Att C-5_RiskStratLogic

National Healthy Worksite Program Risk Stratification Logic

Biometric Risk Factors
`Stratification Risk Level

Low Risk

Health Assessment Indicators

0-1 Moderate Risk Indicators

Low Risk Indicators
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Moderate Risk

High Risk

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1-2 High Risk Indicators
OR
2-3 Moderate Risk Indicators

Personal Medical History for
chronic disease and 1+ High Risk
Indicators
OR
Tobacco User
OR
3+ High Risk Factor
OR
4+ Moderate Risk Factors

TC/HDL Ratio: <3.9
Glucose: <139 mg/dL (non-fasting) OR
Glucose < 99 mg/dL (fasting)
Systolic BP: <120 mmHg
Diastolic BP: <80 mmHg
BMI: >18.5 - <24.9 and Waist Circumference < 40”
(male) or < 35” (female) (waist circumference overrides
situations in which BMI may put a participant at a
higher risk)
• Lifestyle points > 15 (cumulative nutrition and
physical activity)
• Tobacco Use (Negative)
Moderate Risk Indicators
TC/HDL Ratio: > 4.0 and <4.4
Systolic BP: >121 and <139 mmHg
Diastolic BP: ≥81 and <89 mmHg
BMI: > 25.0 – <29.9 and Waist Circumference > 40”
(male) or > 35” (female) (waist circumference overrides
situations in which BMI may put a participant at a
higher risk)
• Lifestyle points > 6 – < 14
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High Risk Indicators
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TC/HDL Ratio: ≥4.5
Glucose: ≥140 (non- fasting) OR
Glucose: ≥100mg/dL (fasting)
Systolic BP: ≥140 mmHg
Diastolic BP: ≥ 90 mmHg
BMI: ≥ 30.0 and Waist Circumference ≥ 40” (male) or
≥35” (female) (waist circumference overrides situations
in which BMI may put a participant at a higher risk) OR
BMI: < 18.4
• Lifestyle points < 5

Individuals who stratify as moderate or high risk for depression will complete a depression screening and referral to EAP if necessary.
Personal Medical History of chronic disease includes any of the following: Pre-diabetes, Diabetes, Pre-hypertension, Hypertension,
Coronary Heart Failure, Coronary Artery Disease / other Cardiovascular Disease, Atrial fibrillation or flutter, COPD.
Individuals with above-normal results for any clinical measurement will be referred to a health care provider and a health coach will
outreach for intervention.
Personal medical history positive for asthma, arthritis, or low-back pain will be considered when developing a personal health
improvement plan and for appropriate referral.
Health-related information obtained through the health screening and health assessment process will be used to create an individual
health improvement plan.

Revised 5_2012