6. U S A F

7. Obelisk

9. Luxor, Alexandria Egypt

11. Benoit Laurent Paris, France Central Park New York, NY Thames River London, England

13. Washington Monument, Washington, DC

16. Jamrah Mecca/Minaa Saudi Arabia

17. As we see it As you see it As they see it

18. As we see it As you see it As they see it

21. Plan and Update of Activities

22. OCCUPATIONAL HEALTH PROGRAM PROGRAM August 1999 KPPMC PRESENTATION Dr. Barry

23. FY 99 Accomplishments: Occupational Medicine Program Emergency care capability Travelers health program Availability Wellness efforts Center Program Assessments Areas Reviewed Industrial Hygiene Program Exposure assessment Surveillance programs Radiation safety Training

24. FY 99 Accomplishments: Employee Assistance Program Availability of program Specific areas of concern Utilization of program Depression screening Confidentiality efforts Center Program Assessments Fitness Centers Availability of staff Safety conditions Functional arrangement Areas Reviewed

25. FY 99 Accomplishments: Workers’ Compensation Levels and costs Reduction efforts Center Program Assessments Medical Review Officer involvement Drug Free Workplace Program (DFWP) Procedures Confidentiality Areas Reviewed

26. FY 99 Accomplishments: Occupational Health Program reviews conducted at all major NASA locations in FY 99 11 sites reviewed to date Kennedy Space Center, Glenn Research Center, Langley Research Center scheduled for September 1999 Center Program Assessments Identified many areas requiring Lead Center support Training Technical Support Program Support

27. FY 99 Accomplishments: Electronic - Conferencing Video-Teleconferencing (ViTs) Employee Assistance Program (5) Medical (3) plus 13 in Code U program Occupational Health Program (OHP) Web Site: http://ohp.ksc.nasa.gov Averaging 10,000 hits / month (June-July 1999) Administrative information Regulations Access to resources DOD direct TV - Bio-terrorism

28. FY 99 Accomplishments: Areas of emphasis: MRO certification Repetitive stress injuries Clinic accreditation Smoking cessation VPP certification Indoor Air Quality (IAQ) Development of Agency wide-metrics Annual Occupational Health Program Meeting Alerting to needs for Skin cancer protection Bio-terrorism preparedness Smoking cessation programs

29. FY 99 Accomplishments: Presented information on problem and needs at Agency’s Emergency Preparedness Directors’ Meeting Bio-Terrorism Alerting Presented information concerning Bio-terrorism / Weapons of Mass Destruction (WMD) at Brevard County’s Emergency Preparedness Meeting Provided key reference to Agency’s Emergency Preparedness Directors, Medical Directors DOD direct TV - Biological Weapons Info- made available to all Centers

30. FY 99 Accomplishment: Medical Review Officer (MRO) certification Indoor air quality (IAQ) and microbial contamination size up Laser/Radio-frequency and microwave hazard control Ergonomics & Musculoskeletal disorders Industrial ventilation design and troubleshooting Workers’ Compensation claims management Employee Assistance Program (EAP) development & mgmt. Training Support Courses developed or presented in the following areas: Trained over 300 occupational health professionals in FY 99 in FY 99

31. Plan and Update of Activities

32. OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS FY 2000ADVOCACY ENHANCEMENT ASSESSMENT METRICS

33. OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS FY 2000ADVOCACY ENHANCEMENT ASSESSMENT METRICS

34. OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS FY 2000ADVOCACY ENHANCEMENT ASSESSMENT METRICS DO CHECK ACT FY 2002 PLAN ISO 9001:2000 Standard

36. PROGRAMCheck CENTER LEVEL EVALUATION Conduct Site Visits/Program Reviews AGENCY LEVEL ASSESSMENT Health Council Updates AMOHAC Review

37. Occupational Medicine Program Medical Emergency Preparedness Level of Medical Care Quality Assurance Wellness efforts Environment of Care Center Program Evaluations Industrial Hygiene Program Exposure assessments Surveillance programs Hazardous Material Awareness Training Health Physics Program Radiation Safety Laser Safety

38. Employee Assistance Program Availability of program Specific areas of concern (Stress, etc.) Utilization of program Wellness efforts Confidentiality efforts Fitness Centers Availability of staff Safety conditions Functional arrangement Center Program Assessments Workers’ Compensation Levels and costs Reduction efforts

39. Medical Emergency Care Weapons of Mass Destruction (WMD) Patient transport (Ambulance, Arrangements, etc.) Medical oversight Communication & inclusion with other efforts Center Program Assessments Miscellaneous Food Service/Water Sanitation Medical Aspects of Child Care Medical Review Officer involvement Drug Free Workplace Program (DFWP) Support Procedures Confidentiality

41. PROGRAMMETRICS Coordinate Agency Level Reporting of Workers’ Compensation, Compile Agency Level Report on Safety and Health Performance for OSHA Assist with NASA Goals

42. NASA Occupational Health Program Metrics

43. NASA-Wide Preventive Health Services Total Fiscal Year #Employees#Employees 97 98 99 00 01 75,000 100,000 200,000

44. NASA-Wide Preventive Health Utilization Rate Fiscal Year Preventive Health Utilization Rate Number of Visits/Center Population/Year 2.0 4.0

45. Standardized Voluntary Physical Examination % Compliance by Centers

46. NASA -OHP Website

47. (1 st Quarter of FY02) (Requests in Thousands)

48. Plan and Update of Activities

49. FY 2001 Performance Goal: "Improve the health of the work force" Performance Indicators: 1. Develop and implement supervisor-specific training for the identification and management of stress. 2. Develop and implement training for coping with stress for employees. 3. Develop a robust audit and assessment program to ensure the quality of medical care and all health-related services, completing at least 6 Center audits. GPRA GOAL

50. FY 2002 Performance Goal: "Increase the safety infrastructure and the health of the work force." Performance Indicators: 1. Standardize and implement minimum elements of employee preventive and medical monitoring examinations. 2. Establish a mechanism to aggregate employee epidemiological preventive health data for long term tracking and as a basis for policy. 3. Develop and implement a medical quality assurance system based upon comprehensive audits of all aspects of health care delivery and assurances of professional competency. GPRA GOAL

51. FY 2003 Performance Goal : "Protect the safety of our people and facilities and the health of our work force" Performance Indicators: 1. Increase utilization rates in all preventive and wellness programs by 10% over FY 00 rates. 2. At least 90% of Centers will achieve a passing score on the first round of medical quality assurance system audits. GPRA GOAL

53. Database Use Research new information systems available Keep track of NASA wide OHP resources Track progress of Centers’ Program enhancements through OHP evaluations Understand better the wellness of NASA’s population