title: Practical implementation of good practice in health, environment and safety management in enterprise in the Lodz region.
abstract: OBJECTIVE
  Good practice in health, environment and safety management in enterprise (GP HESME) is the process that aims at continuous improvement in health, environment and safety performance, involving all stakeholders within and outside the enterprise. The GP HESME system is intended to function at different levels: international, national, local community, and enterprise.
  
  
  METHODS
  The most important issues at the first stage of GP HESME implementation in the Lodz region are described. Also, the proposals of future activities in Lodz are presented.
  
  
  RESULTS
  Practical implementation of GP HESME requires close co-operation among all stakeholders: local authorities, employers, employees, research institutions, and the state inspectorate. The WHO and the Nofer Institute of Occupational Medicine (NIOM) are initiating implementation, delivering professional consultation, education and training of stakeholders in the NIOM School of Public Health. The implementation of GP HESME in the Lodz region started in 1999 from a WHO meeting on criteria and indicators, followed by close collaboration of NIOM with the city's Department of Public Health. 'Directions of Actions for Health of Lodz Citizens' is now the city's official document that includes GP HESME as an important part of public health policy in Lodz. Several conferences were organized by NIOM together with the Professional Managers' Club, Labor Inspection, and the city's Department of Public Health to assess the most important needs of enterprises. The employers and managerial staff, who predominated among the participants, stated the need for tailored sets of indicators and economic appraisal of GP HESME activities. Special attention is paid to GP HESME in supermarkets and community-owned enterprises, e.g., a local transportation company. A special program for small- and medium-size enterprises will be the next step of GP HESME in the Lodz region.
  
  
  CONCLUSIONS
  The implementation of GP HESME is possible if the efforts of local authorities; research institutions and state inspectorate are combined with the support of employers' organizations.
authors.affiliation: Department of Health Care Organization, Nofer Institute of Occupational Medicine, 8 Teresy Street, Lodz 90-950, Poland. jmzooz@imp.lodz.pl
authors.forename: Jacek
authors.initials: J
authors.lastname: Michalak
mesh_terms: D004779:Environment Design; D006804:Ergonomics; D019983:Guideline Adherence; D006801:Humans; D007373:Interinstitutional Relations; D016272:Occupational Health; D011044:Poland; D012449:Safety; D017749:Total Quality Management; D017132:Workplace