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 helps the team members perform more efficiently improves the occupational health program

A Comprehensive Occupational Exposure Database … supports controlling and/or eliminating hazardous occupational exposures and performing clinical prevention via occupational medicine provides occupational health physicians and nurses with data that facilitate the assignment of appropriate, exposure-based medical surveillance

Exposure Monitoring  Environmental Health  Radiation  Ergonomics  Indoor Air Quality  Thermal Stress  Air  Noise  Ventilation  Bulk/Wipe  Direct Reading

A Comprehensive Occupational Exposure Database … assists users with developing and refining similar exposure groups exposure assessment strategies

IH Exposure Assessment Model  Define Scope of Support and 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 Comprehensive Occupational 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 Comprehensive Occupational 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 Safety & Ergonomic RAC Hazard Severity Accident Probability Health Hazard RAC Exposure Levels & Routes Potential Medical Effects Exposure Frequency & Duration Potentially-Exposed Personnel RAC 1 = Critical RAC 2 = Serious RAC 3 = Moderate RAC 4 = Minor RAC 5 = Negligible

Controls Data Engineering Administrative Personal Protective Clothing & Equipment

A Comprehensive Occupational 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 OEDB Financial Clinical Personnel Safety Environmental ???

A Comprehensive Occupational 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 Comprehensive Occupational Exposure Database … justifies the requirement for and stresses the 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 Comprehensive Occupational 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 Comprehensive Occupational Exposure Database to Integrate Members of the Occupational Health Team and Improve Your Occupational Health Program Dennis A. Morgan, M.S.