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Risk Factors—Challenges & Opportunities

Risk Factors—Challenges & Opportunities. What is VDH’s mission?. 44004.02.01: Objective— reduce environmental and communicable disease hazards at food establishments

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Risk Factors—Challenges & Opportunities

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  1. Risk Factors—Challenges & Opportunities

  2. What is VDH’s mission? • 44004.02.01: • Objective—reduce environmental and communicable disease hazards at food establishments • Measure—conduct 65% of all restaurant inspections in accordance with PIM 95-03 Risk-based Inspections within 30 days of due date

  3. Inspection demographics

  4. Violation Summary

  5. Virginia Foodborne Outbreaks Virginia N= 37

  6. Virginia Foodborne Illness Virginia N= 1441

  7. Historic Virginia Foodborne Illness

  8. Outbreak Risk Factor Patterns

  9. Shifting the burden State and local performance measures tied to # of inspections EHS: I need to keep my caseload up to date so I don’t get in trouble State publishes annual list of uninspected facilities Pressure to meet inspection frequency B Side Effects: It’s faster to make ‘snap-shot’ inspections Less time to understand establishment operation Contributing risk factors for foodborne illness outbreaks are not evaluated Increased public interest in website of inspection data since 2003 Perception that current inspection focus helps prevent foodborne outbreaks R Increasedtraining on identification of risk factors B Change inspection focus to risk factor diagnosis

  10. Are we protecting the public’s health?

  11. Virginia’s Opportunity • Educate & energize stakeholders • Create State Food Committee task-group to develop framework for aligning Ten Essential Services & FDA Program Standards • Develop ‘Training Roadmap’ for EHS KSA’s

  12. Virginia’s Opportunity • Replace existing performance measure with program measures that support outcome-based outputs • Deploy new training curriculum to EHS & focus on risk-factors • Make Standardization a requirement for EHS in EWP’s

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