integrating occupational hygiene and medical programs using occupational health manager (ohm) tom...
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Integrating Occupational Hygiene and Medical
ProgramsUsing Occupational Health
Manager (OHM)
Tom PoltonPfizer Inc
Overview
• Philosophical reasons for integrating hygiene and medical programs
• Mechanics for establishing a comprehensive hygiene database (customizing a commercial program OHM - Occupational Health Manager)
• Technical Solution using a Palm Pilot to facilitate data collection
Overview
• All too often, medical and industrial hygiene programs operate independently
• There may be communicationcommunication but not dialoguedialogue between the professionals– Physicians need exposure histories to target
medical surveillance– Hygienists need medical restrictions to
accommodate employees
• What is to be gained from integrating the industrial hygiene and medical programs?
Elements of Hygiene ProgramPerform
Qualitative Assessments
Perform Quantitativ
e Assessment
s
ImplementImplementWorkplaceWorkplaceControlsControls
Conduct Medical Examinations
ReportFindings
to Employees
AccommodatAccommodateeMedical Medical RestrictionsRestrictions
Elements of Medical Program
Elements of Hygiene ProgramPerform
Qualitative Assessments
Perform Quantitativ
e Assessment
s
ImplementWorkplaceControls
Elements of Medical Program
Conduct Medical Examinations
ReportFindings
to Employees
AccommodateMedical Restrictions
Breaking Down the BarriersPerform
Qualitative Assessments
Perform Quantitativ
e Assessment
s
ImplementWorkplaceControls
Conduct Medical
Examinations
ReportFindings
to Employees
AccommodateMedical Restrictions
An Integrated IH-MD Program
Analyze Relationship Between Medical Results and Occupational Exposures
Identify Individuals at Risk
Based on Exposure
Conduct Medical
Examinations
ReportFindings
to Employees
AccommodateMedical Restrictions
Perform Qualitative
AssessmentsImplementWorkplaceControls
Perform Quantitativ
e Assessment
s
Material FactorsControls
Process
Equipment Material
Job
Monitoring Results
Employee
Task
Location
Exposure Group
Exposure Assessment
Exposure Monitoring
Exposure History
Medical ResultsMedical History
Data Needed to Integrate Programs
HumanResources
Production
• Exposure Groups• Exposure Assessment• Sampling Information
• Material Information - sampling methods, exposure limits health hazards & target organs • Analytical Results• Medical Examination Results
• Production dates • Work Crews
• Employee Names • Work Crews
PALMPILOT
OHM
• Exposure Group
• Exposure Group• Materials• Exposure Assessment• Engineering Controls• Administrative Controls• Exposure Monitoring
Advantages of System
• Incorporates ACGIH and European Working Group recommended data elements as presented at 1999 conference in England
• Even if programs aren’t integrated, computer application improves efficiency of both programs