The New Paradigms for NASA Safety and Health

1. NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002 The New Paradigms for NASASafety and Health William S. Barry, MD, MPH NASA OHP

2. NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002 Welcome  OHP Update Evaluations/  Metrics Database

3. NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002 Welcome  OHP Update Evaluations/  Metrics Database

6. U S A F

7. Obelisk

8. 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 they see it As we see it As you see it

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

19. New Paradigms

21. Plan and Update of Activities

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

23. 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

24. 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

25. 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

26. 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

27. 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

28. 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

29. FY 99 Accomplishments: Bio-Terrorism Alerting • DOD direct TV - Biological Weapons Info- made • available to all Centers • 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

30. 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

31. Plan and Update of Activities

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

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

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

35. NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002 Welcome  OHP Update Starting Point Evaluations/  Metrics Database

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

37. 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

38. Center Program Assessments • 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 • Workers’ Compensation • Levels and costs • Reduction efforts

39. 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

40. NASA 2002 Safety and HealthManagers MeetingMarch 4-8, 2002 Welcome  OHP Update Starting Point Evaluations/  Metrics Database

41. PROGRAM METRICS • 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 HealthProgram Metrics

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

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

45. Standardized Voluntary Physical Examination% Compliance by Centers

46. NASA -OHP Website

47. NASA-OHP Website (1st Quarter of FY02) (Requests in Thousands)

48. Plan and Update of Activities

49. 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.

50. GPRA GOAL FY 2002Performance 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.