Attachment_C-5_NHWP Risk_Stratification_Logic

`Stratification Risk Level	Health Assessment Indicators	Biometric Risk Factors
Low Risk	0-1 Moderate Risk Indicators	Low Risk Indicators • 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	1-2 High Risk Indicators OR 2-3 Moderate Risk Indicators	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
High Risk	Personal Medical History for chronic disease and 1+ High Risk Indicators OR Tobacco User OR 3+ High Risk Factor OR 4+ Moderate Risk Factors	High Risk Indicators • 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

National Healthy Worksite Program Risk Stratification Logic

• 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