u s a f obelisk luxor, alexandria egypt

The New Paradigms for NASAThe New Paradigms for NASASafety and HealthSafety and Health

William S. Barry, MD, MPHWilliam S. Barry, MD, MPH

NASA 2002 Safety and HealthNASA 2002 Safety and HealthManagers MeetingManagers Meeting

March 4-8, 2002March 4-8, 2002

NASA OHPNASA OHP

Welcome Welcome OHP Update OHP Update Evaluations/ Evaluations/ Metrics Metrics Database Database

NASA 2002 Safety and HealthNASA 2002 Safety and HealthManagers MeetingManagers Meeting

March 4-8, 2002March 4-8, 2002

Welcome Welcome OHP Update OHP Update Evaluations/ Evaluations/ Metrics Metrics Database Database

NASA 2002 Safety and HealthNASA 2002 Safety and HealthManagers MeetingManagers Meeting

March 4-8, 2002March 4-8, 2002

U S

A F

Obelisk

Obelisk

Luxor, Alexandria

Egypt

Benoit Laurent

Paris, France

Central Park

New York, NY

Thames River

London, England

Washington Monument,

Washington, DC

Jamrah Mecca/MinaaSaudi Arabia

As we see it

As you see it

As they see it

As we see it

As you see it

As they see it

Plan and Update of Activities

OCCUPATIONAL HEALTHOCCUPATIONAL HEALTH PROGRAMPROGRAM

August 1999

KPPMC PRESENTATION

Dr. Barry

FY 99 Accomplishments:

• Occupational Medicine Program• Emergency care capability• Travelers health program• Availability• Wellness efforts

Center Program AssessmentsCenter Program AssessmentsAreas ReviewedAreas Reviewed

• Industrial Hygiene Program• Exposure assessment• Surveillance programs• Radiation safety• Training

FY 99 Accomplishments:

• Employee Assistance Program• Availability of program• Specific areas of concern• Utilization of program• Depression screening• Confidentiality efforts

Center Program AssessmentsCenter Program Assessments

• Fitness Centers• Availability of staff• Safety conditions• Functional arrangement

Areas ReviewedAreas Reviewed

FY 99 Accomplishments:

• Workers’ Compensation• Levels and costs• Reduction efforts

Center Program AssessmentsCenter Program Assessments

• Medical Review Officer involvement• Drug Free Workplace Program (DFWP)• Procedures• Confidentiality

Areas ReviewedAreas Reviewed

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 AssessmentsCenter Program Assessments

• Identified many areas requiring Lead Center support• Training• Technical Support• Program Support

FY 99 Accomplishments:Electronic - ConferencingElectronic - 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

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 Annual Occupational Health Program MeetingProgram Meeting

• Alerting to needs for• Skin cancer protection• Bio-terrorism preparedness• Smoking cessation programs

FY 99 Accomplishments:

• Presented information on problem and needs at Agency’s Emergency Preparedness Directors’ Meeting

Bio-Terrorism Alerting 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

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 SupportTraining Support

Courses developed or presented in the following areas:Courses developed or presented in the following areas:

Trained Trained over 300over 300 occupational health occupational health professionalsprofessionals

in FY 99in FY 99

Plan and Update of Activities

OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS

FY 2000

ADVOCACYADVOCACY ENHANCEMENTENHANCEMENT

ASSESSMENTASSESSMENT METRICSMETRICS

OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS

FY 2000

ADVOCACYADVOCACY ENHANCEMENTENHANCEMENT

ASSESSMENTASSESSMENT METRICSMETRICS

OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS

FY 2000

ADVOCACYADVOCACY ENHANCEMENTENHANCEMENT

ASSESSMENTASSESSMENT METRICSMETRICSDODOCHECKCHECK

ACTACT

FY 2002

PLANPLAN

ISO 9001:2000 Standard

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NASA 2002 Safety and HealthNASA 2002 Safety and HealthManagers MeetingManagers Meeting

March 4-8, 2002March 4-8, 2002

PROGRAMPROGRAMCheckCheck

•CENTER LEVEL EVALUATIONConduct Site Visits/Program Reviews

•AGENCY LEVEL ASSESSMENTHealth Council UpdatesAMOHAC Review

• Occupational Medicine Program• Medical Emergency Preparedness• Level of Medical Care• Quality Assurance• Wellness efforts• Environment of Care

Center Program EvaluationsCenter Program Evaluations

• Industrial Hygiene Program• Exposure assessments• Surveillance programs• Hazardous Material Awareness• Training

• Health Physics Program• Radiation Safety• Laser Safety

• 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 AssessmentsCenter Program Assessments

• Workers’ Compensation• Levels and costs• Reduction efforts

• Medical Emergency Care• Weapons of Mass Destruction (WMD)• Patient transport (Ambulance, Arrangements, etc.)• Medical oversight• Communication & inclusion with other efforts

Center Program AssessmentsCenter Program Assessments

• Miscellaneous• Food Service/Water Sanitation• Medical Aspects of Child Care

• Medical Review Officer involvement• Drug Free Workplace Program (DFWP) Support• Procedures• Confidentiality

Welcome Welcome OHP Update OHP Update Starting Point Starting Point Evaluations/ Evaluations/ Metrics Metrics Database Database

NASA 2002 Safety and HealthNASA 2002 Safety and HealthManagers MeetingManagers Meeting

March 4-8, 2002March 4-8, 2002

PROGRAMPROGRAMMETRICSMETRICS

• Coordinate Agency Level Reporting of Workers’ Compensation,

• Compile Agency Level Report on Safety and Health Performance for OSHA• Assist with NASA Goals

NASA Occupational HealthProgram

Metrics

NASA-Wide Preventive Health Services Total

Annual History of PHS Usage

0

25000

50000

75000

100000

125000

150000

175000

200000

225000

97 98 99 00 01 02 03

Total visits

Fiscal Year

#

Emp

l oyees

97 98 99 00 01

75,000

100,000

200,000

NASA-Wide Preventive Health Utilization Rate

Fiscal Year

Historical Data SourcePPHS Utilization Rates

(Visits/Center Population)

00.5

11.5

22.5

33.5

4

1997 1998 1999 2000 2001 2002 2003

Preventive Health Utilization Rate

Number of Visits/Center Population/Year

2.0

4.0

Historic Data Source % of Center Compliance

0

20

40

60

80

100

120

2001 2002

CompletePhysical

AnnualPhysical

Standardized Voluntary Physical Examination

% Compliance by Centers

NASA -OHP Website

Current Performance - Quarterly Pages Requested FY 01/02

62

26 27

107

63

0

20

40

60

80

100

120

1Q 2Q 3Q 4Q

Tho

usan

ds

FY 01 FY 02

(Requests in Thousands)

NASA-OHP Website FY 01 - FY 02 Historical Data Type by Page

Category **

02468

1012

Th

ou

san

ds

FY 01 FY 02

(1st Quarter of FY02)

(Requests in Thousands)

Plan and Update of Activities

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.

GPRA GOAL

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NASA 2002 Safety and HealthNASA 2002 Safety and HealthManagers MeetingManagers Meeting

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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

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NASA 2002 Safety and HealthNASA 2002 Safety and HealthManagers MeetingManagers Meeting

March 4-8, 2002March 4-8, 2002