AdvanceMed Hanford AMH

1
AdvanceMed Hanford (AMH)
1/16

• Epidemiologist
• Naoyo MORI
• May 23, 2006

2
Contents
2/16

• About Us
• The databases we use
• How to collect/store data
• The System We Use
• Any issue
• Possible solutions

3
I. About Us

3/16

• Prime Contractor to the Dept. of Energy, Richland
  Operations Office
• Hanford site
• Established in the 40s
• Plutonium production complex
• The largest cleanup site (586 miles2)
• More than 10,000 workers

4
II. The Database We Use
4/16

• ltElectronic data Programgt
• Site Roster
• Return to Work
• CAIRS
• DOE Computerized Accident
• Incident Reporting System

5
III. How to Collect/ Store Data 1. Site Roster
5/16
Data Entry generated by AMH other contractors,
respectively

Hanford People Core Database
Oracle
Health Services System (HSS System) 1) Person
Table 2) Person Companies Table
Site Roster
Submit ORISE
ACCESS
Latest Month Available Copy
6
III. How to Collect / Store Data 2. Return
to Work Data
6/16

• ltConditions for a check-ingt
• Five days of more consecutive workdays
• Hospitalization
• Anything that may affect your working performance
• HR policies require it
• etc.
• ltNotegt AMH Capture any absence of at least one
  day of work due to injury or illness

7
III. How to Collect / Store Data 2. Return
to Work Data
7/16
People Core
Occupational Health System (OHS)
Health Services System (HSS)
Return to Work

Submit ORISE
CAIRS
8
III. How to Collect/ Store Data 3. CAIRS
8/16
Injury happens

Go to Health Center
Interviewed by Provider
Complete ROV (Record of Visit) by Provider
Investigation by Safety Person
Complete CAIRS System by Safety Person

Submit ORISE
9
IV. The Systems We Use 1. Database
9/16

• Oracle
• People Core
• Health Services System (HSS)
• Occupational Health System (OHS)
• ACCESS
• Site Roster
• Return to Work
• CAIRS

Submit ORISE

10
IV. The Systems We Use 2. Codes
10/16

• Common Occupational Classification System (COCS)
• ICD-9 code
• Job Categories

11
V. Any Issue
11/16

• Collection Issues
• Cross-Functional Activities
• Analytical Issues
• Multiple Database
• Biases

12
A. Collection Issues
12/16

• Cross-Functional Activities
• Five prime contractors
• Many subcontractors
• Registration done by each contractor
• AMH cannot control their primal data

13
B. Analytical Issues
13/16

• Multiple Database
• Oracle
• ACCESS
• Hard Copy
• Microfilm
• Microfiche

14
B. Analytical Issues (Continued)
14/16

• . Bias
• Potential Inaccuracy
• Variability
• Complexities
• Misidentification
• Specific Differences
• Inappropriate Assignment and Maintenance

15
VI. Possible Solutions
15/16

• Build up horizontal relationship b/w
• Other contractors
• HR
• Clinical staff
• IT People
• In order to
• Keep quality of data (People Core, etc.)

16
Contact Information
16/16

• AdvanceMed Hanford
• 1979 Synder St., Suite 150,
• MSIN G3-70, Richland, WA 99354
• Phone [phone]
• E-mail Naoyo_Mori_at_rl.gov
• (Most Preferable)