National Academies Review of the NIOSH Hearing Loss Research Program Lewis V. Wade, Ph.D. Senior Science Advisor National Institute for Occupational Safety and Health January 5, 2006 Lewis V. Wade, Ph.D. Senior Science Advisor National Institute for Occupational Safety and Health January 5, 2006

Presentation Objectives  NIOSH goals for this review  Overview of NIOSH and it’s research programs  Questions and Discussion  NIOSH goals for this review  Overview of NIOSH and it’s research programs  Questions and Discussion

Review of NIOSH Research Programs Conduct a series of studies to review NIOSH research activities with respect to:  Impact of completed research in the workplace  Relevance of research conducted  Significant emerging issues Conduct a series of studies to review NIOSH research activities with respect to:  Impact of completed research in the workplace  Relevance of research conducted  Significant emerging issues

Why has NIOSH undertaken this review?

Quantitative Results “The committee will rate the performance of each program activity on a scale of 1 – 5 for the impact of the program in the workplace and for the success of the program in achieving its goals. For cases where the impact is difficult to measure, the committee may evaluate performance by using existing intermediate outcomes to estimate impact.”

Performance Measurement  GPRA: Government Performance and Results Act of 1993, PL  Strategic and performance plans  Performance reports  PART: Program Assessment Rating Tool, President’s Management Council, 2002  Systematic method of assessing performance of program activities  GPRA: Government Performance and Results Act of 1993, PL  Strategic and performance plans  Performance reports  PART: Program Assessment Rating Tool, President’s Management Council, 2002  Systematic method of assessing performance of program activities

Overview of NIOSH Research Programs

U.S. Occupational Illness and Injuries  Work-related fatalities per day  16 from injuries (5524 in 2002)  137 from diseases  4.4 million non-fatal illnesses and injuries (2003)  $49.6 billion -- direct costs for occupational injuries (2002)*  Work-related fatalities per day  16 from injuries (5524 in 2002)  137 from diseases  4.4 million non-fatal illnesses and injuries (2003)  $49.6 billion -- direct costs for occupational injuries (2002)* Liberty Mutual Safety Index, 2004 *

OSH Act of 1970  PL (1970) created OSHA and NIOSH  To assure safe and healthful working conditions for working men and women  PL (1970) created OSHA and NIOSH  To assure safe and healthful working conditions for working men and women

Mine Safety and Health Administration (MSHA) Department of Health and Human Services (HHS) Department of Labor (DOL) Occupational Safety and Health Occupational Safety and Health Administration (OSHA) Research and Prevention Recommendations Centers for Disease Control and Prevention (CDC) National Institute for Occupational Safety and Health (NIOSH) Regulation/Enforcement

National Institute for Occupational Safety and Health  The sole federal government organization charged with conducting occupational safety and health research.

NIOSH Vision Delivering on the nation’s promise – safety and health at work for all people through research and prevention Delivering on the nation’s promise – safety and health at work for all people through research and prevention

NIOSH Values  Relevance  Diversity  Quality  Partnership  Access  Performance  Accountability  Relevance  Diversity  Quality  Partnership  Access  Performance  Accountability

NIOSH Strategic Goals  Conduct research to reduce work-related illnesses and injuries.  Promote safe and healthy workplaces through interventions, recommendations and capacity building.  Enhance global workplace safety and health through international collaborations  Conduct research to reduce work-related illnesses and injuries.  Promote safe and healthy workplaces through interventions, recommendations and capacity building.  Enhance global workplace safety and health through international collaborations

NIOSH Research Agenda  Before 1996:  National symposia on the leading causes of occupationally-related illness and injury  Ten strategies  After 1996:  National Occupational Research Agenda (NORA)  Before 1996:  National symposia on the leading causes of occupationally-related illness and injury  Ten strategies  After 1996:  National Occupational Research Agenda (NORA)

National Occupational Research Agenda (1996)  A national partnership effort  500 organizations and individuals outside NIOSH  21 research priorities to guide OSH research in the nation for the next decade

NORA (1996) Ongoing Effectiveness Evaluation  Pre-award competitive external scientific review  Mid-course external review of program  Annual internal assessment of progress and success  NORA at nine review

 Develop sector specific research agendas to bring research to practice in the workplace  Accept stakeholder input (  Kick-off at the 2006 NORA Symposium on April 17-20, 2006

 Agriculture, forestry, and fishing  Construction  Health care and social assistance  Manufacturing  Mining  Agriculture, forestry, and fishing  Construction  Health care and social assistance  Manufacturing  Mining  Services  Transportation, warehousing, and utilities  Wholesale and retail trade  Cross-sector issues Research Councils:

Board of Scientific Counselors The Board of Scientific Counselors shall provide guidance to the Director, NIOSH, on research and preventions programs. Specifically, the Board shall provide guidance on the Institute's research activities related to developing and evaluating hypotheses, systematically documenting findings and disseminating results. The Board shall evaluate the degree to which the activities of NIOSH: (1) Conform to appropriate scientific standards, (2) address current, relevant needs, and (3) produce intended results.

NIOSH Operational Logic Model Mission: To Provide National and World Leadership to Prevent Work-related Illnesses and Injuries

NIOSH Operational Logic Model InputsActivities Outputs Intermediate and Final Activities Intermediate Activities Outputs Final Activities (transformation) (implementation) End Outcomes Transfer

NIOSH Operational Logic Model Inputs Activities Outputs Intermediate and Final Activities Intermediate Activities  Outputs  Final Activities (transformation) (Implementation) End Outcomes Transfer

NIOSH Budget: 2000 – 2006 (proposed) $ Millions

NIOSH Locations and Staff ~1300 FTEs in: Cincinnati Morgantown Pittsburgh Spokane Atlanta Washington

NIOSH Staff Census by Occupation (Selected Research Categories) n = 573 Total NIOSH FTEs = 1300

Divisions, Labs, and Offices  Division of Respiratory Disease Studies  Division of Safety Research  Health Effects Laboratory Division  Spokane Research Laboratory  Pittsburgh Research Laboratory  National Personal Protective Technology Laboratory  Education and Information Division  Division of Applied Research and Technology  Division of Surveillance Hazard Evaluation and Field Studies  Office of Compensation Analysis and Support

Extramural Programs Total: ~$100M

InputsActivities Outputs Intermediate and Final Activities Intermediate Activities  Outputs  Final Activities (transformation) (Implementation) End Outcomes Transfer

Research Program Portfolio (includes all NIOSH research projects)  Sector programs  Cross-sector programs  Tools and emphasis areas  Sector programs  Cross-sector programs  Tools and emphasis areas

Sector Programs (8)  Agricultural, forestry & fishing  Construction  Healthcare & social assistance  Manufacturing  Mining  Public and private services  Trade  Transportation, warehousing & utilities  Agricultural, forestry & fishing  Construction  Healthcare & social assistance  Manufacturing  Mining  Public and private services  Trade  Transportation, warehousing & utilities

Cross-Sector Programs (15)  Authoritative recommendations development  Cancer, reproductive, cardiovascular, neurologic & renal diseases  Communications & information dissemination  Emergency preparedness/response  Global collaborations  Health hazard evaluation  Hearing loss prevention  Authoritative recommendations development  Cancer, reproductive, cardiovascular, neurologic & renal diseases  Communications & information dissemination  Emergency preparedness/response  Global collaborations  Health hazard evaluation  Hearing loss prevention

Cross-Sector Programs (15) (continued)  Immune, dermal & infectious diseases  Musculoskeletal disorders  Personal protective technology  Radiation dose reconstruction  Respiratory diseases  Training grants  Traumatic injury  Work organization & stress-related disorders  Immune, dermal & infectious diseases  Musculoskeletal disorders  Personal protective technology  Radiation dose reconstruction  Respiratory diseases  Training grants  Traumatic injury  Work organization & stress-related disorders

Tools and Emphasis Programs (7)  Economics  Exposure assessment  Engineering controls  WorkLife initiative  Occupational health disparities  Small business assistance and outreach  Surveillance  Economics  Exposure assessment  Engineering controls  WorkLife initiative  Occupational health disparities  Small business assistance and outreach  Surveillance

NIOSH Research-to-Practice Program  Conceiving, Planning, Conducting, Evaluating, and Translating Research with our Partners…and with Impact in Mind

InputsActivities Outputs Intermediate and Final Activities Intermediate Activities  Outputs  Final Activities (transformation) (Implementation) End Outcomes Transfer

Research Outputs  Peer-reviewed publications  NIOSH publications  Communications to regulatory agencies or Congress

InputsActivities Outputs Intermediate and Final Activities Intermediate Activities  Outputs  Final Activities (transformation) (Implementation) End Outcomes Transfer

Transfer of Outputs to Customers  Translation of research into practice, products and technologies  Information dissemination:  Web site  Technical information inquiry services

Transfer of Outputs to Customers  Capacity building through  technical assistance  Health hazard evaluation program  Fatality investigation programs  Firefighters  Other targeted groups  training and education  Educational Research Centers  Training project grants

Many Partners (for example)  American Society of Safety Engineers  Center to Protect Workers’ Rights  American Industrial Hygiene Association  American College of Occupational and Environmental Medicine  World Health Organization  Pan American Health Organization

InputsActivities Outputs Intermediate and Final Activities Intermediate Activities  Outputs  Final Customers (transformation) (Implementation) End Outcomes Transfer

The final outcome we all seek is improved workplace health and safety

Quantitative Results “The committee will rate the performance of each program activity on a scale of 1 – 5 for the impact of the program in the workplace and for the success of the program in achieving its goals. For cases where the impact is difficult to measure, the committee may evaluate performance by using existing intermediate outcomes to estimate impact.”

Outputs of customers that we define as intermediate outcomes  Regulations  Guidance  Standards  Training and education programs  Pilot technologies

NIOSH thoughts on NA review process  Programs, not projects  Importance of quantitative as well as qualitative assessment  Bottom line effectiveness, not just a review of processes

NIOSH thoughts on the Framework  Comfortable with the Framework  No Framework can cover the breadth of NIOSH programs; EC may face some challenges  We understand that arriving at a simple number rating is a difficult task, we also understand that some will place great importance in that number, we appreciate your efforts  Keep in mind that NIOSH’s ultimate goals is to do “better” work, therefore your advice is welcome  Comfortable with the Framework  No Framework can cover the breadth of NIOSH programs; EC may face some challenges  We understand that arriving at a simple number rating is a difficult task, we also understand that some will place great importance in that number, we appreciate your efforts  Keep in mind that NIOSH’s ultimate goals is to do “better” work, therefore your advice is welcome