2020 Small Employer Profile

The CDC ScoreCard is a tool to help employers assess whether their health promotion programs are based on the best evidence for  improving employees’ health and wellness.

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What Evidence-Based Practices Does the ScoreCard Assess?

The Scorecard assesses Programs, Policies, Environmental Supports, and Benefits.

Small employers are defined as organizations with 101 to 250 employees that include full-time, part-time, and temporary workers.

How Are Small Employers Doing?

26% of small employers will spend the same amount or more on wellness programs next year.

46% of small worksites use local hospitals and other health care professionals for their wellness programs.

Small employers have reached 16,460 employees with ScoreCard strategies.

47% of small worksites have a paid health promotion coordinator.

Average small employer has 63%, or 96 of 152 ScoreCard strategies in place.

Who Are the Small Employers Using the Scorecard?

Top industry sectors are health care, education, other, and public administration.

111 worksites from 101 small employers in 17 states submitted ScoreCards

111 worksites from 101 employers in 17 states shown in dark green submitted ScoreCards.

ScoreCard Topic, Strategy, and Score

ScoreCard Topic

Strategy a

% of Large Worksites With Strategy in Place (2020 Score)

Cancer Provide health insurance coverage for screening and vaccinations 87%
Vaccine Preventable Diseases Provide on-site flu shots 83%
Maternal Health and Lactation Support Provide private space for mothers to pump breastmilk 82%
Heart Attack and Stroke Have Automated External Defibrillator (AEDs) in place 81%
Tobacco Control Have a policy banning tobacco use 81%
Alcohol and Other Substance Use Provide screening and brief intervention and referral for treatment (SBIRT) 76%
Organizational Support Have a health promotion champion 71%
Stress Management Involve employees in decisions about workplace issues that affect stress 70%
Physical Activity Have physical activity programs 68%
Weight Management Provide education on weight management 64%
Depression Offer depression counseling 62%
Musculoskeletal Disorders (MSD) Make job design changes to reduce MSD risk 61%
Prediabetes and Diabetes Have diabetes self-management programs 59%
High Blood Pressure Provide blood pressure screening 59%
High Cholesterol Provide cholesterol screening 44%
Occupational Health and Safety Coordinate occupational health and safety programs with health promotion 49%
Nutrition Make most items in vending machines, cafeterias, and snack bars healthy 42% b
Sleep and Fatigue Design work schedules to reduce fatigue 39%

a Evidence-based practices (i.e., programs, policies, environmental supports, and benefits) with the highest weighted scores (2 or 3 points) in the CDC Worksite Health ScoreCard, including the strategy’s impact on population health outcomes and the strength of the supporting scientific evidence.

b Percentages are based on 81 ScoreCard submissions from small employers who reported providing places to purchase food and beverages in 2020.