# Presentation: 197219

## The New Paradigms for NASASafety and Health

- The New Paradigms for NASASafety and Health

- William S. Barry, MD, MPH

- NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002

- NASA OHP

## Welcome  OHP Update Evaluations/  Metrics Database

- Welcome  OHP Update Evaluations/  Metrics Database

- NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002

## Welcome  OHP Update Evaluations/   Metrics Database

- Welcome  OHP Update Evaluations/   Metrics Database

- NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002

## Slide 4

## Slide 5

## U S A F

**U S A F**

## Obelisk

**Obelisk**

## Obelisk

**Obelisk**

## Luxor, Alexandria

**Luxor, Alexandria**
**Egypt**

**Notes:**
Ra - 

## Slide 10

## Benoit Laurent

**Benoit Laurent**
**Paris, France**

**Central Park**
**New York, NY**

**Thames River**
**London, England**

## Slide 12

## Washington Monument,

**Washington Monument,**
**Washington, DC**

## Slide 14

## Slide 15

## Jamrah 

**Jamrah **
**Mecca/Minaa**
**Saudi Arabia**

**Notes:**
Ar-Ramee

## As we see it

**As we see it**

**As you see it**

**As they see it**

## As we see it

**As we see it**

**As you see it**

**As they see it**

## New Paradigms

## Slide 20

## Plan and Update of Activities

**Plan and Update of Activities**

## OCCUPATIONAL HEALTH

** ****PROGRAM**

**August 1999**
**KPPMC PRESENTATION**
- Dr. Barry

## 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

## 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**

## 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**

## 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

## 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

## 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

## 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

## 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**

## Plan and Update of Activities

**Plan and Update of Activities**

## OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS

**OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS**
- FY 2000

**ADVOCACY**

**ENHANCEMENT**

**ASSESSMENT**

**METRICS**

## OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS

**OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS**
- FY 2000

**ADVOCACY**

**ENHANCEMENT**

**ASSESSMENT**

**METRICS**

## OCCCUPATIONAL HEALTH PROGRAM IMPROVEMENT PROCESS

- FY 2000

**ADVOCACY**

**ENHANCEMENT**

**ASSESSMENT**

**METRICS**

**DO**

**CHECK**

**ACT**

**FY  2002**

**PLAN**

**ISO 9001:2000 Standard**

## Welcome  OHP Update     Starting Point Evaluations/  Metrics Database

- Welcome  OHP Update     Starting Point Evaluations/  Metrics Database

- NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002

## PROGRAM

**Check**

**AGENCY LEVEL ASSESSMENT**
**	****Health Council Updates**
**	****AMOHAC Review **

## Center Program Evaluations

-  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

## Center Program Assessments

-  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

## Center Program Assessments

-  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

## Welcome  OHP Update     Starting Point Evaluations/  Metrics Database

- Welcome  OHP Update     Starting Point Evaluations/  Metrics Database

- NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002

## 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

**Fiscal Year**

**#**
**Emp**
**l oyees**

-   **97          98          99         00          01**

- 75,000

- 100,000

- 200,000

**Notes:**
FY 01 - 87.6% Preventive in nature 

## NASA-Wide Preventive Health Utilization Rate

**Fiscal Year**

**Preventive Health Utilization Rate**
**Number of Visits/Center Population/Year**

**2.0**

**4.0**

## Standardized Voluntary Physical Examination% Compliance by Centers 

**Standardized Voluntary Physical Examination****% Compliance by Centers**

## NASA -OHP Website 

## NASA-OHP Website 

- (1st Quarter of FY02)

**(Requests in Thousands)**

## Plan and Update of Activities

**Plan and Update of Activities**

## GPRA 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

**"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

**"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.**

## Welcome  OHP Update     Starting Point Evaluations/  Metrics Database

- Welcome  OHP Update     Starting Point Evaluations/  Metrics Database

- NASA 2002 Safety and HealthManagers MeetingMarch 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  OHP Update     Starting Point Evaluations/  Metrics Database

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

- NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002

## Slide 55