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Transcript of National Academies Review of the NIOSH Hearing Loss Research Program Lewis V. Wade, Ph.D. Senior...
National Academies Review of the NIOSH
Hearing Loss Research Program
National Academies Review of the NIOSH
Hearing Loss Research Program
Lewis V. Wade, Ph.D.Senior Science Advisor
National Institute for Occupational Safety and Health
January 5, 2006
Lewis V. Wade, Ph.D.Senior Science Advisor
National Institute for Occupational Safety and Health
January 5, 2006
Presentation ObjectivesPresentation Objectives
NIOSH goals for this review
Overview of NIOSH and it’s research
programs
Questions and Discussion
NIOSH goals for this review
Overview of NIOSH and it’s research
programs
Questions and Discussion
Review of NIOSH Research Programs
Review of NIOSH Research Programs
Conduct a series of studies to review NIOSH
research activities with respect to:
Impact of completed research in the
workplace
Relevance of research conducted
Significant emerging issues
Conduct a series of studies to review NIOSH
research activities with respect to:
Impact of completed research in the
workplace
Relevance of research conducted
Significant emerging issues
Why has NIOSH undertaken this review?
Why has NIOSH undertaken this review?
Quantitative ResultsQuantitative Results
“The committee will rate the performance of each program activity on a scale of 1 – 5 for the impact of the program in the workplace and for the success of the program in achieving its goals. For cases where the impact is difficult to measure, the committee may evaluate performance by using existing intermediate outcomes to estimate impact.”
“The committee will rate the performance of each program activity on a scale of 1 – 5 for the impact of the program in the workplace and for the success of the program in achieving its goals. For cases where the impact is difficult to measure, the committee may evaluate performance by using existing intermediate outcomes to estimate impact.”
Performance MeasurementPerformance Measurement
GPRA: Government Performance and Results Act of 1993, PL 103-62
Strategic and performance plans
Performance reports
PART: Program Assessment Rating Tool,President’s Management Council, 2002
Systematic method of assessing performance of program activities
GPRA: Government Performance and Results Act of 1993, PL 103-62
Strategic and performance plans
Performance reports
PART: Program Assessment Rating Tool,President’s Management Council, 2002
Systematic method of assessing performance of program activities
Overview of NIOSH Research ProgramsOverview of NIOSH Research Programs
U.S. Occupational Illness and Injuries
U.S. Occupational Illness and InjuriesWork-related fatalities per day
16 from injuries (5524 in 2002)137 from diseases
4.4 million non-fatal illnesses and injuries
(2003)
$49.6 billion -- direct costs for
occupational injuries (2002)*
Work-related fatalities per day16 from injuries (5524 in 2002)137 from diseases
4.4 million non-fatal illnesses and injuries
(2003)
$49.6 billion -- direct costs for
occupational injuries (2002)*Liberty Mutual Safety Index, 2004 *
OSH Act of 1970OSH Act of 1970
PL 91-596 (1970) created OSHA and NIOSH
To assure safe and healthful working conditions for working men and women
PL 91-596 (1970) created OSHA and NIOSH
To assure safe and healthful working conditions for working men and women
Mine Safetyand Health
Administration(MSHA)
Department ofHealth and Human Services
(HHS)
Department of Labor(DOL)
Occupational Safety and Health
OccupationalSafety and Health
Administration(OSHA)
Research and Prevention Recommendations
Centers for DiseaseControl and Prevention
(CDC)
National Institute forOccupational Safetyand Health (NIOSH)
Regulation/Enforcement
National Institute for Occupational Safety and Health
National Institute for Occupational Safety and Health
The sole federal government organization charged with conducting occupational safety and health research.
The sole federal government organization charged with conducting occupational safety and health research.
NIOSH VisionNIOSH Vision
Delivering on the nation’s promise –
safety and health at work for all people
through research and prevention
Delivering on the nation’s promise –
safety and health at work for all people
through research and prevention
NIOSH ValuesNIOSH Values
Relevance
Diversity
Quality
Partnership
Access
Performance
Accountability
Relevance
Diversity
Quality
Partnership
Access
Performance
Accountability
NIOSH Strategic GoalsNIOSH Strategic Goals
Conduct research to reduce work-related illnesses and injuries.
Promote safe and healthy workplaces through interventions, recommendations and capacity building.
Enhance global workplace safety and health through international collaborations
Conduct research to reduce work-related illnesses and injuries.
Promote safe and healthy workplaces through interventions, recommendations and capacity building.
Enhance global workplace safety and health through international collaborations
NIOSH Research AgendaNIOSH Research Agenda
Before 1996:
National symposia on the leading causes of occupationally-related illness and injury
Ten strategies
After 1996:
National Occupational Research Agenda (NORA)
Before 1996:
National symposia on the leading causes of occupationally-related illness and injury
Ten strategies
After 1996:
National Occupational Research Agenda (NORA)
National Occupational Research Agenda (1996)
A national partnership effort
500 organizations and individuals outside NIOSH
21 research priorities to guide OSH research in the nation for the next decade
NORA (1996) Ongoing Effectiveness Evaluation
Pre-award competitive external scientific review
Mid-course external review of program
Annual internal assessment of progress and success
NORA at nine review
Develop sector specific research agendas to bring research to practice in the workplace
Accept stakeholder input (www.cdc.gov/niosh/nora)
Kick-off at the 2006 NORA Symposium on April 17-20, 2006
Agriculture, forestry, and fishing
Construction
Health care and social assistance
Manufacturing
Mining
Agriculture, forestry, and fishing
Construction
Health care and social assistance
Manufacturing
Mining
Services
Transportation, warehousing, and utilities
Wholesale and retail trade
Cross-sector issues
Services
Transportation, warehousing, and utilities
Wholesale and retail trade
Cross-sector issues
Research Councils:
Board of Scientific CounselorsBoard of Scientific Counselors
The Board of Scientific Counselors shall provide guidance to the Director, NIOSH, on research and preventions programs. Specifically, the Board shall provide guidance on the Institute's research activities related to developing and evaluating hypotheses, systematically documenting findings and disseminating results. The Board shall evaluate the degree to which the activities of NIOSH: (1) Conform to appropriate scientific standards, (2) address current, relevant needs, and (3) produce intended results.
The Board of Scientific Counselors shall provide guidance to the Director, NIOSH, on research and preventions programs. Specifically, the Board shall provide guidance on the Institute's research activities related to developing and evaluating hypotheses, systematically documenting findings and disseminating results. The Board shall evaluate the degree to which the activities of NIOSH: (1) Conform to appropriate scientific standards, (2) address current, relevant needs, and (3) produce intended results.
NIOSH Operational Logic ModelNIOSH Operational Logic ModelMission: To Provide National and World Leadership to Prevent Work-related Illnesses and Injuries
Research Partners
External Factors :Economic and social
conditions and regulatory environment
Improvements in safety and
health in workplaces
Research * :Surveillance ,
epidemiological and behavioral studies ,
intervention studies ,laboratory and field
studies ,exposure
measurements and risk assessment ,
control studies and development ,
PPE studies and development
*Intramural and extramural , including
domestic and international efforts ,
such as work conducted at ERCs ,
ARCs and WHO Global Network of
Collaborating Centers
OSHA , MSHA , other federal
agencies ; NIOSH
programs ; Congress ; State
& local agencies ; standards
bodies ; labor , trade and
professional associations ; technology
developers and manufacturers ;
other researchers ; SH
practitioners
Employees , employers ,
industry , educators , regulators
who reduce or prevent
hazardous exposures or
conditions
ActivitiesIntermediate and Final Activities
Intermediate Activities Outputs Final Activities(transformation ) ( implementation )
EndOutcomes
Transfer
Transfer : - translation of research into
practice , products and technologies ;
- information dissemination ;
- capacity building through technical
assistance (HHE’s ), training and education
Conduct Surveillance and evaluate intervention effectiveness
- Recommendations , reports , publications ,
workshops , databases , conferences ;
-training and education materials and
demonstration programs , trained professionals ;
- tools and methods , best practices , developmental
technologies , licenses , patents
Outputs
Pilot and /or market ready technologies , training and education programs , guidance ,
regulations , standards , trade and
major media releases ; websites
Feedback
Inputs
Production
Inputs
Planning
Inputs
NIOSH Operational Logic ModelNIOSH Operational Logic Model
Inputs Activities OutputsIntermediate and Final Activities
Intermediate Activities Outputs Final Activities(transformation) (implementation)
EndOutcomes
Transfer
NIOSH Operational Logic ModelNIOSH Operational Logic Model
Inputs Activities OutputsIntermediate and Final Activities
Intermediate Activities Outputs Final Activities(transformation) (Implementation)
EndOutcomes
Transfer
NIOSH Budget: 2000 – 2006 (proposed)
NIOSH Budget: 2000 – 2006 (proposed)
0
50
100
150
200
250
300
350
0
50
100
150
200
250
300
350
2000 20042002 2006
$ Millions
226
276 273 277 286 286260
NIOSH Locations and StaffNIOSH Locations and Staff
~1300 FTEs in:
Cincinnati
Morgantown
Pittsburgh
Spokane
Atlanta
Washington
NIOSH Staff Census by Occupation
(Selected Research Categories)
NIOSH Staff Census by Occupation
(Selected Research Categories) 241
154
6836 30 21 19 4
0
50
100
150
200
250
300 n = 573Total NIOSH FTEs =
1300
Divisions, Labs, and Offices Division of Respiratory
Disease Studies Division of Safety
Research Health Effects Laboratory
Division Spokane Research
Laboratory Pittsburgh Research
Laboratory National Personal
Protective Technology Laboratory
Education and Information Division
Division of Applied Research and Technology
Division of Surveillance Hazard Evaluation and Field Studies
Office of Compensation Analysis and Support
Extramural Programs
31%
22%
25%
22%
Grants
Coops
Training
Surveillance
Total: ~$100M
Inputs Activities OutputsIntermediate and Final Activities
Intermediate Activities Outputs Final Activities(transformation) (Implementation)
EndOutcomes
Transfer
Research Program Portfolio(includes all NIOSH research
projects)
Research Program Portfolio(includes all NIOSH research
projects) Sector programs
Cross-sector programs
Tools and emphasis areas
Sector programs
Cross-sector programs
Tools and emphasis areas
Sector Programs (8)Sector Programs (8)
Agricultural, forestry & fishing Construction Healthcare & social assistance Manufacturing Mining Public and private services Trade Transportation, warehousing &
utilities
Agricultural, forestry & fishing Construction Healthcare & social assistance Manufacturing Mining Public and private services Trade Transportation, warehousing &
utilities
Cross-Sector Programs (15)Cross-Sector Programs (15) Authoritative recommendations
development Cancer, reproductive,
cardiovascular, neurologic & renal diseases
Communications & information dissemination
Emergency preparedness/response Global collaborations Health hazard evaluation Hearing loss prevention
Authoritative recommendations development
Cancer, reproductive, cardiovascular, neurologic & renal diseases
Communications & information dissemination
Emergency preparedness/response Global collaborations Health hazard evaluation Hearing loss prevention
Cross-Sector Programs (15) (continued)
Cross-Sector Programs (15) (continued)
Immune, dermal & infectious diseases
Musculoskeletal disorders
Personal protective technology
Radiation dose reconstruction
Respiratory diseases
Training grants
Traumatic injury
Work organization & stress-related disorders
Immune, dermal & infectious diseases
Musculoskeletal disorders
Personal protective technology
Radiation dose reconstruction
Respiratory diseases
Training grants
Traumatic injury
Work organization & stress-related disorders
Tools and Emphasis Programs (7)Tools and Emphasis Programs (7)
Economics
Exposure assessment
Engineering controls
WorkLife initiative
Occupational health disparities
Small business assistance and outreach
Surveillance
Economics
Exposure assessment
Engineering controls
WorkLife initiative
Occupational health disparities
Small business assistance and outreach
Surveillance
NIOSH Research-to-Practice Program
NIOSH Research-to-Practice Program
Conceiving, Planning, Conducting, Evaluating, and Translating Research with our Partners…and with Impact in Mind
Conceiving, Planning, Conducting, Evaluating, and Translating Research with our Partners…and with Impact in Mind
Inputs Activities OutputsIntermediate and Final Activities
Intermediate Activities Outputs Final Activities(transformation) (Implementation)
EndOutcomes
Transfer
Research Outputs
Peer-reviewed publications
NIOSH publications
Communications to regulatory agencies or Congress
Inputs Activities OutputsIntermediate and Final Activities
Intermediate Activities Outputs Final Activities(transformation) (Implementation)
EndOutcomes
Transfer
Transfer of Outputs to Customers
Translation of research into practice, products and technologies
Information dissemination: Web site Technical information inquiry services
Transfer of Outputs to Customers
Capacity building through
technical assistance Health hazard evaluation program
Fatality investigation programs
Firefighters
Other targeted groups
training and education Educational Research Centers Training project grants
Many Partners(for example)
American Society of Safety Engineers
Center to Protect Workers’ Rights
American Industrial Hygiene Association
American College of Occupational and Environmental Medicine
World Health Organization
Pan American Health Organization
Inputs Activities OutputsIntermediate and Final Activities
Intermediate Activities Outputs Final Customers(transformation) (Implementation)
EndOutcomes
Transfer
The final outcome we all seek is improved workplace
health and safety
The final outcome we all seek is improved workplace
health and safety
Quantitative ResultsQuantitative Results
“The committee will rate the performance of each program activity on a scale of 1 – 5 for the impact of the program in the workplace and for the success of the program in achieving its goals. For cases where the impact is difficult to measure, the committee may evaluate performance by using existing intermediate outcomes to estimate impact.”
“The committee will rate the performance of each program activity on a scale of 1 – 5 for the impact of the program in the workplace and for the success of the program in achieving its goals. For cases where the impact is difficult to measure, the committee may evaluate performance by using existing intermediate outcomes to estimate impact.”
Outputs of customers that we define as intermediate
outcomes Regulations
Guidance
Standards
Training and education programs
Pilot technologies
NIOSH thoughts on NA review process
Programs, not projects
Importance of quantitative as well as qualitative assessment
Bottom line effectiveness, not just a review of processes
NIOSH thoughts on the Framework
NIOSH thoughts on the Framework
Comfortable with the Framework
No Framework can cover the breadth of NIOSH programs; EC may face some challenges
We understand that arriving at a simple number rating is a difficult task, we also understand that some will place great importance in that number, we appreciate your efforts
Keep in mind that NIOSH’s ultimate goals is to do “better” work, therefore your advice is welcome
Comfortable with the Framework
No Framework can cover the breadth of NIOSH programs; EC may face some challenges
We understand that arriving at a simple number rating is a difficult task, we also understand that some will place great importance in that number, we appreciate your efforts
Keep in mind that NIOSH’s ultimate goals is to do “better” work, therefore your advice is welcome