Joint Environmental Surveillance Working Group JESWG Meeting

1
OEHS Metrics

• Joint Environmental Surveillance Working Group
  (JESWG) Meeting
• 14 March 2002

2
Purpose

• Discuss Metrics Development
• Develop Metrics for OEHS

3
Metrics DevelopmentProcess Based

• What is the process we want to measure?
• What do we want to measure?
• How will we use the information to improve the
  process?
• What metrics will provide us that information?
• Is that information available?
• How are we going to collect the information?

4
Types of Metrics

• Process (Leading indicator)
• e.g., of risk assessments completed
• e.g., of required DNBI reports submitted
• Outcome (Lagging indicator)
• e.g., DNBI rates
• e.g., Lost duty days

5
Metrics Development

• What is the process we want to measure?
• What do we want to measure?
• How will we use the information to improve the
  process?
• What metrics will provide us that information?
• Is that information available?
• How are we going to collect the information?

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1. Identify Hazards
OEHS within the ORM Process

• Intelligence estimate
• Contingency/Operational planning
• OEH hazard surveillance during military operations

2. Determine Risk
5. Supervise Evaluate

• Severity probability of health effect
• ORM risk levels

• Inspections audits
• DNBI reporting
• Medical exams for known exposures
• Illness investigations/Epidemiology studies
• Medical record keeping

3. Develop Countermeasures Make Risk Decisions
4. Implement Countermeasures

• Eliminate the hazard
• Change the process
• Pathway barriers
• Risk acceptance decision at the proper level of
  authority

• Institute new procedures
• Purchase/modify equipment
• Immunizations
• Train personnel

7
Notional DNBI Reporting Process
Military member reports to medical unit for
treatment
Medical unit prepares DNBI report
Health Surveillance Centers DMSS consolidates
DNBI reports
JTF Surgeon consolidates DNBI reports
CINC Surgeon consolidates DNBI reports
???? Are DNBI reports for each medical unit or
line unit ????
8
Metrics Examples

• medical unit DNBI reports to Service Health
  Surveillance Centers
• medical unit DNBI reports to DMSS
• medical unit sick call logs to DMSS (annually)
• JTF quarterly reports to CHPPM DESP
• exposure records in medical records

9
Summary

• One approach process based metrics
• Do you want to use this approach?

10
Metrics DevelopmentProcess Based

• What is the process we want to measure?
• What do we want to measure?
• How will we use the information to improve the
  process?
• What metrics will provide us that information?
• Is that information available?
• How are we going to collect the information?

11
Possible Metrics Areas

• What metrics should we develop to make sure
  people are doing what needs to be done to protect
  the military member?
• EBSs completed prior to deployment (MAJ Darby)
• of operational plans incorporated OEH
  assessments (John Resta)
• of deployment activities with ORM assessments
  completed
• reports provided on time
• of activities at each ORM risk level (Maj
  Chulick)