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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
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
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
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
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
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
