John Seibert, CIH

1
DOEHRS PMO
Using DOEHRS IH to Manage DoD Ergonomics
Information

• John Seibert, CIH
• DOEHRS Functional Support

2
Defense Occupational Env. Health Readiness
System
Hearing Conservation
Occupational Medicine
Industrial Hygiene
3
Presentation Outline

• Purpose of DOEHRS IH
• Features
• Relationships to other systems
• Where were going

4
DOEHRS ObjectiveThe President
Every soldier, sailor, airman and marine will
have a comprehensive, life-long medical record of
all illnesses and injuries they suffer, the care
and inoculations they receive and their exposure
to different hazards. These records will help us
prevent illness and identify and cure those that
occur.

5
DOEHRS Objective - Joint Operations

• DoD Directive 6490.2
• Joint Medical Surveillance policies
• DoD Instruction 6490.3
• OASD(HA) shall field DoD medical systems
• capture exposure data in central repositories

6
Purpose

• Provide countermeasures to Commanders
• assess risk
• identify countermeasures
• communicate to Commanders workers
• Provide exposure information for medical
  surveillance treatment
• periodic medical exams
• sick call visits

7
Presentation Outline

• Purpose of DOEHRS IH
• Features
• Relationships to other systems
• Where were going

8
IH Features

• All exposures samples
• fixed facilities deployed
• occupational ambient
• Similar Exposure Groups (SEGs)
• Ergonomics
• Base camp assessments
• Pen-capable computers

9
IH Features (contd)

• Hazard abatement tracking
• Ionizing / non-ionizing radiation
• Built-in pick lists
• Interface to Personnel system

10
New Concept Implemented

• Similar Exposure Groups (SEGs)
• learning to use
• assigning personnel by name to SEGs

11
Using a SEG

• PROCESSES
• paint stripping
• grinding
• painting
• aircraft cleaning
• soldiers
• marines
• airmen

SEGs body repairmen corrosion control
specialists part-time (detailed) tent 137
occupants
12
Presentation Outline

• Purpose of DOEHRS IH
• Features
• Relationships to other systems
• Where were going

13
DOEHRS IH ARCHITECTURE
14
DOEHRS Data Repository

• Life-long record of all exposures
• exposures from all military assignments
• exposure history provided to all DoD MTFs
• web-based query by all DoD IH / HC
• pre-defined periodic reports
• ad-hoc queries
• trend analysis
• statistical and what if analysis
• Link exposures to medical outcome

15
DOEHRS EXPOSURE DATA FLOW LONGITUDINAL PATIENT
RECORD
DOEHRS Data Repository
DOEHRS Hearing Conservation
Hazards
Exposures
Exposure record for each person
People
Processes
DOEHRS IH installations deployed locations
recommend medical exam
Clinical Data Repository in development
Clinical Encounter System OM in CHCS II
request illness investigation

• People
• UICs

Personnel Databases DMDC
16
Presentation Outline

• Purpose of DOEHRS IH
• Features
• Relationships to other systems
• Where were going

17
DOEHRS IH Next Steps

• Software testing begins - Jun 2000
• Deployment begins - Oct 2000
• phased by Tri-Care regions
• hardware deployed with software
• convert IH data from legacy systems
• DOEHRS IH Build 2
• Develop requirements - Jun - Sep 2000
• Seek funding for development - Oct 2000

18
DOEHRS Build 2Requirements Development

• Develop requirements
• build 1 unmet
• build 1 non-mission essential
• new requirements
• TMIP REOHM module
• 4 Working group meetings
• Jun - Sep
• DOEHRS PMO requested members

19
And now,a word from our sponsor
20

• Backup slides

21
DOEHRS Approach toIH Process

• Identify the IH area of responsibility
• Monthly organizations data from Defense Manpower
  Data Center
• Identify resources schedule work
• shop surveys in workplace monitoring plan
• Walk-through to find hazards
• inventory processes in each shop
• inventory hazards for each process
• research hazards from IH data repository
• identify SEGs

22
DOEHRS Approach toIH Process (contd)

• Plan survey prioritize work
• Navy workplace monitoring plan (5100/14)
• Army IH implementation plan (IHIP)
• Assess risk
• assign personnel to SEGs
• SEGs exposures
• qualitative quantitative assessment
• Develop countermeasure options

23
DOEHRS Approach toIH Process (contd)

• Present to commander for decision
• actions required
• RACs
• Assist in implementing Command decision
• exposure summaries to Occ Med

24
Resolving Issues

• Matching DOEHRS IH to IH procedures
• DOEHRS IH functional WG - high level development
• DOEHRS IH presentation layer WG - detailed rqmts
• DOEHRS IH data repository
• Policy procedures - DoD IH WG
• BUMED
• AFMOA
• CHPPM

25
DOEHRS Organization

• DoD OH Working Group
• develop prioritize system requirements
• OccMed, IH, Hearing Conservation
• DOEHRS Program Mgt Office
• system development, implementation, maintenance

26
DOEHRS Organization (contd)

• DoD Hearing Conservation (HC) WG
• 5 years of consensus building
• policy - DoDI 6055.1, DoD Hearing Conservation
  Program
• standardized procedures
• Army / Navy / AF
• DOEHRS HC system requirements

27
DOEHRS Organization (contd)

• IH
• DoD IH WG - policy procedures
• DoD IH Task Force - requirements
• DOEHRS IH functional WG - detailed rqmts
• OM
• DoD OM Task Force - requirements
• DoD OM functional WG - OM template development

28
NAVY REPRESENTATIVES

• Functional Members
• Jeffery McClaflin
• Nancy Grais
• Leslie Crowder
• Dennis Smoot
• Carla Treadwell
• Charles Dunn
• Martha Murray
• CAPT James Allen
• LT Bealer
• LCDR Shields

• DODOHWG
• CAPT Gail Goff
• CDR Mark Olesen
• Penny Howard (NMIMC)

29
Hearing Conservation

• Modification of Army / AF HEARS
• State-of-the-Art Audiometers
• Complete Hardware Replacement
• Deployment status - June 1999
• Army 100 deployed
• Navy 100 hardware, 50 software
• Air Force 15 hardware/software (awaiting funds)

30
Occupational Medicine Features

• part of CHCS II patient encounters
• patient scheduling, lab, rad, pharm
• OM templates for common findings
• history questions
• lab studies
• exams findings
• diagnoses treatments
• exposure data from IH

31
DOEHRS CORP REQUIREMENTSINTERNET ACCESS

• Provide World-Wide Tri-Service Access
• Provide Secure Transactions
• Automate Data Calls
• Automate Software Version Control
• Web Access to Required References
• Web Access to Licensed Resources

32
DOEHRS CORP REQUIREMENTSREPORTING TOOLS

• Pre-Defined Periodic Reports
• Ad-Hoc Queries
• Trend Analysis
• Statistical and What If Analysis

33
REGIONAL SERVER DEPLOYMENT

• Hardware infrastructure by Tri-service Info Mgt
  Off (TIMPO )
• POC Jarrell Arnold
• 23 Regional Servers (TIMPO)
• 18 - CONUS, 5 - OCONUS
• CONUS Mid-Atlantic will serve Atlantic
• CONUS South-West will server Central America
• Placed at network hubs (DISA Mega Centers??)
• Under MHS control, MHS will secure the
  infrastructure between the Gateway and Regional
  servers