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Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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Incorporating
Occupational Information
in Electronic Health Records

LETTER REPORT

Committee on Occupational Information
and Electronic Health Records

Board on Health Sciences Policy

David H. Wegman, Catharyn T. Liverman,
Andrea M. Schultz, and Larisa M. Strawbridge, Editors

INSTITUTE OF MEDICINE

                      OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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THE NATIONAL ACADEMIES PRESS • 500 Fifth Street, N.W. • Washington, DC 20001

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

This study was requested by the National Institute for Occupational Safety and Health of the Centers for Disease Control and Prevention and supported by Award No. 211-2006-19152, T.O. #1, between the National Academy of Sciences and the Centers for Disease Control and Prevention. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

International Standard Book Number-13: 978-0-309-21743-9
International Standard Book Number-10: 0-309-21743-1

Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2011 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine). 2011. Incorporating occupational information in electronic health records: Letter report. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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“Knowing is not enough; we must apply.
Willing is not enough; we must do.”      

                                                            —Goethe

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INSTITUTE OF MEDICINE
        OF THE NATIONAL ACADEMIES

Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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COMMITTEE ON OCCUPATIONAL INFORMATION AND ELECTRONIC HEALTH RECORDS

DAVID H. WEGMAN (Chair), School of Health and Environment, University of Massachusetts (Professor Emeritus)

LAURA O. BRIGHTMAN, Cambridge Health Alliance

CURTIS L. COLE, Weill Cornell Medical College

LETITIA K. DAVIS, Occupational Health Surveillance Program, Massachusetts Department of Public Health

ROBERT A. GREENES, Arizona State University

LAWRENCE HANRAHAN, Wisconsin Division of Public Health

ROBERT HARRISON, University of California, San Francisco

SUNDARESAN JAYARAMAN, Georgia Institute of Technology

MATTHEW KEIFER, Marshfield Clinic Research Foundation

CATHERINE STAES, Biomedical Informatics, University of Utah School of Medicine

GEORGE STAMAS, Division of Occupational Employment Statistics, U.S. Bureau of Labor Statistics

IOM Study Staff

CATHARYN T. LIVERMAN, Project Director

ANDREA M. SCHULTZ, Program Officer

LARISA M. STRAWBRIDGE, Research Associate

JUDITH L. ESTEP, Program Associate

IOM Board on Health Sciences Policy

ANDREW M. POPE, Director

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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Reviewers

This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:

David Bonauto, University of Washington, Seattle

Christopher Chute, Mayo Clinic College of Medicine, Rochester, Minnesota

Carl Kesselman, University of Southern California, Marina del Rey, California

Robert K. McLellan, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

Anna Orlova, Public Health Data Standards Consortium, Baltimore, Maryland

Stephanie L. Reel, Johns Hopkins University, Baltimore, Maryland

Jesse Singer, New York City Department of Health and Mental Hygiene, New York

Walter G. Suarez, Kaiser Permanente, Silver Spring, Maryland

Edward Zuroweste, Migrant Clinicians Network, State College, Pennsylvania

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations, nor did they see the final draft of the report before its release. The review of this report was overseen by Linda Hawes Clever, California Pacific Medical Center, San Francisco. Appointed by the Institute of Medicine, she was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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Each year in the United States, more than 4,000 occupational fatalities and more than 3 million occupational injuries occur along with more than 160,000 cases of occupational illnesses. Incorporating patients' occupational information into electronic health records (EHRs) could lead to more informed clinical diagnosis and treatment plans as well as more effective policies, interventions, and prevention strategies to improve the overall health of the working population. At the request of the National Institute for Occupational Safety and Health, the IOM appointed a committee to examine the rationale and feasibility of incorporating occupational information in patients' EHRs. The IOM concluded that three data elements - occupation, industry, and work-relatedness - were ready for immediate focus, and made recommendations on moving forward efforts to incorporate these elements into EHRs.

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