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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
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Using a ComprehensiveOccupational Exposure Databaseto Integrate Membersof the Occupational Health Teamand Improve YourOccupational Health ProgramDennis A. Morgan, M.S.
A ComprehensiveOccupational Exposure Database … • drives the effective integration ofan occupational health team • helps the team members performmore efficiently • improves the occupational health program
A ComprehensiveOccupational Exposure Database … • supports controlling and/or eliminating hazardous occupational exposures and performingclinical prevention viaoccupational medicine • provides occupational health physicians and nurses with data that facilitate the assignment of appropriate, exposure-based medical surveillance
Exposure Monitoring • Air • Noise • Ventilation • Bulk/Wipe • Direct Reading • Environmental Health • Radiation • Ergonomics • Indoor Air Quality • Thermal Stress
A ComprehensiveOccupational Exposure Database … • assists users with developing and refining • similar exposure groups • exposure assessment strategies
IH Exposure Assessment Model $ • Define Scope of Supportand Resources • 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 • Characterize Exposures
IH Exposure Assessment Model • Provide Control Plan • Reporting & Recording • Re-Evaluation
A ComprehensiveOccupational 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 ComprehensiveOccupational Exposure Database … • contains functionality pertaining to organizations, worksites, surveys, hazards, controls, workers, exposure monitoring, instrumentation, calibration, and resources
Mission Essential Requirements • 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 RAC 1 = Critical RAC 2 = Serious RAC 3 = Moderate RAC 4 = Minor RAC 5 = Negligible • Safety & Ergonomic RAC • Hazard Severity • Accident Probability • Health Hazard RAC • Exposure Levels & Routes • Potential Medical Effects • Exposure Frequency & Duration • Potentially-Exposed Personnel
Controls Data • Engineering • Administrative • Personal ProtectiveClothing & Equipment
A ComprehensiveOccupational Exposure Database … • incorporates customized reporting and external interfaces with personnel, clinical, safety, environmental, and financial databases
Customized Reporting Tools • Decision Support System • Pre-Defined Periodic Reports • Customized Queries • Trend Analysis • Statistical Analyses • “What If ...” Analyses
External Interfaces Clinical Financial Personnel ??? OEDB Safety Environmental
A ComprehensiveOccupational 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 ComprehensiveOccupational Exposure Database … • justifies the requirement for and stressesthe 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 ComprehensiveOccupational 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 ComprehensiveOccupational Exposure Databaseto Integrate Membersof the Occupational Health Teamand Improve YourOccupational Health ProgramDennis A. Morgan, M.S.