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Occupational Health Programs. Occupational Health Definition. WHO/ILO defines occupational health as: the promotion and maintenance of the highest degree of physical, mental, and social well-being of workers in all occupations - PowerPoint PPT Presentation
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Occupational Health DefinitionOccupational Health Definition
WHO/ILO defines occupational health as:
◦the promotion and maintenance of the highest degree of physical, mental, and social well-being of workers in all occupations
◦the prevention amongst workers of departures from health caused by their working conditions
Occupational Health Program Occupational Health Program ComponentsComponents
1) Safety and Accident Prevention
2) Hazard Identification
3) Exposure Monitoring and Health Surveillance
4) Injury and Illness Management (Case
Management)
5) Emergency Response and Disaster Planning
6) International Travel
7) Ergonomics Program
8) Integrated Job Safety Analysis – identify job activities and associated occupational risk factors and modes of remediation and accommodation
Occupational Health Service GoalsOccupational Health Service Goals
To protect workers from health and safety hazards
To facilitate safe placement of workers according to their physical, mental and emotional capacities
To assure adequate medical care and rehab of occupationally ill and injured
To assist in measures related to personal health
Source: McCunney, R. A Practical Approach to Occupational and
Environmental Medicine, 1994.
Occupational Health DirectivesOccupational Health Directives
OSHA◦ General Duty Clause◦ Lab Standard◦ Respiratory Protection Standard◦ Etc.
Texas Department of State Health ServicesLaboratory Animal Care Accreditation
(AAALAC) Joint Commission accreditation for health care
organizationsOccupational management system standards
(OHSAS 18001)Many others
Employee Risk AssessmentEmployee Risk Assessment
Recommend placement of employeeScreen for health/safety issuesBaseline data: physical, mental,
historicalMeet regulatory mandates (OSHA)Identify exposure and risk factors
that are hazardous to employee’s health
Educate employee on safety & health issues
Exposure Reporting SystemsExposure Reporting Systems
Develop institutional exposure control plan
Identify responsibilities of occupational health personnel
Establish injury/illness reporting mechanismso report forms, telephone hotlines
Worker’s compensation Ensure compliance with HIPAA
regulations
Exposure Follow UpExposure Follow Up
Review of completed report formFollow-up with ill/injured person
◦Ensure documentation of type of exposure along with exposure route-trend analysis
Subsequent visits to employee health as determined by individual circumstances
Safety Devices and Preventative Safety Devices and Preventative MeasuresMeasuresPerform job safety analysis to
determine employee hazard risk categorization
Implement use of retractable syringes, sharps containers, etc.
Engineering controlsPersonal protective equipmentProper immunizations
Insurance Carrier
Workers' CompBoard
OHN/CMInjuredWorker
Manager
Payroll Information
Health Care Provider
Workers’ Compensation Benefits SystemWorkers’ Compensation Benefits System
Case ManagementCase Management
Objectives:
• avoid inappropriate medical care• avoid lost time when able to perform
modified duty• avoid anger, frustration of employee• maintain open communications
between all parties • avoid permanent disability
o encourage rehabilitation, when possible
Program EvaluationProgram EvaluationBuild evaluation into the design of the
programEvaluate based on the objectives (be sure
they were established to start with)Choose an evaluation tool-
◦Chart review or document review, Customer Survey, Observed practices, Trends in employee injury data
Report program information in terms of impact or benefits as well as cost
Consider cost benefit analysis as a part of the evaluation (small cost up front vs. large payout later?)
Characteristics of Successful Characteristics of Successful Health Promotion ProgramsHealth Promotion ProgramsSupport from the
topPriority within
missionInput from mgmt &
workersQualified staffInclude all shifts
Source: Chenoweth, D.H. (1991) Health Promotion at the Worksite
Defined budgetUse on/off site
facilitiesConduct
assessments & screenings with follow up
Participate in community programs