Understanding Occupational Health Indicators (OHIs) in Tribal Communities

WestON 2017 Elizabeth Dalsey

Do OHI data reveal

information that would

be helpful to tribes?

# of injuries or illnesses

Population at riskOHIs

Census of Fatal

Occupational

Injuries (CFIO)

Asthma Call-back

Survey

Survey of

Occupational Injuries

and Illnesses (SOII)

Workers’

Compensation

Adult Blood Lead

Epidemiology &

Surveillance

(ABLES)

Hospital Discharge

Data

National Healthcare Safety

Network (NHSN)

Poison Control

Center Data

Occupational Health

Indicators

Race

X

National Level

State Level

Elect state workers’

compensation system

Create a set of workers’

compensation law

Use Tort Law

Elect state workers’

compensation system

Create a set of workers’

compensation law

Use Tort Law

Race Industry

> 75%

Race data unknown

RaceIndian Health Service (IHS)

Hospitals

X

RaceIndian Health Service (IHS)

Hospitals

X

IHS Healthcare Personnel Influenza Vaccine Coverage,

2008-2017, all facilities (IHS, Tribal, Urban) 2015

X

Race

IHS Facilities

• Race often not collected/unknown

• Small sample size

• No tribal enrollment

• AI/AN only vs. AI/AN all races

Challenges

Opportunities

Race

Industry

Race

Industry

`

Race

X

IHS Facilities

CFOICFOICFOI

Poison Control

Center Data

Poison Control

Center Data

Poison Control

Center Data

19

Hospital Discharge

Data

CFOICFOICFOI

Poison Control

Center Data

Poison Control

Center Data

Poison Control

Center Data

20

Hospital Discharge

Data

My Tribal

Data

CFOICFOICFOI

Poison Control

Center Data

Poison Control

Center Data

Poison Control

Center Data

21

Hospital Discharge

Data

My Tribal

Data