medexis medical exposure information system cefic responsible care award 2010 – solvay enclosures...
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MEDEXISMEDical EXposure Information SystemCEFIC Responsible Care Award 2010 – Solvay
Enclosures : a presentation of the project
2© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Plan
The MEDEXIS project
Industrial hygiene
The occupational physician
MEDEXIS: Secure combination of individual data
Setting up Medexis
Personnel health: Solvay strategy
Questions
CC-HSE – sujet – date 2009 3
© 2009, SOLVAY S.A. N.V.
The MEDEXIS project A uniformly high level of personnel health protection everywhere
4© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
What is the Medexis project?
MEDEXIS = MEDical EXposure Information System
Harmonisation on all Solvay sites:
• Prevention of health risks
• High level medical monitoring
Information management tool: “occupational medicine” and “exposure” type data
Medexis deployment in 2 parts:
1. Hygiene part
2. Medical part
5© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
2 complementary approaches to health protection:
Controlling working conditions
→ Industrial hygienist
Medical surveillance
→ Occupational physician
Health protection: 2 complementary approaches
6© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Medexis Objectives
Group Project → All Solvay sites
Access by hygienists and occupational physicians to complete and reliable data
Good documentation on levels of exposure to dangers
Medical monitoring adapted to each person and risk
Information collected and retained throughout professional life: personnel computer file: the occupational health file
7© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Access to Medexis data
Lists of dangers: substances, noise, vibration, … and the toxicological and regulatory characteristics of each substance
Risk exposure levels and protection for chemical, physical, biological and ergonomic hazards at work stations
Individual medical monitoring related to potential risks, going beyond regulatory requirements
Access by hygienists and occupational physicians to objective, standardised, complete and reliable data, for prevention purposes:
8© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Medexis contribution to health protection
Risk prevention Validated information on
substances and their risks → better risk prevention
Global view of risk factors → if corrective measures necessary → faster and more effective decision
Monitoring Individual monitoring based on high quality data Up to date “Group” recommendations and methods → same monitoring
quality everywhere in the world
Employment health file Computerised and unique
Monitoring throughout career → traceability for professional exposures and health data recording
Always up to date clear and complete Exposure to risk factors → special attention
9© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Medexis: A standardising and integrating tool
StandardisingAccess by Hygiene and Health experts to the best methods and tools
(e.g. EA-tool, medical protocols) → harmonisation
IntegratingBringing medical and hygiene data + administrative data related to work roles
and positions occupied into relationOrganize samplings
campaigns
Manage key figures Recor medicalresults
Perform medical visits
Apply health surveillance protocols
on regard of risks & exposures
Define standard health surveillance
protocols
Manage personsManage agents
Assess risk & exposure
Conduct epidemiology studies
Perform actions for reductions risk
Describe working environments
Product safety Human Ressources
Occupational HealthBusiness Intelligence
Industrial Hygiene
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© 2009, SOLVAY S.A. N.V.
The industrial hygienistprevents risks due to exposure at the work station
11© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
What is industrial hygiene?
Aim of industrial hygiene:
Prevent exposures at the work station, from the design of
installations and for each worker concerned.
Design, prevention of emissions, leaks…
Personal protective equipment and
personnel monitoring
Work environment control and inspection (ventilation, noise…)
Regulatory requirements and work
station analyses
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Inventory of chemical products and non chemical agents, their physico-chemical and toxicological properties
Solvay methods and tools for the evaluation of work station risks
Exposure risks at each work station: chemical, physical, biological or ergonomic risks
Local and international standards or standards defined or adopted by Solvay (TLV, SAEL, …) in the absence of regulations
What industrial hygiene data will Medexis contain?
13© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Evaluation of health risks
How does the industrial hygienist evaluate risks?
Standardised tool: “Exposure Assesment-tool”
Evaluation of all work station risks
Validated method, conforming to international best practice
Includes exposure data for each work station
Applied to all Solvay sites
14© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Industrial hygiene in Medexis
Industrial hygiene data → Medexis database
Information collected and available
Risk knowledge at individual and collective level
“Good practice” sharing
Definition of best risk prevention strategies
Quality procedure
Who uses the industrial hygiene data in Medexis ?
The hygienists, occupational physicians, management and “Health, safety and environment” managers of the Solvay Group
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© 2009, SOLVAY S.A. N.V.
The occupational physicianprotects and monitors personnel health
16© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
What is occupational medicine?
Examination and preventive advice based above all on the person: state of health, medical history, age and type of work are the key factors.
Use of exposure data → adaptation of medical monitoring to each situation and choice of specific or complementary examinations.
Regulatory requirements, scientific
references…
Individualised medical monitoring:
examinations, biomonitoring
Aim of occupational medicine:Protect and monitor personnel health
17© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Industrial hygiene data → specific exposure risks at each work station
Individual “exposure risks profile” accessible to the occupational physician + knowledge of dangers from agents → determination of appropriate medical examinations and suitable medical monitoring
Medical monitoring also taking into account: hours, stress, physical and mental load, individual susceptibilities, pregnancy….
Use of industrial hygiene data by the occupational physician
18© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Medexis and the occupational physician
Use of Medexis by the occupational physician
Updating occupational medicine data
Medical examination and preventive advice based on: state of health, medical history, age, type of work...
Use of exposure data → suitable medical monitoring → specific or complementary examinations
Medexis: Best quality for examination content and medical monitoring
Electronic occupational health file = personal file, accessible to the occupational physician for my site, who is held to professional secrecy.
19© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
What will change for me?
Medexis: Computerised medical file → monitoring in different professional appointments → traceability of exposures, good information transmission and good conservation of all information.
Occupational health file1st consultation: medical and
professional questionnaire : Confidential Information needed for good
medical monitoring, personnel history and professional risk factors encountered throughout my career
Exposure reportAt the end of working for Solvay: personal report on exposures and the results of medical examinations supplied to the person concerned who can send them to his treating doctor
20© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Access Access to the occupational health file: only the occupational physician for
my site
Access to collective and anonymous health data: limited to the medical professions
Who has access to the medical data in Medexis?
ConfidentialityComputerised occupational health file: no change from the professional ethics viewpoint: confidentiality and continuity maintained
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© 2009, SOLVAY S.A. N.V.
MEDEXISSecure combination of individual data
22© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Combining Medexis data
Individual data → combined, collective data
Combination of anonymous health and hygiene data for a large number of persons and sites → strengthened knowledge of risks and medical monitoring
“Inter-site” health monitoring: combination of observations of groups of persons on different sites→ better detection of any risks
Combined data → epidemiological studies: attempt to establish a cause and effect relation between a risk factor and a health effect
Combined data → health monitoring and epidemiological studies
23© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Computer security Combined data = anonymous: coded link to personal data only known by
the responsible occupational physician
Personal data secured by a set of computer provisions against unauthorised access, loss, alteration and theft.
Data combination and access to personal data
Consent from personnelAgreement for anonymous and coded use of my health data
Right to informationInformation on the results of studies
24© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Occupational health file protected by:
Laws relating to the protection of private life
Medical ethics: Occupational physician held to professional secrecy
Protection of private life
Deployment of Medexis in each country:Declaration of deployment of the Medexis project to the Privacy Protection Commission or a similar organisation and approval by it
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© 2009, SOLVAY S.A. N.V.
Introduction of Medexis
26© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Introduction of Medexis (1)
+/- 90 sites for industrial hygiene
+/-75 sites for occupational medicine
+/- 20 countries
At least 10 languages
+/- 300 users
• Doctors/nurses
• Hygienists
Medexis = worldwide project → all sectors and sites where Solvay
assumes responsibility for personnel health protection and prevention
27© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Introduction of Medexis (2)
2 parts:1. Introduction of the hygiene part2. Introduction of the medical part
Medexis is part of the 25 priority Solvay Group sustainable development objectives for the period 2008-2012
28© 2009, SOLVAY S.A. N.V.CC-HSE – subject – date 2009
Personnel health: Solvay strategy
“Comply with legislation and Solvay guide values for chemical, physical, biological and ergonomic risks”
“Prevent risks at source”
“Evaluate the risks at each work station using a reliable, standardised method that allows comparison between work stations and sites”
“Guarantee the same level of health protection everywhere by harmonised medical monitoring throughout the Group”
“Provide personalised medical monitoring adapted to the risk profile of each work station and the individual characteristics of each worker”
cf. Report “Pour un Développement Durable 2008-2012” (~For Sustainable Development 2008-2012)
Questions?