Transcript Using a Comprehensive OccExpData to Integrate Members of

Using a Comprehensive
Occupational Exposure Database
to Integrate Members
of the Occupational Health Team
and Improve Your
Occupational Health Program
Dennis A. Morgan, M.S.
A Comprehensive
Occupational Exposure Database …
• drives the effective integration of
an occupational health team
• helps the team members perform
more efficiently
• improves the occupational health program
A Comprehensive
Occupational Exposure Database …
• supports controlling and/or eliminating hazardous
occupational exposures and performing
clinical prevention via
occupational medicine
• provides occupational health physicians and nurses
with data that facilitate the assignment of
appropriate, exposure-based medical surveillance
Exposure Monitoring
Air
Environmental
Noise
Radiation
Ventilation
Ergonomics
Bulk/Wipe
Indoor
Direct
Health
Reading
Air Quality
Thermal Stress
A Comprehensive
Occupational Exposure Database …
• assists users with developing and refining
similar exposure groups
exposure assessment strategies
IH Exposure Assessment Model

Define Scope of Support
and Resources
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$
Basic Characterization
Establish Similar Exposure Groups
Similar Exposure Group (SEG)
• Critical Element of Detailed Workplace
Exposure Assessments
• Groups of Employees who have Common
Risks and Similar Exposure Profiles
• Identified by Similar Substance, Workplace,
and Exposure Factors
• Result in Predictable Exposure
SEG Concept
• Identify Group of Similarly Exposed Workers
• Sample Members of Group
• Calculate Statistics for Group’s Samples
• Assign Exposure Statistics to All Group Members:
Personal Sampling Data
Group Exposure Statistics
IH Exposure Assessment Model
 Develop Workplace Monitoring Plan
Number of Surveys Performed
30000
25000
UCL
20434
20000
18852
19555
70
17234
16648
15000
90
80
19722
16519
Mean
60
50
13115
LCL
10000
40
30
20
5000
10
0
0
89
90
91
92
93
94
95
96
Calendar Year
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Characterize Exposures
IH Exposure Assessment Model
 Provide Control Plan
 Reporting & Recording
 Re-Evaluation
A Comprehensive
Occupational Exposure Database …
• facilitates the analysis and interpretation of
exposure data and information for risk
assessment and hazard abatement
Implementing an Effective Program
• Systematic Accomplishment of Required Services
via Workplace Monitoring Plan
• Workload distributed by:
Risk Assessment
Priority Action
Exposure Potential
Resource Availability
• Qualitative Evaluation
• Quantitative Monitoring
A Comprehensive
Occupational Exposure Database …
• contains functionality pertaining to
organizations, worksites, surveys, hazards,
controls, workers, exposure monitoring,
instrumentation, calibration, and resources
Mission Essential Requirements
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Program Management
Quality Assurance
Performance Metrics
Statistical Analyses
Similar Exposure Groups
Risk Assessment
Exposure Assessment
Hazard Abatement
Deficiency Tracking
Mission Essential Requirements
• Standard & Customized Reporting
• External Interfaces: Personnel, Clinical,
Safety, Environmental, Financial
• Enhanced Security Measures
• User-Maintained Cross Reference Tables
• Workplace Surveillance
Hazard Inventory Data
• Hazard Name
• CAS Registry Number
• Exposure Assessment
Controlled
Uncontrolled
Further Assessment Required
Helps Occupational Health Provider Determine
Appropriate, Exposure-Based Medical Surveillance
Risk Assessment Code (RAC) Data
• Safety & Ergonomic RAC
RAC 1 = Critical
RAC 2 = Serious
RAC 3 = Moderate
RAC 4 = Minor
RAC 5 = Negligible
Hazard Severity
Accident Probability
• Health Hazard RAC
Exposure Levels & Routes
Potential Medical Effects
Exposure Frequency & Duration
Potentially-Exposed Personnel
Controls Data
• Engineering
• Administrative
• Personal Protective
Clothing & Equipment
A Comprehensive
Occupational Exposure Database …
• incorporates customized reporting and external
interfaces with personnel, clinical, safety,
environmental, and financial databases
Customized Reporting Tools
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Decision Support System
Pre-Defined Periodic Reports
Customized Queries
Trend Analysis
Statistical Analyses
“What If ...” Analyses
External Interfaces
Clinical
Personnel
Safety
Financial
OEDB
???
Environmental
A Comprehensive
Occupational Exposure Database …
• reduces clinic visit costs by documenting
employee populations that do not require
(or require limited) medical monitoring
• Benefits-to-Cost Analysis (2.5 to 1)
• Return-On-Investment Analysis (150%)
A Comprehensive
Occupational Exposure Database …
• justifies the requirement for and stresses
the importance of interaction between
industrial hygiene,
occupational medicine,
hearing conservation,
occupational vision, and
safety professionals
• promotes effective worker health protection
Goals to Consider
• Improve Operational Effectiveness
• Improve Technical Effectiveness
Improve Operational Effectiveness
• Reduce Data Entry Time
• Simplify Business Process
• Improve Reporting Capabilities
• Improve Data Reliability
Improve Technical Effectiveness
• Reliability
• Portability
• Developmental Process Improvements
A Comprehensive
Occupational Exposure Database …
• provides occupational health physicians and nurses with data that facilitate the
assignment of appropriate, exposure-based, medical surveillance
• assists users with developing and refining similar exposure groups and exposure
assessment strategies
• facilitates the analysis and interpretation of exposure data and information for risk
assessment and hazard abatement
• contains functionality (generated by industrial hygiene professionals) pertaining to
organizations, worksites, surveys, hazards, controls, workers, exposure monitoring,
instrumentation, calibration, and resources
• incorporates customized reporting and external interfaces with personnel, clinical,
safety, environmental, and financial databases
• reduces clinic visit costs by documenting employee populations that do not require
(or require limited) medical monitoring
• justifies the requirement for and stresses the importance of interaction between
industrial hygiene, occupational medicine, hearing conservation, occupational vision,
and safety professionals to promote effective worker health protection
DISCLAIMER
The opinions or assertions throughout this roundtable
presentation are those of the author and should not be
construed as reflecting official positions of the
Department of the Army or the Department of Defense.
The use of trademarked names does not imply
endorsement by the Department of the Army or the
Department of Defense, but is intended only to assist in
the identification of a specific product.
Using a Comprehensive
Occupational Exposure Database
to Integrate Members
of the Occupational Health Team
and Improve Your
Occupational Health Program
Dennis A. Morgan, M.S.