Register for Tier 3

The Cities for Workforce Health Program invites California cities to apply to Tier 3. Cities that apply will be eligible to receive one-on-one consultation and a $5,000 credit towards wellness programming through Kaiser Permanente HealthWorks. Up to five cities will be selected in Tier 3. The submission deadline is July 31. The final five tier 3 cities will be selected and notified in early September and announced at the League Annual Conference September 18-20.

The Cities for Workforce Health Program is sponsored by the League Partner Program of the League of California Cities, including Kaiser Permanente, Keenan, and the HEAL Cities Campaign.
AWARDS:
The five cities selected for Tier 3 of the Cities for Workforce Health Program will receive one-on-one consultation from a Kaiser Permanente HealthWorks Consultant and a $5,000 credit to use towards Kaiser Permanente HealthWorks programs and products.
Details on the Consultation:
  • Consultation will be provided by Kaiser Permanente HealthWorks
  • Consultation will begin in October 2013
  • Consultation will take place over one full year
  • Up to a total of 30 hours of consultation will be provided
  • The initial meeting will take place in person and subsequent meetings will take place via conference call or webex. (If a selected city does not reside in Kaiser Permanente’s service area, then the entire consultation will take place via conference call or webex.)
Details on the $5,000 Credit:
  • The $5,000 credit can be used towards the following products/programs through Kaiser Permanente HealthWorks:
    • Onsite biometric screenings, health education classes and flu shots
    • Online Total Health Assessment and Healthy Lifestyle Programs
    • Thrive Across America – online physical activity program
    • Mix It Up – online nutrition program
    • Communication materials for the above programs
  • The five selected cities must consult with their HealthWorks Consultant on how the $5,000 can be spent.
  • The $5,000 credit may not cover the entire cost of a product/program, depending on the size of the employee population. Additional funds may need to be provided by the city if the desired product/program costs more than $5,000 for your employee population.
ELIGIBLITY:
To apply for Tier 3 of the Cities for Workforce Health Program, a city must meet the following eligibility criteria:
  1. Must have joined the HEAL Cities Campaign;
  2. Must have designated a lead staff person for the city’s worksite wellness efforts
SELECTION:
A Tier 3 Selection Committee composed of representatives from the Cities for Workforce Health partners will review and evaluate all applications and select five cities to receive the consultation and $5,000 credits, based on the following criteria:
  • Demonstration that, at minimum, a basic wellness program infrastructure is currently in place (e.g. leadership team or steering committee has been formed; wellness champions have been identified; and/or a survey or assessment of health needs/risks has been conducted)
  • Readiness to initiate or further develop a worksite wellness program
  • Commitment to building the program’s infrastructure and capacity
  • Need for professional consultation to assist with program development efforts
In addition, the committee will attempt to balance the selection of awardees based on geographic location (northern, central, and southern California) and size of employee population.

Tier 3 Application
I. GENERAL INFORMATION
  1. Name of city:
  1. Geographic region (select one):
  1. Number of full-time employees:
  1. What health plans does your city offer to its employees?
  1. Contact e-mail:
II. ELIGIBILITY QUESTIONS
  1. Is your city part of the HEAL Cities Campaign?
If yes:
  1. When was your HEAL Cities Resolution passed?
  2. What HEAL policies have been adopted?
**If you are not currently working with the HEAL Cities Campaign but would like to begin the process, please contact the Campaign to get started.
  1. Does your current or proposed wellness program have an assigned lead?
If yes:
  1. What is their title?
  2. What percent of their job is dedicated to the wellness program?
III. READINESS & COMMITMENT: Use this section to describe your city’s readiness and commitment to initiate or further develop a wellness program for its employees.
  1. Does your city currently have a wellness program?
If yes:
  1. How long has your wellness program been in place?
  2. Please briefly describe its current components.
  1. Does your city have a budget for your current or proposed wellness program?
If yes:
  1. How much is its total annual budget?
If no:
  1. Is there willingness to create a budget to fund future wellness initiatives?
  1. Does your city have a wellness leadership team or steering committee?
If yes:
  1. What departments are represented in your leadership team or steering committee?
  2. What are the job titles of those included in your leadership team or steering committee?
  3. Are both labor and management represented on the leadership team?
  4. How often does the leadership team/steering committee convene?
If no:
  1. Does your city plan to create a wellness leadership team or steering committee?
  1. Does your city have a group of wellness champions or advocates who are working with the wellness team to engage employees and/or implement assessments, programs and/or policies?
If yes:
  1. What departments are represented?
  2. How often do they convene?
  3. Briefly describe the group’s accomplishments to date.
If no:
  1. Does your city plan to create a group of wellness champions or advocates?
  1. Has your city conducted an audit of the wellness environment and culture within the worksite (e.g, a survey of the food and beverages offered in vending machines, or the availability of bike racks, etc.)?
If no:
  1. Is there willingness to conduct an audit of the wellness environment and culture within the worksite?
  1. Has your city conducted an assessment of the health risks of your employee population?
If yes:
  1. How have you determined the health risks? What type of assessments did you conduct?
If no:
  1. Does your city plan to conduct an assessment of the health risks of your employee population?
  1. Has your city conducted a survey to determine the needs and interests that your employees would like the program to address?
If yes:
  1. What are the top needs and interests?
If no:
  1. Is there willingness to conduct a survey of the needs and interests of your employees?
  1. Has your city identified goals and objectives for your wellness program?
If yes:
  1. Please state your goals and objectives.
If no:
  1. Is there willingness to develop goals and objectives for your wellness program?
  1. Does your city have a formal plan for your wellness program?
If yes:
  1. What period of time does it cover?
  2. What are its key strategies?
  3.  Please attach a copy of your wellness program plan if available
If no:
  1. Is there willingness to develop a formal plan for your wellness program?
  1. Does your city provide incentives to employees to participate in your wellness program (or certain aspects of it)?
If yes:
  1. Please describe what employees must do to earn incentives and what they receive.
If no:
  1. Is there willingness to provide incentives in future program development?
  1. Does your city have a mechanism for communicating your wellness program to employees?
If yes:
  1. What are the communication channels used (e.g. website, email, flyers, etc)?
  2. How often do employees receive communications about the wellness program (on average)?
If no:
  1. Is there willingness to provide a communications mechanism for your wellness program?
  1. Does your city have methods for measuring and evaluating program results and outcomes?
If yes:
  1. Describe those methods.
If no:
  1. Is there willingness to implement methods for measuring and evaluating your wellness program?
IV. NEED – Use this section to describe your city’s need for consultation.
  1. What health risks is your city targeting, or planning to target, through its wellness program? If you haven’t assessed or prioritized health risks, how do you plan to do so and how would consultation help?
  1. What components of your worksite wellness strategy and/or program would you like the HealthWorks Consultant to focus on in their consultation with your city, if selected? Discuss why you would focus on these components. (For example, the HealthWorks Consultant could consult with your city on building the capacity of the leadership team, conducting environmental assessments and selecting policies, conducting an assessment of employees needs and/or risks, developing a program design/plan, etc.)
    NOTE: We recognize that your needs may change as the Consultant works with you, but we would like to understand what you perceive your needs to be at this point in time.)
  1. In 3-5 sentences, please describe what changes you would like to see through the consultation and resources provided, if selected.
Please double check your information, then click "submit"
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