoke on the growth of strategic foresight in the U.S. Government. Although difficult to quantify, interest in strategic foresight appears to be growing in U.S. federal agencies. However, these programs are connected to each other only through informal networks and interagency groups, and their impact on policy is episodic. There is no whole-of-government effort—a gap that he recommends be rectified.

Dispatches from the Future: Future Forces Shaping Work and Health | October 21, 2022

This webinar featured Rachel Maguire, Research Director, Institute for the Future (IFTF). Rachel provided highlights from IFTF’s research into how the changing nature of work is influencing the health of individuals, families, and communities over the coming decades. She offered a futures perspective on how work arrangements such as gig, contingent, and shift work are combining with economic policies and technological forces to shape the future conditions for work. Rachel also shared IFTF human-centered forecasts to spark conversation about the impact these work arrangements may have on individual and collective health and well-being.

Relevance, Practice and Insights from Applying Scenarios | July 29, 2022

This webinar featured Cho Khong from the Saïd Business School at the University of Oxford. Cho discussed how scenario planning can help organizations think strategically and respond to change.  He drew on his experience in the Shell scenarios team and elsewhere to examine and to assess the integration of strategic foresight and scenario planning into organizational planning and practice.

Strategic Foresight in Government: Perspectives from Policy Horizons Canada | April 22, 2022

This webinar featured perspectives from Policy Horizons Canada, an organization that conducts strategic foresight to help the Government of Canada develop future-oriented policy and programs that are more robust, resilient, and responsive in the face of disruptive change. Kristel Van der Elst, Director General of Policy Horizons Canada, spoke about the importance of strategic foresight for governments and shared examples of how foresight can be used to inform the development of policies and programs in the face of an uncertain future.

Four Futures for Occupational Safety and Health | January 7, 2022

Strategic foresight is a practice rooted in futures studies that includes the development and analysis of plausible alternative futures as inputs to strategic plans and actions. In this webinar, Sarah Felknor, from the Office of Research Integration at the National Institute for Occupational Safety and Health (NIOSH), presented findings from the first NIOSH strategic foresight project. This project, which concluded September 2021, envisions four plausible futures and their implications for OSH.

Presentations through September 2021 were primarily limited in delivery to an internal CDC audience. Recordings are not available for these webinars.

Leveraging Strategic Foresight to Advance Worker Safety, Health, and Well-Being| October 29, 2021

Jessica Streit, Deputy Director of the NIOSH Office of Research Integration, explored strategic foresight as a tool that can enhance our capacity to anticipate, and even shape, the future as it pertains to work in order to advance worker safety, health, and well-being. Strategic foresight is a practice rooted in futures studies that includes the development and analysis of plausible alternative futures as inputs to strategic plans and actions.

Foresight Horizons and Anticipatory Leadership | September 24, 2021

Heather Benoit, Senior Managing Director of Strategic Foresight at Strategic Government Resources (SGR), provided a review and rich discussion of the Three Horizons Framework, which is a useful tool for understanding the evolution of change over time. Jennifer Tsitsopoulos, Principal Innovation Strategist from Board of Innovation, discussed how foresight can prepare the next generation of leaders to be successful in a changing world of work.

Foresight Journal Club | June 04, 2021

During this interactive event, staff from across NIOSH explored sample foresight projects from the Institute for the Future (IFTF) to enhance their understanding of mapping drivers into typical patterns of change. This exercise is a critical first step in producing unique plausible alternative future scenarios.

High Impact Projects by CDC Strategic Foresight Learning & Action Network (SF-LAN) | May 7, 2021

Dr. Richard Puddy from the CDC Office of the Associate Director for Policy and Strategy introduced the CDC Strategic Foresight Learning and Action Network (SF-LAN) and provided updates on a project exploring the Future of Evidence at CDC. Dr. Matthew Mauldin from the CDC Deputy Director for Public Health Service and Implementation Science Office provided updates on a project exploring the Future of Emergency Lab Preparedness.

Scenario Planning | April 9, 2021

Rafael Ramírez, Director of the Oxford Scenarios Programme in the Saïd Business School at the University of Oxford, overviewed the application and distinguishing features of the Oxford Scenario Planning Approach, which has been widely adopted by science-centric organizations (e.g., Royal Society of Chemistry, European Patent Office, and the Nuclear Safeguards unit in the International Atomic Energy Agency), NGOs (e.g., Diabetes UK), police forces, cities, and private companies. At the time of the presentation, the Oxford Scenario Planning Approach was being deployed by those planning the future of research on COVID-19.

You’ve Gathered Your Futures Data: Now What? | March 5, 2021

Lyn Jeffery, Director of Foresight Essentials at the Institute for the Future, shared strategies for moving from signals and drivers of change to forecasts, which are communicable and thought-provoking views of the future.

Scanning 101 | February 5, 2021

Eric Popiel, Strategic Workforce Analyst from the US Office of Personnel Management (OPM), provided a practical overview of a widely-accepted approach to searching for and organizing signals of change that may influence the future.

A Short History of the Future: Foresight Studies at RAND | January 15, 2021

Steven Popper, Senior Economist at RAND and Professor at the Pardee RAND Graduate School, and Richard Silberglitt, Senior Physical Scientist at RAND and Professor at the Pardee RAND Graduate School, jointly provided an overview of the roots of foresight and discussed the contemporary foresight portfolio RAND maintains today.

All 2020 presentations were limited in delivery to an internal CDC audience. Recordings are not available for these webinars.

Strategic Foresight Initiative | December 4, 2020

Eric Popiel, Strategic Workforce Analyst from the US Office of Personnel Management (OPM) discussed the new OPM Strategic Foresight Initiative, which assists federal agencies in the development of foresight methodologies and processes to effectively plan for the workforce of the 21st century.

HORIZON: A Prototype CDC Scanning Tool Demonstration | November 6, 2020

Tom Savel, Director of the CDC Emerging Technology and Design and Acceleration Branch, provided a live demonstration of HORIZON, an exciting new CDC Strategic Foresight Scanning tool.

Strategic Foresight: September 2020 Training Evaluation | October 2, 2020

The NIOSH Office of Research Integration (ORI) held the inaugural Foresight Friday @ NIOSH in October 2020. This invitation-only meeting served as a debrief session to a September 2020 strategic foresight training delivered to NIOSH leadership by the University of Houston. During this meeting, ORI introduced NIOSH’s new strategic foresight efforts, reviewed training evaluation results, and discussed next steps for building foresight capacity at NIOSH.