The New Paradigms for NASA Safety and Health

NASA 2002 Safety and Health Managers Meeting March 4-8, 2002 The New Paradigms for NASA Safety and Health William S. Barry, MD, MPH NASA OHP NASA 2002 Safety and Health Managers Meeting March 4-8, 2002 Welcome  OHP Update  Evaluations/  Metrics  Database NASA 2002 Safety and Health Managers Meeting March 4-8, 2002 Welcome  OHP Update  Evaluations/  Metrics  Database Obelisk Obelisk Luxor, Alexandria Egypt Benoit Laurent Paris, France Central Park New York, NY Thames River London, England Washington Monument, Washington, DC Jamrah Mecca/Minaa Saudi Arabia As they see it As we see it As you see it As they see it As we see it As you see it Plan and Update of Activities OCCUPATIONAL HEALTH PROGRAM August 1999 KPPMC PRESENTATION Dr. Barry FY 99 Accomplishments: Center Program Assessments Areas Reviewed • Occupational Medicine Program • Emergency care capability • Travelers health program • Availability • Wellness efforts • Industrial Hygiene Program • Exposure assessment • Surveillance programs • Radiation safety • Training FY 99 Accomplishments: Center Program Assessments Areas Reviewed • Employee Assistance Program • Availability of program • Specific areas of concern • Utilization of program • Depression screening • Confidentiality efforts • Fitness Centers • Availability of staff • Safety conditions • Functional arrangement FY 99 Accomplishments: Center Program Assessments Areas Reviewed • Workers’ Compensation • Levels and costs • Reduction efforts • Medical Review Officer involvement • Drug Free Workplace Program (DFWP) • Procedures • Confidentiality FY 99 Accomplishments: Center Program Assessments • 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 • Identified many areas requiring Lead Center support • Training • Technical Support • Program Support FY 99 Accomplishments: Electronic - Conferencing • Video-Teleconferencing (ViTs) • Employee Assistance Program (5) • Medical (3) plus 13 in Code U program • DOD direct TV - Bio-terrorism • 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 FY 99 Accomplishments: Annual Occupational Health Program Meeting • Areas of emphasis: • MRO certification • Repetitive stress injuries • Clinic accreditation • Smoking cessation • VPP certification • Indoor Air Quality (IAQ) • Development of Agency wide-metrics • Alerting to needs for • Skin cancer protection • Bio-terrorism preparedness • Smoking cessation programs Bio-Terrorism Alerting • DOD direct TV - Biological Weapons Info- made available to all Centers FY 99 Accomplishments: • Presented information on problem and needs at Agency’s Emergency Preparedness Directors’ Meeting • Provided key reference to Agency’s Emergency Preparedness Directors, Medical Directors • Presented information concerning Bio-terrorism / Weapons of Mass Destruction (WMD) at Brevard County’s Emergency Preparedness Meeting FY 99 Accomplishment: Training Support Courses developed or presented in the following areas: • 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. Trained over 300 occupational health professionals in FY 99 Plan and Update of Activities OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS FY 2000 ADVOCACY ENHANCEMENT ASSESSMENT METRICS OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS FY 2000 ADVOCACY ENHANCEMENT ASSESSMENT METRICS OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS FY 2000 2002 ACT ADVOCACY ENHANCEMENT PLAN ISO 9001:2000 Standard ASSESSMENT CHECK DO METRICS NASA 2002 Safety and Health Managers Meeting March 4-8, 2002 Welcome  OHP Update Starting Point  Evaluations/  Metrics  Database PROGRAM Check •CENTER LEVEL EVALUATION Conduct Site Visits/Program Reviews •AGENCY LEVEL ASSESSMENT Health Council Updates AMOHAC Review Center Program Evaluations • Occupational Medicine Program • Medical Emergency Preparedness • Level of Medical Care • Quality Assurance • Wellness efforts • Environment of Care • Industrial Hygiene Program • Exposure assessments • Surveillance programs • Hazardous Material Awareness • Training • Health Physics Program • Radiation Safety • Laser Safety Center Program Assessments • Employee Assistance Program • Availability of program • Specific areas of concern (Stress, etc.) • Utilization of program • Wellness efforts • Confidentiality efforts • Availability of staff • Safety conditions • Functional arrangement • Fitness Centers • Workers’ Compensation • Levels and costs • Reduction efforts Center Program Assessments • Medical Review Officer involvement • Drug Free Workplace Program (DFWP) Support • Procedures • Confidentiality • Medical Emergency Care • Weapons of Mass Destruction (WMD) • Patient transport (Ambulance, Arrangements, etc.) • Medical oversight • Communication & inclusion with other efforts • Miscellaneous • Food Service/Water Sanitation • Medical Aspects of Child Care NASA 2002 Safety and Health Managers Meeting March 4-8, 2002 Welcome  OHP Update Starting Point  Evaluations/  Metrics  Database PROGRAM METRICS • Coordinate Agency Level Reporting of Workers’ Compensation, • Compile Agency Level Report on Safety and Health Performance for OSHA • Assist with NASA Goals NASA Occupational Health Program Metrics NASA-Wide Preventive Health Services Total # 225000 Annual H istory of PH U S sage E m p l o y e e s 200,000 200000 175000 150000 125000 100,000 100000 75000 50000 25000 0 97 97 98 98 99 99 00 00 01 01 02 03 Total visits 75,000 Fiscal Year NASA-Wide Preventive Health Utilization Rate Historical Data Source Preventive Health Utilization Rate PPHS Utilization Rates Number(Visits/Center Population) of Visits/Center Population/Year 4 3.5 3 2.5 2 1.5 1 0.5 0 1997 1998 1999 2000 2001 2002 2003 4.0 2.0 Fiscal Year Standardized Voluntary Physical Historic Data Source % of Examination Center Compliance 120 % Compliance by Centers 100 80 60 Complete Physical Annual Physical 40 20 0 2001 2002 NASA -OHP Website Current Performance - Quarterly Pages Requested FY 01/02 Thousands 120 100 80 60 40 20 0 1Q 26 63 (Requests in Thousands) 107 62 27 FY 01 2Q FY 02 3Q 4Q NASA-OHP Website FY 01 - FY 02 Historical Data Type by Page (1 Category ** st Quarter of FY02) (Requests in Thousands) Thousands 12 10 8 6 4 2 0 om e is ci pl in es pi cs th er s ea lth St an da rd s le rt s ea lth A H Th rc es M an ag em pl oy ee & Po lic ie s St re ss re at A Em w ar en es s* en t H To es ou ll o A O H P R D H FY 01 FY 02 Plan and Update of Activities GPRA GOAL 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 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 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. NASA 2002 Safety and Health Managers Meeting March 4-8, 2002 Welcome  OHP Update Starting Point  Evaluations/  Metrics  Database 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 NASA 2002 Safety and Health Managers Meeting March 4-8, 2002 Welcome  OHP Update Starting Point  Evaluations/  Metrics  Database