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Using a ComprehensiveOccupational Exposure Database
to Integrate Membersof the Occupational Health Team
and Improve YourOccupational Health Program
Dennis A. Morgan, M.S.
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A ComprehensiveOccupational Exposure Database …
• drives the effective integration ofan occupational health team
• helps the team members performmore efficiently
• improves the occupational health program
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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
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Exposure Monitoring
Environmental Health
RadiationErgonomicsIndoor Air QualityThermal Stress
AirNoiseVentilationBulk/WipeDirect
Reading
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A ComprehensiveOccupational Exposure Database …
• assists users with developing and refiningsimilar exposure groupsexposure assessment strategies
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IH Exposure Assessment Model
Define Scope of Supportand Resources $$
Basic Characterization
Establish Similar Exposure Groups
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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
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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
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IH Exposure Assessment Model
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
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IH Exposure Assessment Model
Provide Control Plan
Reporting & Recording
Re-Evaluation
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A ComprehensiveOccupational Exposure Database …
• facilitates the analysis and interpretation of exposure data and information for risk assessment and hazard abatement
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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
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A ComprehensiveOccupational Exposure Database …
• contains functionality pertaining to organizations, worksites, surveys, hazards, controls, workers, exposure monitoring, instrumentation, calibration, and resources
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Mission Essential Requirements
• Program Management• Quality Assurance• Performance Metrics• Statistical Analyses• Similar Exposure Groups• Risk Assessment• Exposure Assessment• Hazard Abatement• Deficiency Tracking
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Mission Essential Requirements
• Standard & Customized Reporting
• External Interfaces: Personnel, Clinical, Safety, Environmental, Financial
• Enhanced Security Measures
• User-Maintained Cross Reference Tables
• Workplace Surveillance
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Hazard Inventory Data
• Hazard Name• CAS Registry Number• Exposure Assessment
ControlledUncontrolledFurther Assessment Required
Helps Occupational Health Provider DetermineAppropriate, Exposure-Based Medical Surveillance
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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
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Controls Data
• Engineering
• Administrative
• Personal ProtectiveClothing & Equipment
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A ComprehensiveOccupational Exposure Database …
• incorporates customized reporting and external interfaces with personnel, clinical, safety, environmental, and financial databases
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Customized Reporting Tools
• Decision Support System
• Pre-Defined Periodic Reports
• Customized Queries
• Trend Analysis
• Statistical Analyses
• “What If ...” Analyses
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External Interfaces
OEDB
FinancialClinical
Personnel
SafetyEnvironmental
???
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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%)
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A ComprehensiveOccupational Exposure Database …
• 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
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Goals to Consider
• Improve Operational Effectiveness
• Improve Technical Effectiveness
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Improve Operational Effectiveness
• Reduce Data Entry Time
• Simplify Business Process
• Improve Reporting Capabilities
• Improve Data Reliability
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Improve Technical Effectiveness
• Reliability
• Portability
• Developmental Process Improvements
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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
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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.
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Using a ComprehensiveOccupational Exposure Database
to Integrate Membersof the Occupational Health Team
and Improve YourOccupational Health Program
Dennis A. Morgan, M.S.