Using a Comprehensive Occupational Exposure Database to Integrate Members of the Occupational Health...

Using a ComprehensiveOccupational Exposure Database

to Integrate Membersof the Occupational Health Team

and Improve YourOccupational Health Program

Dennis 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


• 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

Environmental Health

RadiationErgonomicsIndoor Air QualityThermal Stress

AirNoiseVentilationBulk/WipeDirect

Reading


• assists users with developing and refiningsimilar exposure groupsexposure 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


Develop Workplace Monitoring Plan

Characterize Exposures

0

10

20

30

40

50

60

70

80

90UCL

Mean

LCL

13115

17234

20434

1885219555

1651916648

19722

0

5000

10000

15000

20000

25000

30000

89 90 91 92 93 94 95 96

Calendar Year

Nu

mb

er o

f S

urv

eys

Per

form

ed


Provide Control Plan

Reporting & Recording

Re-Evaluation


• 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 AssessmentPriority ActionExposure PotentialResource Availability

• Qualitative Evaluation

• Quantitative Monitoring


• 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

ControlledUncontrolledFurther Assessment Required

Helps Occupational Health Provider DetermineAppropriate, Exposure-Based Medical Surveillance

Risk Assessment Code (RAC) Data

• Safety & Ergonomic RACHazard SeverityAccident Probability

• Health Hazard RACExposure Levels & RoutesPotential Medical EffectsExposure Frequency & DurationPotentially-Exposed Personnel

RAC 1 = CriticalRAC 2 = SeriousRAC 3 = ModerateRAC 4 = MinorRAC 5 = Negligible

Controls Data

• Engineering

• Administrative

• Personal ProtectiveClothing & Equipment


• 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

OEDB

FinancialClinical

Personnel

SafetyEnvironmental

???


• 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%)


• justifies the requirement for and stressesthe importance of interaction between

industrial hygiene,occupational medicine,hearing conservation,occupational vision, andsafety 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

F:\HHIMCBT.EXE


• 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 Database

to Integrate Membersof the Occupational Health Team

and Improve YourOccupational Health Program

Dennis A. Morgan, M.S.

Using a Comprehensive Occupational Exposure Database to Integrate Members of the Occupational Health...

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