A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century (2018) / Chapter Skim
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Appendix A: Recommendations
Appendix A: Recommendations
Pages 261-272
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From page 261... ...
As part of this effort, BLS should routinely collect detailed case and demographic data for injuries and illnesses resulting in job transfer or restricted-duty work. Furthermore, OSHA should amend its injury and illness recording requirements to collect information on race and ethnicity as well as on employment arrangement to identify vulnerable worker populations and risks that may be associated with the changing nature of work.
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From page 262... ...
The data sources to be considered should include reporting by audiometric providers, disease registries (such as cancer and chronic renal failure) , hospitals, laboratories, physicians, poison control centers, and health surveys as well as appropriate exposure databases.
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From page 263... ...
• Action on recommendations that address the inclusion of occupational information in medical records (see Recommendation J, see Chapter 7) , federal health surveys and public health surveillance systems (Recommendation M, see Chapter 7)
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From page 264... ...
• Public Health Agency Collaboration Within States: NIOSH and other CDC centers that support state-based surveillance and prevention activities should promote collaboration among their state-level programs to monitor and address public health problems of shared concern, such as violence, asthma, infectious disease, traffic safety, and health inequities among vulnerable population groups. • NIOSH should also o Explore and implement, as appropriate, alternative approaches to funding ongoing surveillance in the states as applied public health programs rather than research programs.
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From page 265... ...
• OSHA should develop a publicly available and easily searchable injury and illness database based on the electronic reports. In the longer term: • OSHA and NIOSH should work with stakeholders to develop software and other tools and materials that facilitate further establishmentlevel analysis of injury data with specific attention to enabling effective use by employers as well as others to identify hazards and job-specific issues
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From page 266... ...
: HHS should designate industry and occupation as core demographic variables collected in federal health surveys, as well as in other relevant public health surveillance systems, and foster collaboration between NIOSH and other CDC centers in maximizing the surveillance benefits of including industry and occupation in these surveys and surveillance systems. In the near term: • HHS should re-establish industry and occupation as core demographic variables in all federal health surveys.
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From page 267... ...
In the near term: • NIOSH should fully exploit the existing OSHA exposure databases by cleaning and integrating all available data sources to make them useful for surveillance purposes, taking proper account of the database limitations. As an intermediate goal: • NIOSH, in collaboration with OSHA and other agencies as appropriate, should construct an integrated exposure database to include the multiple sources of exposure measurement data already available, specifically MSHA's MSIS, Department of Energy and Nuclear Regulatory Commission personal exposure data, and relevant data from others conducting research with federal funds.
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From page 268... ...
: NIOSH should build and maintain a robust internal capacity in biomedical informatics applied to OSH surveillance. In the near term: • Assess the need within the agency for expertise in biomedical informatics in the context of current and future demand, recognizing that it will be important to train informatics talent in OSH surveillance and then to work to retain talented individuals who develop knowledge at the intersection of the informatics discipline and OSH applications; • Create an organizational strategy for deploying and making optimal use of expertise in biomedical informatics to support the planning and conduct of OSH surveillance; • Develop a plan for hiring, including consideration of steps such as reaching out to academic programs, advertising in different venues, and offering internships; and • Develop a plan for retention, including opportunities for continuing education.
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From page 269... ...
In the near term: • Develop a consensus within the OSH surveillance community regarding the preferred terminologies and tools for extracting data on industry and occupation from the EHR; • Engage with ONC to communicate this consensus to other stakeholders and to establish a broader consensus among all stakeholders regarding an acceptable strategy; and • Support ONC in the process of establishing a rule to require the capture of industry and occupation in the EHR. In the longer term: • Work with the occupational medicine and general medicine community to develop models and tools for using occupational data in electronic health records for clinical care and for serving the prevention needs of the clinical population.
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From page 270... ...
should develop and implement a plan for routine, coordinated, rapid analysis of case-level OSH data collected by different surveillance systems, followed by the timely sharing of the findings. In the near term: • Develop analytical objectives, identifying the outcomes that would benefit from routine, rapid analysis and continuous monitoring across OSH surveillance systems; and • Review technical and legal strategies for conducting analyses, including novel analytical methods and strategies for distributed analysis and ongoing analysis as the data evolve over time.
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From page 271... ...
In the near term: • Identify the core competencies required for OSH surveillance and promote the science of surveillance; • Review the curricula of existing surveillance courses; • Collaborate with educational organizations to establish or modify training programs accordingly; and • Require surveillance courses in all funded training programs, especially in the Education and Research Center and Program Project training grants. In the longer term: • Contribute to development of surveillance courses and conferences that provide training in surveillance methods.
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From page 272... ...
The coordinating entity should: • develop and regularly update a national occupational safety and health surveillance strategic plan that is based on well-articulated objectives; • coordinate the design and evaluation of an evolving national system of systems for OSH surveillance and for the dissemination of surveillance information provided by these systems; • publish a report on progress toward the strategic plan's implementation at least every 5 years, documenting advances toward achieving a 21st-century smarter occupational safety and health (OSH) surveillance system; and • engage partners, including other federal health statistics agencies, state agencies with OSH responsibilities, and stakeholders.
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