National Academies Review of the NIOSH Hearing Loss Research Program

1
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

2
Presentation Objectives

• NIOSH goals for this review
• Overview of NIOSH and its research programs
• Questions and Discussion

3
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

4
Why has NIOSH undertaken this review?
5
Quantitative 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.

6
Performance Measurement

• GPRA Government Performance and
• Results Act of 1993, PL 103-62
• Strategic and performance plans
• Performance reports
• PART Program Assessment Rating Tool,
• Presidents Management Council, 2002
• Systematic method of assessing
• performance of program activities

7
Overview of NIOSH Research Programs
8
U.S. Occupational Illness and Injuries

• Work-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)

Liberty Mutual Safety Index, 2004
9
OSH Act of 1970

• PL 91-596 (1970) created OSHA and NIOSH
• To assure safe and healthful working conditions
  for working men and women

10
Occupational Safety and Health
Regulation/Enforcement
Research and Prevention Recommendations
Department of Labor (DOL)
Department of Health and Human Services (HHS)
Centers for Disease Control and Prevention (CDC)
Mine Safety and Health Administration (MSHA)
Occupational Safety and Health Administration (OSH
A)
National Institute for Occupational Safety and
Health (NIOSH)
11
National Institute for Occupational Safety and
Health

• The sole federal government organization charged
  with conducting occupational safety and health
  research.

12
NIOSH Vision

• Delivering on the nations promise
• safety and health at work for all people through
  research and prevention

13
NIOSH Values

• Relevance
• Diversity
• Quality
• Partnership
• Access
• Performance
• Accountability

14
NIOSH 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

15
NIOSH 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)

16
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

17
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

18

• 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

19
Research Councils

• Agriculture, forestry, and fishing
• Construction
• Health care and social assistance
• Manufacturing
• Mining

• Services
• Transportation, warehousing, and utilities
• Wholesale and retail trade
• Cross-sector issues

20
Board 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.

21
NIOSH Operational Logic Model
Mission To Provide National and World Leadership
to Prevent Work-related Illnesses and Injuries
22
NIOSH Operational Logic Model
23
NIOSH Operational Logic Model
24
NIOSH Budget 2000 2006 (proposed)
Millions
286
286
273
277
276
260
226
2000
2004
2002
2006
25
NIOSH Locations and Staff
1300 FTEs in Cincinnati Morgantown Pittsburgh Sp
okane Atlanta Washington
26
NIOSH Staff Census by Occupation(Selected
Research Categories)
n 573 Total NIOSH FTEs 1300
27
Divisions, Labs, and Offices

• Education and Information Division
• Division of Applied Research and Technology
• Division of Surveillance Hazard Evaluation and
  Field Studies
• Office of Compensation Analysis and Support

• Division of Respiratory Disease Studies
• Division of Safety Research
• Health Effects Laboratory Division
• Spokane Research Laboratory
• Pittsburgh Research Laboratory
• National Personal Protective Technology
  Laboratory

28
Extramural Programs
Total 100M
29
(No Transcript)
30
Research Program Portfolio(includes all NIOSH
research projects)

• Sector programs
• Cross-sector programs
• Tools and emphasis areas

31
Sector Programs (8)

• Agricultural, forestry fishing
• Construction
• Healthcare social assistance
• Manufacturing
• Mining
• Public and private services
• Trade
• Transportation, warehousing utilities

32
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

33
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

34
Tools and Emphasis Programs (7)

• Economics
• Exposure assessment
• Engineering controls
• WorkLife initiative
• Occupational health disparities
• Small business assistance and outreach
• Surveillance

35
NIOSH Research-to-Practice Program

• Conceiving, Planning, Conducting, Evaluating, and
  Translating Research with our Partnersand
  with Impact in Mind

36
(No Transcript)
37
Research Outputs

• Peer-reviewed publications
• NIOSH publications
• Communications to regulatory agencies or Congress

38
(No Transcript)
39
Transfer of Outputs to Customers

• Translation of research into practice, products
  and technologies
• Information dissemination
• Web site
• Technical information inquiry services

40
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

41
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

42
(No Transcript)
43
The final outcome we all seek is improved
workplace health and safety
44
Quantitative 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.

45
Outputs of customers that we define as
intermediate outcomes

• Regulations
• Guidance
• Standards
• Training and education programs
• Pilot technologies

46
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

47
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 NIOSHs ultimate goals is to do
  better work, therefore your advice is welcome